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.

County Of Tillamook (NPI 1528151362)

Field	Value
Entity Type	Organization
Organization	County Of Tillamook
Address	801 Pacific Ave
City	Tillamook
State	OR
ZIP	97141
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$4.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

98 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…	10,550	$70	$707.1K
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…	8,110	$80	$632.4K
T1017	Targeted case management, each 15 minutes	1,330	$400	$526.9K
D0140	Limited oral evaluation – problem focused	4,950	$60	$277.1K
D0150	Comprehensive oral evaluation – new or established patient	3,740	$60	$220.5K
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…	2,500	$80	$192.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,970	$60	$169.3K
D0330	N/A	4,560	$30	$123K
D0120	Periodic oral evaluation - established patient	3,100	$40	$120.7K
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…	810	$140	$116.5K

Showing 1–10 of 98

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

County Of Tillamook — 7 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

98 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	20	40	1,240	$370	$1.4M
S4993	Contraceptive pills for birth control	25	30	190	$110	$414.9K
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…	559	1,380	540	$140	$363.3K
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…	195	1,500	650	$70	$312.4K
T1015	Clinic visit/encounter, all-inclusive	55	60	480	$120	$291K
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…	151	1,590	590	$50	$236.5K
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…	233	400	230	$90	$153.8K
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…	168	180	220	$90	$124.6K
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…	36	310	280	$70	$82K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	84	110	770	$10	$79.7K

Showing 1–10 of 98

Nearby Providers

Other providers in the same ZIP code as County Of Tillamook, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Medical Foundation Of Tillamook	OR	Critical Access Hospital	$0	$22.4M
Sandcreek Dental LLC	OR	Dental Clinic/Center	$0	$1.3M
Christopher Jenck	OR	Optometrist	$117.5K	$0
Fred Meyer Stores Inc	OR	Community/Retail Pharmacy	$90K	$0
Lee Johnson	OR	Optometrist	$72.9K	$0
Matthew Waxter	OR	Chiropractor	$46K	$0
Paul Dennis	OR	Anesthesiology Physician	$13.8K	$0

County Of Tillamook — Billing Profile & Reimbursement Data

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County Of Tillamook — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References