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.

Siskiyou Community Health Center, Inc (NPI 1427046903)

Field	Value
Entity Type	Organization
Organization	Siskiyou Community Health Center, Inc
Address	1701 Nw Hawthorne Ave
City	Grants Pass
State	OR
ZIP	97526
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 10, 2005

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

96 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…	75,420	$20	$1.3M
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…	53,520	$10	$481.6K
D0140	Limited oral evaluation – problem focused	10,330	$40	$413.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,090	$40	$323.6K
D2392	Post 2 surface resin‑based composite	5,650	$60	$310.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	3,410	$80	$265.7K
D0120	Periodic oral evaluation - established patient	7,630	$30	$198.4K
D0150	Comprehensive oral evaluation – new or established patient	4,880	$40	$190.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	14,440	$10	$187.7K
D0220	Intraoral - periapical first radiographic image	17,120	$10	$154.1K

Showing 1–10 of 96

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

Siskiyou Community Health Center, Inc — 15 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

96 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…	400	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…	21	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…	16	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…	109	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.	56	140	5,430	$10	$147.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	126	170	300	$80	$133.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	121	180	220	$90	$124.6K
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…	51	600	120	$80	$83.3K
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…	63	160	2,690	$1	$81.3K
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.	15	110	770	$10	$79.7K

Showing 1–10 of 96

Related Providers

Other providers that share a Tax Identification Number (TIN) with Siskiyou Community Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christian Holland	OR	Internal Medicine Physician	$3.3K	$0
Amy Wills	OR	Nurse Practitioner	$3.1K	$0
Paloma Kolkow	OR	Family Nurse Practitioner	$1.7K	$0
Amber Ihander	OR	Medical Physician Assistant	$1.2K	$0
Kimberly Waller	OR	Physician Assistant	$860	$0

Nearby Providers

Other providers in the same ZIP code as Siskiyou Community Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Options For Southern Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
American Medical Response Northwest Inc	OR	Ambulance	$1.4M	$7.7M
John Waschak	OR	Pediatric Dentistry	$0	$6.5M
Axis Health, Inc.	OR	Chiropractor	$0	$3.2M
Total Performance Sports Medicine, PC	OR	Chiropractor	$0	$2.3M
Eye Care Group Of Southern Oregon, LLC	OR	Optometrist	$0	$1.6M
Grants Pass Surgery Center, LLC	OR	Ambulatory Surgical Clinic/Center	$1.1M	$113.1K
Options For Southern Oregon	OR	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.1M
Cascade Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$428.7K	$155.5K
Mid Rogue Imaging Center	OR	Radiology Clinic/Center	$140.4K	$274.1K

Siskiyou Community Health Center, Inc — Billing Profile & Reimbursement Data

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Siskiyou Community Health 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

Related Providers

Nearby Providers

Frequently Asked Questions

References