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 (NPI 1265431829)

Key Findings

Field	Value
Entity Type	Organization
Organization	Salem Health
Address	890 Oak St Se
City	Salem
State	OR
ZIP	97301
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 18, 2005

Payer Source	Total Paid
Medicaid	$65.7M
Medicare	$0

Salem Health is effectively a Medicaid-centric hospital: it shows no Medicare billing on file while reporting $65.7M in total Medicaid revenue, making its public payer footprint in these datasets overwhelmingly single-payer (Medicaid) focused. This concentration implies operational and revenue dependence on Medicaid reimbursement and associated service lines.

Revenue concentration is high: the precomputed top three Medicaid codes account for 56.0% of the provider's total Medicaid revenue, indicating that a small set of services — primarily emergency department evaluation & management codes and high-volume outpatient visits — drive the majority of cash flow from Medicaid. This concentration suggests that changes in ED utilization or Medicaid policy for those codes would materially affect overall revenue.

Emergency department services dominate the Medicaid code mix. The highest-revenue Medicaid codes are 99284 ($16.2M, 26.6% of Medicaid revenue) and 99283 ($13.5M, 22.0% of Medicaid revenue), with substantial additional ED/high-acuity codes such as 99285 and 99223 also present. Together these codes indicate that Salem Health operates a high-volume emergency and observation care operation, with sizable throughput of moderate- and low-complexity ED visits.

Competitive standing within Oregon is pronounced for many codes: Salem Health ranks in the 99th–100th percentile or top state ranks for numerous high-volume Medicaid codes (for example, 99284 ranks #3 of 145 in-state at the 99th percentile, 99283 ranks #2 of 137 at the 99th percentile, and 96374 ranks #1 of 62 at the 100th percentile). These rank/percentile signals mark the provider as a major statewide outlier for ED visits, IV medication administration, and several common outpatient services — far above typical state volumes.

Service breadth beyond emergency care is evident but concentrated: high claim counts for outpatient E/M codes such as 99214 and 99213, plus procedural and diagnostic codes like 80053 (CMP), 71046 (chest x-ray), and 93306 (echocardiography), show that Salem Health provides a mix of ambulatory, inpatient, imaging, lab, and cardiac diagnostic services. However, the top-line revenue skew toward a few high-volume ED codes means these broader services contribute materially less to Medicaid revenue on a relative basis.

Specific codes exhibit extreme state-level volume for narrowly defined services: codes like 96374 (IV push), 96375 (sequential IV infusions), 0001A/0002A (unknown descriptors but high-ranked), and J0585 (onabotulinumtoxina injections) are all described as extreme outliers or 100th-percentile leaders in-state. These patterns suggest operational specialization in IV therapeutics, high outpatient procedural throughput, and sizeable clinics or departments administering specialized injections.

Tenure and stability: Salem Health’s NPI was enumerated on 2005-07-18 (~21 years ago), indicating long-standing participation in the claims ecosystem and sufficient historical presence to establish high-volume care pathways in the region. That longevity helps explain sustained high ranks across many Medicaid codes.

Risk/opportunity implications for payers and partners: because so much Medicaid revenue flows through a concentrated set of ED and high-throughput outpatient codes (56.0% from the top three codes), payers evaluating network strategy, utilization management, or value-based contracting should prioritize review of emergency-department workflows, observation/inpatient transitions, and IV/infusion protocols at Salem Health. Any network or rate changes targeting these high-volume codes will disproportionately impact the provider’s Medicaid revenue.

Medicaid: Complete Services Breakdown

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

302 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	103,470	$160	$16.2M
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.	100,600	$130	$13.5M
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…	78,450	$60	$4.5M
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.	17,000	$230	$3.9M
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.	146,540	$20	$3.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	50,380	$70	$3.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	58,450	$50	$3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	46,570	$40	$1.8M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	13,620	$100	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12,500	$100	$1.3M

Showing 1–10 of 302

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 — 18 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

302 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.	3	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.	30	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.	2	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12	40	3,200	$60	$1.5M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	4	10	1,200	$690	$770.6K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1	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…	42	60	420	$60	$405.1K
J0585	Injection, onabotulinumtoxina, 1 unit	1	20	470	$460	$398.7K
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.	68	80	1,130	$90	$327.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	32	40	380	$130	$326.9K

Showing 1–10 of 302

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salem Health West Valley	OR	Critical Access Hospital	$0	$16.2M
Salem Health Professional Services	OR	General Acute Care Hospital	$0	$6M
Kamran Ghalili	OR	Cardiovascular Disease Physician	$409K	$0
Hrishikesh Iyengar	OR	Interventional Cardiology Physician	$385.2K	$0
Kevin Thompson	OR	Interventional Cardiology Physician	$367.4K	$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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgeway Recovery Services	OR	Addiction (Substance Use Disorder) Counselor	$0	$45.9M
Salem Emergency Physicians Service, PC	OR	Emergency Medicine Physician	$0	$25.9M
Falck Northwest Corp	OR	Land Ambulance	$1.1M	$20.8M
Marion County	OR	Adult Mental Health Clinic/Center	$0	$12M
Norco, Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$9.2M
Childhood Health Associates Of Salem	OR	Pediatrics Physician	$0	$7.8M
Wvp Medical Group, LLC	OR	Community/Behavioral Health Agency	$0	$7.6M
Salem Radiology Consultants PC	OR	Diagnostic Radiology Physician	$0	$6.6M
Marion County	OR	Methadone Clinic	$157.4K	$4.7M
Sensible Speech-language Pathology, Inc	OR	Speech-Language Pathologist	$0	$4.7M

Salem Health — Billing Profile & Reimbursement Data

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Salem Health — 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