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.

Peacehealth Medical Group (NPI 1447207287)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peacehealth Medical Group
Address	1200 Hilyard St
City	Eugene
State	OR
ZIP	97401
Taxonomy	Family Medicine Physician
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$45.3M
Medicare	$0

PEACEHEALTH MEDICAL GROUP has no Medicare billing on file while reporting $45.3M in lifetime Medicaid revenue, making its public billing footprint effectively single-payer (Medicaid) at present. The group’s NPI was enumerated on 2006-05-27 (~20 years ago), indicating long-standing enrollment in federal provider databases despite the absence of Medicare claims.

Revenue is highly concentrated in a small set of outpatient E/M codes: the precomputed top three Medicaid codes (99214, 99213, 99203) together account for 60.0% of the provider’s Medicaid revenue. Those three codes individually represent $13.5M (99214, 33.8%), $8.1M (99213, 20.4%), and $2.4M (99203, 5.9%), showing that established and new office visits drive the majority of billed dollars.

The code mix is characteristic of a family medicine–oriented operation with substantial primary care volume: high-paid E/M codes (99214 and 99213), preventive medicine visits (99391, 99392, 99393), and pediatric well visits are all prominent. This suggests the organization bills extensively for routine and preventive ambulatory care rather than being dominated by procedural specialties.

Behavioral health services are a meaningful secondary service line: psychotherapy codes 90837 ($1.6M) and 90834 ($1.5M) and psychiatric evaluation codes 90791 ($1.1M) and 90792 ($819.8K) all appear in the top code list. Several of these behavioral health codes are labeled as “extreme outlier” or notably above typical state volume (for example 90791 ranks #1, 100th percentile, extreme outlier), indicating integrated behavioral health capacity at scale within the billing entity.

The provider also bills appreciable inpatient and observation E/M activity (99233 $1.5M, 3.8%; 99232 $403.2K; 99223 $414.7K), with 99233 ranking #3 in-state at the 98th percentile (notably above typical state volume). This mix—strong outpatient E/M plus nontrivial inpatient E/M—indicates the group operates across ambulatory and acute care settings rather than exclusively in clinic-based primary care.

On competitive standing within Oregon Medicaid, PEACEHEALTH MEDICAL GROUP is a dominant statewide biller for multiple core codes: 99214 ranks #1 of 1503 providers (100th percentile; extreme outlier), 99213 ranks #3 (100th percentile; extreme outlier), and several other codes (99391, 90791, 90792, 99211) also show #1 ranks or 100th-percentile status. For payers and network analysts, these ranks signal the group is a major Medicaid participant for primary care and behavioral health services in-state.

There is evidence of service breadth beyond primary care: diagnostic and procedure codes such as transthoracic echocardiography (93303 $305.1K, 93306 $256.5K) and onabotulinumtoxina injections (J0585 $377.4K) are present in the top-25 list, and influenza vaccination (90686 $544.3K) is high-volume. While some of these items are labeled as typical or unremarkable in-state, others (e.g., 90686 rank #2, 100th percentile) are extreme outliers, suggesting the group provides a mix of ancillary and procedure-level services alongside core primary care.

From a payer risk and contracting perspective, the combination of a single dominant payer (Medicaid), long tenure (NPI since 2006-05-27), and heavy reliance on a few E/M codes (top 3 = 60.0% of Medicaid revenue) creates both negotiating leverage and concentration risk. Analysts should treat the account as strategically important for Medicaid networks given its statewide dominance on key codes, while also recognizing revenue vulnerability if visit volumes or reimbursement for those handful of codes changed.

Medicaid: Complete Services Breakdown

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

211 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…	221,670	$60	$13.5M
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…	166,270	$50	$8.1M
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…	34,200	$70	$2.4M
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…	15,420	$100	$1.6M
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…	20,600	$80	$1.5M
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…	22,080	$70	$1.5M
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…	33,690	$50	$1.5M
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…	15,920	$90	$1.4M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	12,350	$90	$1.1M
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…	10,040	$100	$964.2K

Showing 1–10 of 211

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

Peacehealth Medical Group — 16 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

211 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	113	270	1,660	$90	$681K
T1040	Medicaid certified community behavioral health clinic services, per diem	10	10	840	$190	$608.3K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	3	10	1,480	$130	$443.3K
H0038	Self‑help/peer services, per 15 minutes	55	150	1,030	$80	$417.2K
J0585	Injection, onabotulinumtoxina, 1 unit	10	20	470	$460	$398.7K
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…	41	1,380	540	$140	$363.3K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	9	40	310	$420	$325.7K
H2014	Skills training and development, per 15 minutes	11	120	1,010	$40	$323.2K
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…	1	1,500	650	$70	$312.4K
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.	118	290	770	$60	$252K

Showing 1–10 of 211

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
Peacehealth	OR	Critical Access Hospital	$0	$20.2M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	OR	Hospitalist Physician	$0	$5.5M
Jared Davis	IL	Neurocritical Care Physician	$93.8K	$385.4K
Mark Scaife	VA	Vascular Surgery Physician	$190.3K	$0
Alp Ozpinar	OR	Neurological Surgery Physician	$180.3K	$0
Preetivi Ellis	OR	Hospitalist Physician	$169.5K	$0
Chong Wee Foo	OR	Dermatology Physician	$168.8K	$0
Sean Mcelligott	OR	Dermatology Physician	$161.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Options Counseling Services Of Oregon	OR	Mental Health Counselor	$0	$25.9M
Eugene Emergency Physicians PC	OR	Emergency Medicine Physician	$0	$16.9M
Center For Family Development, Inc.	OR	Mental Health Counselor	$0	$15.6M
Laurel Hill Center	OR	Eyewear Supplier	$0	$14M
Looking Glass Community Services	OR	Mental Health Counselor	$0	$13.5M
Peacehealth	OR	General Acute Care Hospital	$0	$13.3M
Addiction Counseling And Education Services Inc.	OR	Mental Health Counselor	$0	$12.8M
Oregon Eye Consultants LLC	OR	Ophthalmology Physician	$0	$9.6M
Ch Mh Services (or), LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M
Oregon Healthcare Resources, LLC	OR	Multi-Specialty Clinic/Center	$0	$8.8M

Peacehealth Medical Group — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References