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.

Yellowhawk Tribal Health Center (NPI 1346283488)

Field	Value
Entity Type	Organization
Organization	Yellowhawk Tribal Health Center
Address	46314 Timine Way
City	Pendleton
State	OR
ZIP	97801
Taxonomy	Clinic/Center
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	3,090	$270	$840.2K
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…	4,300	$180	$761.3K
D0140	Limited oral evaluation – problem focused	1,560	$440	$690.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,540	$230	$592.8K
D0120	Periodic oral evaluation - established patient	980	$330	$320.8K
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…	2,130	$130	$285.7K
H0038	Self‑help/peer services, per 15 minutes	1,130	$200	$228.9K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	910	$220	$199.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	700	$250	$173.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,000	$170	$169.2K

Showing 1–10 of 62

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

Yellowhawk Tribal Health Center — 0 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	127	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	102	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	67	150	1,030	$80	$417.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	518	1,380	540	$140	$363.3K
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…	458	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…	292	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	141	160	2,750	$20	$205.1K
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…	134	400	230	$90	$153.8K
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.	104	140	5,430	$10	$147.7K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	192	250	460	$80	$121.3K

Showing 1–10 of 62

Nearby Providers

Other providers in the same ZIP code as Yellowhawk Tribal Health Center, 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
Jeffrey Kobernik	OR	General Practice Dentistry	$0	$1.9M
City Of Pendleton	OR	Land Ambulance	$529K	$1.1M
Umatilla River Emergency Physicians LLC	OR	Emergency Medicine Physician	$0	$1.5M
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

Yellowhawk Tribal Health Center — Billing Profile & Reimbursement Data

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Yellowhawk Tribal Health Center — 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