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.

Commonspirit Oregon (NPI 1477590198)

Key Findings

Field	Value
Entity Type	Organization
Organization	Commonspirit Oregon
Address	2700 Nw Stewart Pkwy
City	Roseburg
State	OR
ZIP	97471
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicaid	$29.3M
Medicare	$0

COMMONSPIRIT OREGON is effectively a Medicaid-focused billing entity: there is no Medicare billing on file while total Medicaid revenue is $29.3M. The absence of any Medicare activity contrasts with the multi-million-dollar Medicaid footprint and signals that payer exposure and financial performance for this provider are concentrated in the Medicaid program.

Revenue is highly concentrated in emergency department evaluation-and-management services: the precomputed top-three Medicaid codes (99284, 99283, 99285) account for 71.2% of the provider's total Medicaid revenue. Individually those codes report $7.7M (99284 – 26.8%), $7.5M (99283 – 26.1%), and $5.3M (99285 – 18.4%) in Medicaid revenue, indicating ED visits are the dominant service line driving payments.

Operational profile: the code mix (high volumes and revenues for 99283, 99284, 99285) identifies this site as an emergency-care center with substantial ED throughput; supporting services that commonly accompany ED care—high-volume blood draws (36415), laboratory panels (80053), and rapid IV medication administration (96374, 96375)—also appear throughout the top codes. These ancillary high-volume services are consistent with an ED-centric hospital operating pattern rather than a primarily elective-procedure hospital.

Competitive standing for core ED codes is mixed: 99283 ranks #10 of 137 providers in-state (93th percentile; notably above typical state volume for this code), which positions COMMONSPIRIT OREGON as a relatively high-volume provider for lower-level ED visits. By contrast, 99284 ranks #21 of 145 (86th percentile; typical, unremarkable volume) and 99285 ranks #41 of 129 (69th percentile; typical, unremarkable volume), so the provider is especially strong for lower-acuity ED visits but more typical for moderate- and high-acuity ED billing.

Several ancillary services are statistical outliers or notably elevated in statewide context and imply high patient throughput: 36415 has 145.8K claims and ranks #3 of 415 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while 80053 shows 102.9K claims and ranks #5 of 135 (97th percentile; notably above typical state volume for this code). Those extreme and notably elevated volumes for phlebotomy and CMP testing support the interpretation of sustained, high-volume patient processing consistent with a busy ED and outpatient lab operation.

The provider shows unusually large physical-therapy therapeutic exercise volume for Medicaid: 97110 has 21K claims, $503.9K revenue (1.8% of total Medicaid revenue) and ranks #10 of 354 providers in-state (97th percentile; notably above typical state volume for this code). This suggests a significant outpatient rehabilitation component co-located with the hospital, contributing nontrivial Medicaid revenue outside the ED.

Infusion and IV-related services are meaningful parts of the revenue mix: 96374 (rapid IV push) accounts for $1.9M (6.7% of Medicaid revenue) and ranks #4 of 62 (95th percentile; typical, unremarkable volume), while 96375 and 96361 also appear in the top codes. Presence of these codes at scale indicates routine provision of IV medications and hydration in both ED and outpatient settings, aligning with acute-care and observation usage patterns.

Tenure and registry: the provider's NPI was enumerated on 2006-06-01 (~20 years ago), indicating long-standing presence in the market. That tenure, combined with concentrated Medicaid revenue and high-volume ED and lab codes, suggests an established regional acute-care hospital network position focused on Medicaid populations rather than Medicare.

Medicaid: Complete Services Breakdown

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

194 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	37,040	$210	$7.7M
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.	50,850	$150	$7.5M
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.	11,470	$460	$5.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	19,080	$100	$1.9M
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.	12,240	$100	$1.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11,780	$70	$860.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,170	$500	$579.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	21,000	$20	$503.9K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	9,600	$50	$432.1K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,190	$330	$385.4K

Showing 1–10 of 194

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

Commonspirit Oregon — 5 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

194 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.	21	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.	41	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.	10	140	10,160	$130	$2.3M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	7	10	1,790	$60	$1.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	13	40	3,200	$60	$1.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	4	60	3,620	$90	$623.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	22	60	420	$60	$405.1K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	26	60	460	$40	$327.4K
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.	7	80	1,130	$90	$327.2K
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…	32	40	310	$420	$325.7K

Showing 1–10 of 194

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonspirit Oregon	OR	Critical Access Hospital	$0	$13.7M
Praveen Korimerla	WA	Cardiovascular Disease Physician	$252.1K	$0
Marla Kae Stahlnecker	WA	Family Nurse Practitioner	$90.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centennial Medical Group East, LLC	OR	Rural Health Clinic/Center	$0	$15.3M
Roseburg Therapy LLC	OR	Mental Health Counselor	$0	$14.2M
Rick's Medical Supply, LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$9.6M
Cep America LLC	OR	Emergency Medicine Physician	$0	$4.5M
Humberto Villalvazo	OR	Family Medicine Physician	$4.3M	$0
Liann W Drechsel Dmd PC	OR	Pediatric Dentistry	$0	$3.9M
Centennial Medical Group Inc.	OR	Surgery Physician	$0	$3.8M
Cow Creek Band Of Umpqua Tribe Of Indians	OR	Federally Qualified Health Center (FQHC)	$0	$3.4M
Valley View Mental Health Services, Inc	OR	Professional Counselor	$0	$3.1M
Paul D. Reicherter, Md, PC	OR	Clinical & Laboratory Dermatological Immunology Physician	$0	$2.5M

Commonspirit Oregon — Billing Profile & Reimbursement Data

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Commonspirit Oregon — 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