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.

Mid-columbia Medical Center (NPI 1407887052)

Mid-columbia Medical Center is a rural health clinic/center provider located in The Dalles, Oregon. This profile covers 0 Medicare and 20 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	Mid-columbia Medical Center
Address	551 Lone Pine Blvd
City	The Dalles
State	OR
ZIP	97058
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	9,160	$40	$348K
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…	8,710	$40	$304.7K
T1015	Clinic visit/encounter, all-inclusive	680	$280	$187K
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…	2,010	$50	$108.3K
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.	2,010	$40	$86.2K
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.	1,240	$70	$83.2K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	100	$110	$10.2K
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.	110	$80	$9.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	310	$30	$9.1K
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…	30	$100	$2.5K

Showing 1–10 of 20

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

Mid-columbia Medical Center — 0 of 19 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

20 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.	88	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.	108	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.	92	140	10,160	$130	$2.3M
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.	82	80	1,130	$90	$327.2K
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…	171	1,500	650	$70	$312.4K
T1015	Clinic visit/encounter, all-inclusive	25	60	480	$120	$291K
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…	178	1,590	590	$50	$236.5K
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…	342	400	230	$90	$153.8K
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…	65	600	120	$80	$83.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	201	530	150	$110	$74.9K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-columbia Medical Center	OR	Critical Access Hospital Clinic/Center	$0	$7.4M
Mid-columbia Medical Center	OR	Rural Health Clinic/Center	$0	$2.2M
Mid-columbia Medical Center	OR	Rural Health Clinic/Center	$0	$1.4M
Mid-columbia Medical Center	OR	Durable Medical Equipment & Medical Supplies	$0	$972.7K
Rafik Ben Abda	FL	Diagnostic Radiology Physician	$743.9K	$0
Wesley Pruett	MN	Diagnostic Radiology Physician	$441.3K	$770
Matthew Labarbera	OR	Cardiovascular Disease Physician	$373.7K	$4.4K
Scott Sullivan	CT	Diagnostic Radiology Physician	$219K	$0
Marc Awobuluyi	MN	Diagnostic Radiology Physician	$192.5K	$3.8K
Lauren Hammock	OR	Anatomic Pathology & Clinical Pathology Physician	$169.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-columbia Center For Living	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.6M
Greater Oregon Behavioral Health Inc	OR	Transportation Broker	$0	$3M
Clear Choice Dermatology	OR	Dermatology Physician	$0	$2.2M
Mid-columbia Fire And Rescue	OR	Land Ambulance	$420.1K	$1.1M
North Central Public Health District	OR	Case Management Agency	$0	$1.3M
Norco, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Collin Blattner	OR	Dermatology Physician	$1.2M	$0
Columbia Gorge Surgery Center, LLC	OR	Ambulatory Surgical Clinic/Center	$638.8K	$5.7K
John Willer	OR	Ophthalmology Physician	$553.5K	$0
Gregory Stanley	OR	Orthopaedic Surgery Physician	$226.1K	$0

Mid-columbia Medical Center — Billing Profile & Reimbursement Data

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Mid-columbia Medical 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

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