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.

Pacific Northwest Renal Services, L.L.C. (NPI 1255443156)

Field	Value
Entity Type	Organization
Organization	Pacific Northwest Renal Services, L.L.C.
Address	2824 Ne Wasco St
City	Portland
State	OR
ZIP	97232
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	8,540	$230	$1.9M
A4657	Syringe, with or without needle, each	10,780	$10	$53.9K
J1756	Injection, iron sucrose, 1 mg	380	$80	$31.7K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	150	$10	$1.7K
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	1,040	$1	$1K
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…	430	$1	$850
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	420	$1	$840
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	780	$1	$780
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	380	$1	$760
84155	The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a…	420	$1	$420

Showing 1–10 of 17

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

Pacific Northwest Renal Services, L.L.C. — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	26	50	8,880	$60	$806.2K
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…	118	160	2,690	$1	$81.3K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	70	100	300	$10	$31K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	37	70	390	$10	$12.8K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	40	80	410	$10	$11.5K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	38	60	280	$10	$9.6K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	62	90	340	$1	$6.4K
J1756	Injection, iron sucrose, 1 mg	20	40	330	$1	$4.4K
84100	The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.	39	40	470	$1	$3.1K
A4657	Syringe, with or without needle, each	5	50	1,900	$1	$2.5K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pacific Northwest Renal Services, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pacific Northwest Renal Services, L.L.C.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.5M
Pacific Northwest Renal Services, L.L.C.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.2M

Nearby Providers

Other providers in the same ZIP code as Pacific Northwest Renal Services, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Health Plan Of The Northwest	OR	General Practice Physician	$0	$116.3M
Cascadia Health	OR	Multi-Specialty Clinic/Center	$0	$76.8M
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$50.8M
Legacy Laboratory Services, LLC	OR	Clinical Medical Laboratory	$2.8M	$24.8M
The Oregon Clinic PC	OR	Specialist	$0	$7.4M
Kaiser Foundation Health Plan Of The Northwest	OR	General Practice Dentistry	$0	$6.9M
Laboratory Corporation Of America	OR	Clinical Medical Laboratory	$348.3K	$2.7M
Restore Therapy LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M
Cascade Pathology Services, Corp	OR	Anatomic Pathology & Clinical Pathology Physician	$0	$2.5M
Cascade Cytology Reference	OR	Anatomic Pathology & Clinical Pathology Physician	$0	$1.1M

Pacific Northwest Renal Services, L.L.C. — Billing Profile & Reimbursement Data

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Pacific Northwest Renal Services, L.L.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References