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.

Willamette Urology, PC (NPI 1467512996)

Willamette Urology, PC is a urology physician provider located in Salem, Oregon. This profile covers 0 Medicare and 13 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	Willamette Urology, PC
Address	2973 12th Street Se
City	Salem
State	OR
ZIP	97302
Taxonomy	Urology Physician
NPI Enumerated	December 12, 2006

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.

13 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…	8,920	$40	$357K
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…	5,460	$60	$311.4K
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…	2,260	$120	$264.2K
81000	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	17,190	$1	$34.4K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	4,050	$10	$28.3K
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…	330	$80	$25.4K
87086	Culture, bacterial; quantitative, colony count, urine.	5,480	$1	$16.4K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	140	$110	$15.2K
51705	In this procedure, the provider performs a simple removal of a tube that he previously places into a patient’s bladder and replaces it with a new tube through the same incision.	240	$30	$6.1K
87088	The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.	560	$1	$1.7K

Showing 1–10 of 13

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

Willamette Urology, PC — 1 of 13 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

13 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…	266	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…	173	1,590	590	$50	$236.5K
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…	207	600	120	$80	$83.3K
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…	33	530	80	$120	$68.5K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	4	20	60	$140	$57.4K
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,…	434	570	110	$50	$37.6K
87086	Culture, bacterial; quantitative, colony count, urine.	12	70	1,110	$10	$33.5K
87077	The lab analyst performs additional tests on a presumptively identified aerobic isolate to definitively, which means more specifically, identify the organism, such as to the level of species.	17	40	230	$10	$23.4K
87186	The lab analyst performs the technical steps to evaluate a culture isolate’s susceptibility, or sensitivity, to multiple antimicrobial agents, commonly called antibiotics, by observing growth of the…	17	40	190	$10	$22.8K
87088	The lab analyst or microbiologist observes a urine culture with an unknown organism or organisms and makes a presumptive identification of each organism that needs identification.	12	20	660	$10	$18.9K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crc Health Oregon, LLC	OR	Methadone Clinic	$485.5K	$26.1M
Salem Psychiatric Associates PC	OR	Clinical Social Worker	$0	$22.7M
Shangri-la Corporation	OR	Mental Illness Community Based Residential Treatment Facility	$0	$13.5M
Cascade Infectious Diseases And Infusion LLC	OR	Infusion Therapy Clinic/Center	$0	$9.6M
Salem Pediatric Clinic	OR	Pediatrics Physician	$0	$9M
Silver Falls Dermatology, LLC	OR	Dermatology Physician	$0	$6.8M
Retina Consultants, LLP	OR	Ophthalmology Physician	$0	$6.6M
Cascade Sleep Supply, LLC.	OR	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Creating Pathways	OR	Speech-Language Pathologist	$0	$5.7M
Salem Pulmonary Associates P.C.	OR	Pulmonary Disease Physician	$0	$4.8M

Willamette Urology, PC — Billing Profile & Reimbursement Data

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Willamette Urology, PC — 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
Jaffer Bashey	IA	Urology Physician	$153K	$0
Bradley Warner	OR	Urology Physician	$138.4K	$0
Philip Rosen	OR	Urology Physician	$125.9K	$0
John Mhoon	OR	Urology Physician	$122.7K	$0
Theresa Koppie	OR	Urology Physician	$86.5K	$0
Vitaly Layvant	OR	Physician Assistant	$16.5K	$0
Kelsey Voisin	OR	Physician Assistant	$10.2K	$0