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.

Northwest Extremity Specialists LLC (NPI 1295126241)

Northwest Extremity Specialists LLC is a podiatrist provider located in Portland, Oregon. This profile covers 0 Medicare and 16 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	Northwest Extremity Specialists LLC
Address	9115 Sw Oleson Rd Ste 205
City	Portland
State	OR
ZIP	97223
Taxonomy	Podiatrist
NPI Enumerated	February 12, 2015

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	11,860	$40	$438.7K
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…	6,070	$60	$388.2K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,420	$50	$116.2K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	3,820	$20	$76.5K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	6,620	$10	$72.8K
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…	500	$100	$49.5K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	930	$20	$19.6K
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…	310	$60	$17.3K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	1,690	$1	$6.8K
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…	70	$90	$6.6K

Showing 1–10 of 16

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

Northwest Extremity Specialists LLC — 3 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	930	1,500	650	$70	$312.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	86	90	530	$50	$281.6K
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…	144	1,590	590	$50	$236.5K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	16	20	100	$210	$232.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	6	50	860	$80	$127.9K
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…	42	80	110	$100	$89.6K
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…	24	600	120	$80	$83.3K
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…	110	530	80	$120	$68.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	465	570	110	$50	$37.6K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	21	20	210	$60	$37.2K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denny Le	OR	Foot & Ankle Surgery Podiatrist	$96.4K	$0
Clifford Mah	OR	Foot & Ankle Surgery Podiatrist	$84.8K	$0
Manny Moy	OR	Foot & Ankle Surgery Podiatrist	$82.6K	$0
Todd Galle	OR	Podiatrist	$56.9K	$0
Michael Mesa	OR	Anatomic Pathology & Clinical Pathology Physician	$49K	$0
Jason Surratt	OR	Podiatrist	$29.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Narrative	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.9M
Children's Nursing Specialties, Inc.	OR	Nursing Care Agency	$0	$18.9M
Crc Health Oregon, LLC	OR	Methadone Clinic	$125.2K	$14.5M
Recovery Works Nw LLC	OR	Multi-Specialty Clinic/Center	$0	$12.1M
Neighborhood Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$11.3M
Maxim Healthcare Services, Inc.	OR	Home Health Agency	$0	$10.8M
Sound Health Medical Supply	OR	Durable Medical Equipment & Medical Supplies	$0	$9.5M
Aiden Healthcare LLC	OR	Community Based Hospice Care Agency	$0	$5.9M
Women's Healthcare Associates, LLC	OR	Specialist	$0	$5.6M
Pacific Footwear Company, Inc.	OR	Customized Equipment (DME)	$0	$4.3M

Northwest Extremity Specialists LLC — Billing Profile & Reimbursement Data

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Northwest Extremity Specialists LLC — 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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