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.

Oregon Health & Science University (NPI 1477675148)

Field	Value
Entity Type	Organization
Organization	Oregon Health & Science University
Address	3930 Se Division St
City	Portland
State	OR
ZIP	97202
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 4, 2007

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

71 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…	77,640	$70	$5.7M
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…	54,890	$60	$3.2M
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…	3,360	$90	$295.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,480	$20	$103.7K
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…	4,940	$20	$79K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	5,610	$10	$50.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	24,420	$1	$48.8K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	380	$110	$40.8K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	1,430	$20	$34.4K
0011A	N/A	610	$40	$23.9K

Showing 1–10 of 71

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

Oregon Health & Science University — 8 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

71 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…	13	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…	23	1,590	590	$50	$236.5K
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…	137	170	300	$80	$133.1K
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…	314	600	120	$80	$83.3K
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…	138	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…	22	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…	291	530	80	$120	$68.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	125	210	150	$60	$59.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	44	50	200	$20	$53.4K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	6	10	100	$140	$52.2K

Showing 1–10 of 71

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oregon Health & Science University, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oregon Health & Science University	OR	General Acute Care Hospital	$0	$70.6M
Oregon Health & Science University	OR	Clinic/Center	$0	$52.1M
Oregon Health & Science University	OR	Rural Health Clinic/Center	$0	$4.6M
Oregon Health And Science University	OR	Dentist	$0	$1.4M
Andrew Henning	OR	Family Nurse Practitioner	$675.9K	$0
Sarah Gaines	RI	Emergency Medicine Physician	$0	$530.4K
Y Pritham Raj	OR	Internal Medicine Physician	$93.3K	$0
Matthew Slater	OR	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$54.6K	$0
Lara Lawlor	AK	Family Nurse Practitioner	$53.5K	$0
James Chesnutt	OR	Sports Medicine (Family Medicine) Physician	$51.3K	$0

Nearby Providers

Other providers in the same ZIP code as Oregon Health & Science University, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trillium Family Services, Inc.	OR	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$154.5M
Northwest Habilitation Services, LLC	OR	Community Health Worker	$0	$8.7M
Carson Holdings, LLC	OR	In Home Supportive Care Agency	$0	$6.6M
Catholic Community Services Of Western Washington	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.3M
Brave Space, LLC	OR	Community/Behavioral Health Agency	$0	$1.8M
Full Spectrum Therapy LLC	OR	Counselor	$0	$1.7M
Linktherapy LLC	OR	Community/Behavioral Health Agency	$0	$1.4M
Pacific Northwest Behavioral Health, LLC	OR	Mental Health Counselor	$0	$1.1M
Nancy Rich	OR	Registered Nurse	$32.1K	$0
David Mcanulty	OR	Family Medicine Physician	$22.5K	$0

Oregon Health & Science University — 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