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.

Good Shepherd Health Care System (NPI 1295789667)

Key Findings

Field	Value
Entity Type	Organization
Organization	Good Shepherd Health Care System
Address	610 Nw 11th St
City	Hermiston
State	OR
ZIP	97838
Taxonomy	Critical Access Hospital
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$30.7M
Medicare	$0

GOOD SHEPHERD HEALTH CARE SYSTEM reports no Medicare billing on file and $30.7M in lifetime Medicaid revenue, making its observable payer exposure effectively single-payer Medicaid in the available data. This concentration in Medicaid revenue shapes both reimbursement risk and market visibility, because there is no Medicare revenue base to diversify payer mix.

Revenue is highly concentrated in a small set of emergency department E/M codes: the precomputed top-three Medicaid codes account for 70.2% of the provider's Medicaid revenue, and those codes are ED-focused (99284, 99283, 99285). This indicates that a large majority of billed Medicaid dollars derive from emergency care encounters rather than elective or outpatient specialty streams.

The provider’s code-level revenue demonstrates an emergency-department operating model: 99284 generated $9.6M (32.6% of Medicaid revenue) with 45.6K claims, 99283 generated $9.1M (30.8%) with 66.8K claims, and 99285 generated $2M (6.9%) with 6.2K claims. These volumes and shares show the hospital is deriving its principal revenue from moderate- and low-level ED evaluation-and-management services, with a smaller but material share from high-level ED visits.

GOOD SHEPHERD's competitive standing in-state is uneven across ED codes: for 99283 it ranks #5 of 137 providers (97th percentile, notably above typical state volume), for 99284 it ranks #13 of 145 (92th percentile, typical volume), and for 99285 it ranks #53 of 129 (59th percentile, typical volume). In plain terms, the hospital is a major state-level provider for mid-level ED visits (99283) and an especially high-volume outlier on some lower-complexity ED visit codes (see 99282 below).

Several other codes reinforce an ED-and-acute-care service mix rather than elective specialty work: chest x-ray 71045 appears with 19.1K claims and $916.6K (3.1% of Medicaid revenue), CT abdomen/pelvis 74177 produced $588.1K (2.0%), CT head 70450 produced $227.5K (0.8%), and routine ECG interpretation 93010 contributed $199.7K (0.7%). These diagnostic and imaging volumes are consistent with a throughput-focused emergency/acute platform supporting high ED visit counts.

Infusion and IV therapy activity is prominent: 96375 ($446.9K, 1.5%), 96374 ($429.9K, 1.5%), 96361 ($385.9K, 1.3%), and 96365 ($112.3K, 0.4%) all appear among the top codes and generally rank in high state percentiles. The presence of multiple high-volume infusion/IV administration codes aligns with ED or observation care where IV fluids, antibiotic pushes, and sequential IV medications are commonly delivered.

GOOD SHEPHERD shows notable state-level outlier status on several specific tests and lower-complexity office visit codes: 99282 ranks #2 of 84 providers (99th percentile, labeled an "extreme outlier") with $1.9M (6.5%), 87633 (multiplex respiratory testing) ranks #1 of 17 providers (100th percentile) with $264.3K (0.9%), and 0241U ranks #3 of 47 (96th percentile) with $421.8K (1.4%). These positions suggest the hospital performs specialized testing and large volumes of brief ED/office encounters relative to peers in Oregon.

The provider’s NPI was enumerated on 2006-05-20 (~20 years ago), indicating long-standing operation as a Critical Access Hospital. Combined with the ED-dominant, Medicaid-centered revenue profile, this tenure and taxonomy point to an entrenched community safety-net role with high acute-care throughput rather than a growth-oriented elective specialty center.

Medicaid: Complete Services Breakdown

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

153 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.	45,630	$210	$9.6M
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.	66,830	$140	$9.1M
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.	6,150	$330	$2M
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.	24,740	$80	$1.9M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	19,100	$50	$916.6K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	12,190	$50	$633.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,120	$530	$588.1K
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…	8,550	$50	$453.3K
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…	7,980	$60	$446.9K
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…	8,200	$50	$434.4K

Showing 1–10 of 153

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

Good Shepherd Health Care System — 6 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

153 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.	13	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.	53	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.	5	140	10,160	$130	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14	60	3,620	$90	$623.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	38	80	1,420	$60	$368.8K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	36	60	460	$40	$327.4K
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	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…	38	40	380	$130	$326.9K
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…	184	1,500	650	$70	$312.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	41	80	1,210	$40	$294.3K

Showing 1–10 of 153

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Shepherd Health Care System	OR	Pediatrics Physician	$0	$4.5M
Daniel Su	CA	Urology Physician	$395.2K	$18.9K
Wendy Roberts	CA	Dermatology Physician	$371.5K	$0
Manmohan Biring	OR	Pulmonary Disease Physician	$346.1K	$0
Donald Carlson	OR	Podiatrist	$158.3K	$163.5K
David Russo	OR	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$294.2K	$0
Fadi Akoum	OR	Nephrology Physician	$279.1K	$0
Jason Phillips	CA	Urology Physician	$250.4K	$0
Eugene Spear	NY	Cardiovascular Disease Physician	$245.5K	$0
Trey Rigert	OR	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$197.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Power House Residential Drug Treatment Center Inc	OR	Substance Abuse Rehabilitation Facility	$0	$7.9M
Oregon Pip Dental Group, PC	OR	Pediatric Dentistry	$0	$3.9M
Umatilla County Fire District Number 1	OR	Ambulance	$831.4K	$1.5M
Lifeways, Inc	OR	Psychiatric Residential Treatment Facility	$0	$1.3M
Praxis Health, PC	OR	Rural Health Clinic/Center	$0	$1.1M
David A Drotzmann Od PC	OR	Optometrist	$0	$1.1M
Julie Hereford	OR	Family Nurse Practitioner	$166.8K	$0
Eastern Oregon Regional Surgery	OR	Ambulatory Surgical Clinic/Center	$165.2K	$0
Rick Burrill	OR	Physical Therapist	$115.2K	$0
Walmart Inc.	OR	Community/Retail Pharmacy	$112.2K	$1.9K

Good Shepherd Health Care System — Billing Profile & Reimbursement Data

Sign up for Good Shepherd Health Care System — Billing Profile & Reimbursement Data policy alerts

Good Shepherd Health Care System — Billing Profile & Reimbursement Data

Sign up for Good Shepherd Health Care System — Billing Profile & Reimbursement Data policy alerts

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