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.

Willamette Valley Medical Center LLC (NPI 1346269982)

Key Findings

Field	Value
Entity Type	Organization
Organization	Willamette Valley Medical Center LLC
Address	2700 Se Stratus Ave
City	Mcminnville
State	OR
ZIP	97128
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

WILLAMETTE VALLEY MEDICAL CENTER LLC reports $17.3M in lifetime Medicaid revenue and has no Medicare billing on file, making its observed commercial public-payer footprint effectively single‑payer (Medicaid) in the available data. The provider’s NPI was enumerated on 2006-07-18 (~20 years ago), indicating long tenure in the marketplace but with Medicaid as the visible revenue source in the claims dataset.

Revenue is highly concentrated in emergency-department evaluation-and-management codes: 99284 generated $5.3M (30.9% of Medicaid revenue), 99283 generated $5M (29.7%), and 99285 generated $3.7M (21.6%); the precomputed top-3 codes account for 82.2% of this provider's total Medicaid revenue. This mix indicates that most Medicaid dollars flow from ED visits spanning low to high medical decision-making levels rather than from outpatient clinic or elective inpatient service lines.

The code mix and dollar concentration imply an operational focus on emergency and acute care throughput: 99283/99284/99285 together dominate Medicaid revenue, while ancillary ED services such as IV medication administration (96374, 96375) and IV fluids (J7030) appear as secondary revenue contributors. These patterns are consistent with a general acute care hospital that relies on high-volume ED encounters and associated rapid interventions rather than specialty procedural or long-term outpatient lines.

On statewide competitive standing for its top ED codes, volumes are generally typical rather than dominant: 99284 ranks #34 of 145 in-state (77th percentile; typical, unremarkable volume), 99283 ranks #28 of 137 (80th percentile; typical, unremarkable volume), and 99285 ranks #45 of 129 (66th percentile; typical, unremarkable volume). These percentiles indicate the provider operates at or above median activity for ED E/M codes but is not a leading outlier across Oregon providers for those categories.

There are a few Medicaid line items where this provider is relatively prominent versus peers: 87502 (influenza multiplex PCR) ranks #4 of 87 providers in-state (97th percentile; notably above typical state volume) and 81003 (instrumented urinalysis) ranks #10 of 160 (94th percentile; notably above typical state volume). These high percentiles for specific lab tests suggest sizable ED-driven diagnostic throughput for infectious and urinary presentations in addition to the dominant E/M billing.

Other common ED and lab codes appear at expected volumes: comprehensive metabolic panel 80053 ($339.5K, 2.0% of Medicaid revenue) and complete blood count 85025 ($256.4K, 1.5%) are present among top billings and both rank in solid mid-to-upper state percentiles, reinforcing the picture of standard ED laboratory utilization supporting the front-line acute service mix. Notably high-volume screening or testing codes such as C9803 and 87635 are present but labeled in the dataset as typical, unremarkable volumes, so they support ED throughput without representing anomalous outlier billing patterns.

Given the lack of Medicare billing on file, this provider’s financial exposure is concentrated in Medicaid reimbursement policy and utilization trends; any Medicaid rate changes or shifts in network participation could materially affect its reported revenue. The high concentration (82.2% from the top three ED codes) increases sensitivity to changes in ED visit patterns, case mix, or outpatient diversion programs that alter ED utilization.

Operationally, the provider’s claims profile suggests investment and capacity in emergency services and rapid diagnostics rather than elective or specialty procedural lines—evidence includes strong shares for 99283/99284/99285 and sizable counts for IV medication administration (96374: $458.8K, 2.7% of revenue) and troponin testing (84484: $36.7K, 0.2%). For analysts, that implies benchmarking should compare ED throughput, test turnaround, and infusion/ED supply lines to in-state peers where the provider sits around median-to-upper percentiles rather than as an outlier dominant system.

Medicaid: Complete Services Breakdown

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

97 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.	24,810	$210	$5.3M
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.	33,880	$150	$5M
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.	9,910	$370	$3.7M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,470	$40	$458.8K
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.	33,950	$10	$339.5K
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…	12,080	$30	$313.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	32,050	$10	$256.4K
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…	4,620	$50	$240K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	3,240	$70	$226.6K
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.	2,390	$80	$193.4K

Showing 1–10 of 97

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

Willamette Valley Medical Center LLC — 1 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

97 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.	34	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.	45	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.	28	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	27	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.	17	60	3,620	$90	$623.7K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	13	20	190	$1,070	$556K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	54	60	420	$60	$405.1K
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…	52	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.	33	80	1,130	$90	$327.2K
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.	44	80	1,210	$40	$294.3K

Showing 1–10 of 97

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yamhill County	OR	Community/Behavioral Health Agency	$0	$10.3M
Parkside Living Rtf	OR	Mental Illness Community Based Residential Treatment Facility	$0	$9.2M
Emergency Medical Associates Of Mcminnville	OR	Emergency Medicine Physician	$0	$6M
Physicians Medical Center P C	OR	General Practice Physician	$0	$3.5M
City Of Mcminnville	OR	Land Ambulance	$622K	$2.6M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$2.9M
Life Strategies Counseling	OR	Community/Behavioral Health Agency	$0	$2.5M
Yamhill County Hhs Public Health-mch	OR	Case Management Agency	$0	$2.4M
Willamette Valley Clinics LLC	OR	Family Medicine Physician	$0	$2.2M
Goforth Inspired LLC	OR	Addiction (Substance Use Disorder) Counselor	$0	$1.5M

Willamette Valley Medical Center LLC — Billing Profile & Reimbursement Data

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Willamette Valley Medical Center LLC — Billing Profile & Reimbursement Data

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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