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.

Umatilla River Emergency Physicians LLC (NPI 1295263523)

Field	Value
Entity Type	Organization
Organization	Umatilla River Emergency Physicians LLC
Address	2801 St Anthony Way
City	Pendleton
State	OR
ZIP	97801
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 31, 2017

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	10,370	$80	$798.4K
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.	7,400	$60	$444.1K
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.	7,470	$30	$253.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	560	$1	$1.7K

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

Umatilla River Emergency Physicians LLC — 0 of 4 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

4 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.	73	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.	42	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.	81	140	10,160	$130	$2.3M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	77	140	710	$10	$48.7K

Nearby Providers

Other providers in the same ZIP code as Umatilla River Emergency Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interpath Laboratory, Inc.	OR	Clinical Medical Laboratory	$7.8M	$70M
Pendleton House	OR	Mental Illness Community Based Residential Treatment Facility	$0	$17.9M
Commonspirit Oregon	OR	Critical Access Hospital	$0	$13.7M
Eastern Oregon Alcoholism Foundation	OR	Substance Abuse Rehabilitation Facility	$0	$9.9M
Yellowhawk Tribal Health Center	OR	Clinic/Center	$0	$5.1M
Jeffrey Kobernik	OR	General Practice Dentistry	$0	$1.9M
City Of Pendleton	OR	Land Ambulance	$529K	$1.1M
Joshua Garren	OR	Radiation Oncology Physician	$1.3M	$0
Case Ketting	OR	Radiation Oncology Physician	$325.1K	$0
Terrol Marshall	OR	Podiatrist	$209.8K	$0

Umatilla River Emergency Physicians LLC — Billing Profile & Reimbursement Data

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Umatilla River Emergency Physicians 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

Nearby Providers

Frequently Asked Questions

References