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.

North Bend Medical Center Inc (NPI 1407812365)

North Bend Medical Center Inc is a multi-specialty clinic/center provider located in Coos Bay, Oregon. This profile covers 0 Medicare and 266 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	North Bend Medical Center Inc
Address	1900 Woodland Dr
City	Coos Bay
State	OR
ZIP	97420
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 20, 2006

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

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

266 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	98,540	$30	$3.3M
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…	56,720	$30	$1.7M
99203	The provider sees a new 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 provider…	8,750	$80	$682.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,930	$60	$337.8K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	5,610	$50	$263.6K
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.	29,250	$10	$263.3K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	8,200	$30	$262.4K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	23,290	$10	$256.2K
99204	The provider sees a new 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 provider…	2,100	$120	$254.5K
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…	2,560	$100	$251.3K

Showing 1–10 of 266

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

North Bend Medical Center Inc — 9 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

266 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	916	1,380	540	$140	$363.3K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	3	20	780	$30	$360.1K
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…	60	60	460	$40	$327.4K
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…	27	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…	19	1,500	650	$70	$312.4K
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.	93	100	250	$80	$268K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	151	290	770	$60	$252K
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…	9	1,590	590	$50	$236.5K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	10	70	350	$40	$189.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	10	70	350	$40	$189.3K

Showing 1–10 of 266

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Bend Medical Center Inc	OR	Clinical Medical Laboratory	$898.1K	$587.8K
Mark Lawton	SC	Cardiovascular Disease Physician	$400.7K	$0
James Murray	OR	Dermatology Physician	$252K	$0
Leo Kusuda	OR	Urology Physician	$229K	$3.4K
Basil Pittenger	OR	Internal Medicine Physician	$219.6K	$8.7K
Misael Marquez	OR	Internal Medicine Physician	$223.5K	$0
Steven Shimotakahara	OR	Otolaryngology Physician	$165.6K	$50.7K
Lina Dorfmeister	OR	Pain Medicine Physician	$211K	$0
Geraldine Somera	OR	Internal Medicine Physician	$195.9K	$14K
Dallas Carter	OR	Family Medicine Physician	$180K	$20.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bay Cities Ambulance	OR	Land Ambulance	$1.7M	$9.5M
Bay Area Hospital District	OR	General Acute Care Hospital	$0	$8.7M
Coos County Oregon	OR	Clinic/Center	$0	$8.5M
Cep America LLC	OR	Emergency Medicine Physician	$0	$5.7M
Lincare Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Coos County Oregon	OR	Public Health or Welfare Agency	$15.8K	$3.2M
Coquille Indian Tribe	OR	Clinic/Center	$0	$2.1M
Bay Clinic	OR	Specialist	$0	$2M
Nbmc Day Surgery Inc	OR	Ambulatory Surgical Clinic/Center	$1.1M	$830.1K
Coastal Center, LLC.	OR	Mental Health Counselor	$0	$1.7M

North Bend Medical Center Inc — Billing Profile & Reimbursement Data

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North Bend Medical Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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