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.

Harney District Hospital (NPI 1285742338)

Field	Value
Entity Type	Organization
Organization	Harney District Hospital
Address	557 W Washington St
City	Burns
State	OR
ZIP	97720
Taxonomy	Critical Access Hospital
NPI Enumerated	August 28, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 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.	4,060	$100	$385.9K
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.	2,190	$140	$307K
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.	2,920	$60	$175.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,670	$80	$125.5K
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.	150	$340	$49.9K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1,100	$30	$35.1K
99281	The provider sees a patient for the lowest level emergency department visit.	800	$40	$34.5K
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.	4,960	$10	$29.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	360	$80	$28.7K
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…	640	$40	$28K

Showing 1–10 of 46

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

Harney District Hospital — 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

46 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.	83	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.	102	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.	85	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	31	40	3,200	$60	$1.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	53	60	3,620	$90	$623.7K
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.	30	80	1,130	$90	$327.2K
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…	773	1,590	590	$50	$236.5K
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.	69	140	5,430	$10	$147.7K
A0425	Ground mileage, per statute mile	87	110	2,790	$10	$134.1K
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…	59	60	1,480	$40	$124.8K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Harney District Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Hanson	WA	Ophthalmology Physician	$454.6K	$0
James Laughlin	OR	Clinical Cardiac Electrophysiology Physician	$187.2K	$0
Eddy Young	OR	Cardiovascular Disease Physician	$181.6K	$0
Oliver Wisco	OR	MOHS-Micrographic Surgery Physician	$151.9K	$0
Daniel Sedehi	OR	Cardiovascular Disease Physician	$149.7K	$0
Brian Mott	OR	Cardiovascular Disease Physician	$128.6K	$50
Saurabh Gupta	OR	Interventional Cardiology Physician	$123.7K	$0
Michael Sultan	OR	Interventional Cardiology Physician	$109.5K	$0
Gary Foster	OR	Cardiovascular Disease Physician	$103.6K	$0
Allen Rafael	OR	Interventional Cardiology Physician	$96.8K	$0

Nearby Providers

Other providers in the same ZIP code as Harney District Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah Laiosa	OR	Family Medicine Physician	$63.9K	$10.5K
Joel Moore	OR	Orthopaedic Surgery Physician	$56.5K	$0

Harney District Hospital — Billing Profile & Reimbursement Data

Sign up for Harney District Hospital — Billing Profile & Reimbursement Data policy alerts

Harney District Hospital — Billing Profile & Reimbursement Data

Sign up for Harney District Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References