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.

Grace Hercl (NPI 1376640011)

Field	Value
Entity Type	Individual
Organization	Grace Hercl
Address	3377 Riverbend Dr
City	Springfield
State	OR
ZIP	97477
Taxonomy	Hospitalist Physician
NPI Enumerated	September 17, 2006

Payer Source	Total Paid
Medicare	$44.4K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	270	$140	$36.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$100	$7.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Grace Hercl — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	8	1,440	30	$130	$5.6K
99222	24	900	20	$90	$2.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Grace Hercl, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kadlec Regional Medical Center	WA	General Acute Care Hospital	$0	$151.5M
Prosser Public Hospital District Of Benton County	WA	Critical Access Hospital	$0	$50.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Peacehealth Medical Group	OR	Family Medicine Physician	$0	$45.3M
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$36.9M
Banner - University Hospital Based Physicians LLC	AZ	General Acute Care Hospital	$0	$29.7M
Peacehealth	OR	Critical Access Hospital	$0	$20.2M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$11.4M
Providence Health & Services - Oregon	OR	Child & Adolescent Psychiatry Physician	$0	$8.7M
Prosser Public Hospital District Of Benton County	WA	Rural Health Clinic/Center	$0	$6.5M

Grace Hercl — Billing Profile & Reimbursement Data

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Grace Hercl — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References