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 Professional Services (NPI 1285774257)

Salem Health Professional Services is a general acute care hospital provider located in Salem, Oregon. This profile covers 0 Medicare and 69 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Salem Health Professional Services
Address	665 Winter St Se
City	Salem
State	OR
ZIP	97301
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

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

69 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	35,340	$50	$1.8M
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…	16,620	$40	$731.1K
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…	7,210	$100	$728.3K
J0585	Injection, onabotulinumtoxina, 1 unit	1,230	$500	$615K
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…	12,970	$40	$453.8K
99204	The provider sees a new 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 provider…	2,780	$130	$358.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	3,070	$70	$202.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,250	$130	$159.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,760	$60	$109.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,870	$60	$104.4K

Showing 1–10 of 69

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 Professional Services — 4 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

69 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	8	20	470	$460	$398.7K
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…	41	1,500	650	$70	$312.4K
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…	129	1,590	590	$50	$236.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	10	20	310	$140	$234.4K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	10	20	280	$370	$197.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	24	90	320	$50	$187.6K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	3	10	300	$100	$184.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	12	50	60	$80	$170.1K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	17	30	200	$360	$158.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	173	400	230	$90	$153.8K

Showing 1–10 of 69

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salem Health	OR	General Acute Care Hospital	$0	$65.7M
Samaritan North Lincoln Hospital	OR	Critical Access Hospital	$0	$12.3M
Wvp Medical Group, LLC	OR	Primary Care Clinic/Center	$0	$2.2M
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
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 Professional Services — Billing Profile & Reimbursement Data

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Salem Health Professional Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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