Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oregon for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oregon only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oregon (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Salem Health West Valley (NPI 1245237486)

Key Findings

Field	Value
Entity Type	Organization
Organization	Salem Health West Valley
Address	525 Se Washington St
City	Dallas
State	OR
ZIP	97338
Taxonomy	Critical Access Hospital
NPI Enumerated	July 1, 2005

Payer Source	Total Paid
Medicaid	$16.2M
Medicare	$0

SALEM HEALTH WEST VALLEY is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $16.2M in lifetime Medicaid revenue, indicating Medicaid is the primary (and de facto sole) public payer in this dataset. The provider’s taxonomy is Critical Access Hospital, which aligns with the observed service mix concentrated on emergency and basic inpatient/outpatient services.

Revenue is highly concentrated in a small set of ED evaluation-and-management codes: the precomputed top-3 Medicaid codes account for 80.7% of the provider’s total Medicaid revenue, with 99283 generating $6.8M (43.1%) and 99284 generating $5.2M (32.7%). This concentration suggests the facility’s financial performance on Medicaid is driven overwhelmingly by emergency department throughput.

Operationally, the code mix signals an ED- and hospital-based model with on-site diagnostic capacity: high-volume ED E/M codes 99283 (36.9K claims, $185 avg paid/claim) and 99284 (21.6K claims, $240 avg paid/claim) dominate revenue, while lab and basic imaging codes such as 80053 (19.9K claims, $38 avg paid/claim, $754.9K revenue), 74177 (522 claims, $398 avg paid/claim), and 85025 (19.4K claims, $10 avg paid/claim) indicate routine in-house testing and CT capacity supporting ED care. The presence of IV administration codes 96374 (5.8K claims) and 96375 (3.1K claims) further supports an ED/infusion capability for acute treatment.

Competitive standing in-state is modest-to-strong for core ED codes but not dominant: 99283 ranks #22 of 137 providers in-state (85th percentile; typical, unremarkable volume for this code) and 99284 ranks #47 of 145 (68th percentile; typical, unremarkable volume for this code). Those percentiles place the provider above median peers for ED volume on these codes, yet the accompanying qualitative labels (“typical, unremarkable volume”) suggest the activity levels are within the normal range for Oregon providers with similar services.

There are specific areas of relative strength in diagnostic testing: respiratory multiplex testing 87631 appears concentrated for this specialty test (2.3K claims, $131 avg paid/claim, $296.7K revenue) and ranks #3 of 36 providers in-state (94th percentile; typical, unremarkable volume for this code), indicating the provider is one of a small number of high-volume performers for multiplex respiratory pathogen testing in-state. By contrast, commonly billed lab and imaging codes (e.g., 80053, 85025, 36415) generally sit in middle-to-upper percentiles statewide, reflecting routine lab throughput rather than unusual specialization.

The facility shows operational throughput at scale for basic specimen collection and common labs: 36415 reports 23K claims ($7 avg paid/claim, $160.7K revenue) and 85025 reports 19.4K claims ($10 avg paid/claim, $194.1K revenue), placing those services in relatively high claim-count brackets (for example 36415 ranks #38 of 415 providers in-state, 91th percentile; typical, unremarkable volume for this code). This supports the view that the hospital is handling steady outpatient/ED lab volumes consistent with a community acute-care hub.

Tenure is established: the NPI was enumerated on 2005-07-01 (~21 years ago), so this provider has been operating under its current NPI for roughly two decades. That longevity combined with the concentrated ED revenue profile suggests a stable, long-running community hospital role rather than a newly launched specialty center.

Payer and service-line risk considerations are clear: because Medicaid alone accounts for the recorded public-payer revenue and the top two ED codes (99283 and 99284) account for the lion’s share of Medicaid dollars, any shifts in Medicaid ED reimbursement rates or utilization patterns could materially affect this provider’s revenue. Analysts and contracting teams should therefore prioritize Medicaid ED reimbursement and utilization trends when assessing financial resilience or negotiating network arrangements.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

102 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	36,930	$190	$6.8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	21,600	$240	$5.2M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	19,870	$40	$754.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	1,420	$350	$500.9K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	5,820	$50	$302.4K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	2,270	$130	$296.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	2,070	$110	$219.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	520	$400	$207.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	19,410	$10	$194.1K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	3,080	$60	$175.3K

Showing 1–10 of 102

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oregon Distribution

Salem Health West Valley — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

102 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	47	150	7,400	$170	$2.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	76	130	2,610	$200	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	22	140	10,160	$130	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	28	60	3,620	$90	$623.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	35	60	420	$60	$405.1K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7	10	290	$90	$379.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	36	80	1,130	$90	$327.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	271	1,500	650	$70	$312.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	54	80	1,210	$40	$294.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	38	100	250	$80	$268K

Showing 1–10 of 102

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salem Health	OR	General Acute Care Hospital	$0	$65.7M
Kamran Ghalili	OR	Cardiovascular Disease Physician	$409K	$0
Hrishikesh Iyengar	OR	Interventional Cardiology Physician	$385.2K	$0
Harminder Gandhok	OR	Cardiovascular Disease Physician	$306.1K	$0
Maziar Azadpour	OR	Cardiovascular Disease Physician	$299.7K	$0
Gregory Bear	WA	Diagnostic Radiology Physician	$286.5K	$0
Barath Krishnamurthy	OR	Interventional Cardiology Physician	$281.5K	$0
Deborah Hughes	OR	Cardiovascular Disease Physician	$266.4K	$0
Ashit Patel	OR	Clinical Cardiac Electrophysiology Physician	$199.4K	$0
Sandeep Saha	OR	Clinical Cardiac Electrophysiology Physician	$192.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Polk	OR	Psychiatry Physician	$0	$13.7M
Polk County Alcohol And Drug	OR	Addiction (Substance Use Disorder) Counselor	$0	$3.6M
Fir Hill Group Home LLC	OR	Mental Illness Community Based Residential Treatment Facility	$0	$2.4M
Polk Adolescent Day Treatment Center Inc	OR	Community/Behavioral Health Agency	$0	$2.3M
Dallas Oregon Emergency Physicians LLC	OR	Emergency Medicine Physician	$0	$1.9M
City Of Dallas	OR	Land Ambulance	$277.6K	$1.2M
Therese Pham	OR	Pediatric Dentistry	$0	$1.5M
Clear Paths Inc	OR	Addiction (Substance Use Disorder) Counselor	$0	$1.4M

Salem Health West Valley — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References