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-valley Healthcare, Inc. (NPI 1427315662)

Mid-valley Healthcare, Inc. is a rural health clinic/center provider located in Lebanon, Oregon. This profile covers 0 Medicare and 15 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-valley Healthcare, Inc.
Address	325 Park St
City	Lebanon
State	OR
ZIP	97355
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 12, 2012

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

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

15 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…	8,010	$90	$704.6K
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…	4,730	$70	$307.1K
90832	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…	610	$60	$38.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,910	$10	$17.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	530	$20	$9K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	490	$20	$8.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	170	$40	$7.4K
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…	80	$90	$6.5K
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…	40	$150	$5.2K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	330	$10	$3.9K

Showing 1–10 of 15

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-valley Healthcare, Inc. — 0 of 14 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	197	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…	274	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…	276	400	230	$90	$153.8K
90832	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…	99	310	280	$70	$82K
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…	403	530	150	$110	$74.9K
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…	496	530	80	$120	$68.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	289	370	60	$110	$41.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	241	570	110	$50	$37.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	123	420	520	$1	$20K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	164	420	160	$20	$19K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Premier LLC	OR	Mental Illness Community Based Residential Treatment Facility	$0	$6.6M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$3.3M
Lebanon Fire District	OR	Land Ambulance	$413.3K	$2.7M
Breaking Free, LLC	OR	Community/Behavioral Health Agency	$0	$3M
Fresenius Medical Care Dialysis Services - Oregon, LLC	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Kyle Horner	OR	Dermatology Physician	$172K	$0
Amelia Servin	OR	Emergency Medicine Physician	$90K	$0
Javad Mashkuri	OR	Emergency Medicine Physician	$46.9K	$0
Karen Mallozzi	OR	Family Nurse Practitioner	$36.6K	$0
Mark Day	OR	Cardiovascular Disease Physician	$6.1K	$0

Mid-valley Healthcare, Inc. — Billing Profile & Reimbursement Data

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Mid-valley Healthcare, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-valley Healthcare Inc	OR	Critical Access Hospital	$0	$34.5M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$4.2M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$3M
Mid-valley Healthcare, Inc.	OR	Substance Abuse Rehabilitation Facility	$0	$2.8M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$2.5M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$2.2M
William Pierce	OR	Hematology & Oncology Physician	$282K	$0
John Strother	OR	Hematology & Oncology Physician	$209.7K	$0
Edward Elliott	IL	Orthopaedic Foot and Ankle Surgery Physician	$68.6K	$112.1K
Mark Reploeg	OR	Clinical Neurophysiology Physician	$137K	$0