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.

Jay Paul Douglass (NPI 1477714491)

Field	Value
Entity Type	Individual
Organization	Jay Paul Douglass
Address	6464 Sw Borland Rd Ste C1
City	Tualatin
State	OR
ZIP	97062
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 23, 2008

Payer Source	Total Paid
Medicare	$46K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 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…	210	$90	$18.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	$130	$10.6K
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…	140	$50	$7.5K
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…	50	$140	$6.3K
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	60	$30	$1.5K
G0444	Annual depression screening, 5 to 15 minutes	70	$20	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Jay Paul Douglass — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,146	6,070	80	$70	$10.3K
99215	898	2,170	40	$100	$6.7K
G0439	251	1,110	40	$90	$5.9K
99213	1,155	5,480	60	$50	$5.7K
G0446	3	10	40	$30	$1.5K
G0444	37	160	30	$20	$880

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jay Paul Douglass, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary Labib	OR	Nephrology Physician	$155.8K	$0
Raymond Petrillo	HI	Nephrology Physician	$138.5K	$0
Emilia Arden	OR	Cardiovascular Disease Physician	$136.2K	$0
Jolanta Olson	WA	Hospitalist Physician	$124.2K	$0
Rubin Chandran	OR	Nephrology Physician	$119.8K	$0
Todd Hilbelink	OR	Nephrology Physician	$119.6K	$0
Clayton Smiley	OR	Nephrology Physician	$117.1K	$0
Hongshi Xu	WA	Nephrology Physician	$107.1K	$0
Leslie Steed	OR	Nephrology Physician	$87.6K	$0
Parthassarathy Raguram	CA	Nephrology Physician	$79.7K	$0

Nearby Providers

Other providers in the same ZIP code as Jay Paul Douglass, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Meridian Park Hospital	OR	General Acute Care Hospital	$0	$13.3M
Danny Sadakah	OR	Dentist	$0	$11.8M
United Seating And Mobility LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Tualatin Imaging P C	OR	Diagnostic Radiology Physician	$0	$2.8M
Legacy Meridian Park Hospital	OR	Hospitalist Physician	$0	$2.4M
Gso Equipment Corp	OR	Endoscopy Clinic/Center	$528K	$1.2M
Or Krew, LLC	OR	Home Health Agency	$0	$1.4M
Oregon Pediatrics- Meridian Park, LLC	OR	Pediatrics Physician	$0	$1.2M
Cascade Spine Center, LLC	OR	Ambulatory Surgical Clinic/Center	$1.1M	$0
Pacific Cataract And Laser Institute, Inc., P.C.	OR	Ambulatory Surgical Clinic/Center	$1M	$66.9K

Jay Paul Douglass — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References