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.

Women's Health Center Of Southern Oregon PC (NPI 1528175437)

Field	Value
Entity Type	Organization
Organization	Women's Health Center Of Southern Oregon PC
Address	700 Ramsey Ave
City	Grants Pass
State	OR
ZIP	97527
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	August 24, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 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…	15,070	$90	$1.4M
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…	17,550	$60	$1.1M
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	2,030	$90	$191.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,610	$100	$157.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,420	$100	$137.9K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	1,150	$80	$91.1K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	30	$2,280	$64K
87480	The lab analyst performs a test for Candida species using direct nucleic acid probe technique.	5,250	$10	$63K
87510	The lab analyst performs a test for Gardnerella vaginalis using direct nucleic acid probe technique. Gardnerella vaginalis typically causes bacterial vaginosis, an infection of the vagina that…	5,250	$10	$63K
87660	The lab analyst performs a test for Trichomonas vaginalis using direct nucleic acid probe technique.	5,240	$10	$62.9K

Showing 1–10 of 37

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

Women's Health Center Of Southern Oregon PC — 4 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

37 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…	104	1,500	650	$70	$312.4K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	6	10	50	$420	$287.4K
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…	94	1,590	590	$50	$236.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	12	20	310	$140	$234.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	13	50	60	$80	$170.1K
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…	430	600	120	$80	$83.3K
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…	438	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…	242	530	80	$120	$68.5K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	19	50	70	$90	$66.2K
76801	In this procedure, the provider performs a real time or live image, ultrasound of a pregnant uterus for examination of the first or a single fetus and mother during the first trimester, or less than…	12	40	120	$110	$64.7K

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with Women's Health Center Of Southern Oregon PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Felicia Cohen	OR	Obstetrics & Gynecology Physician	$12.8K	$0
Lauren Javernick	OR	Obstetrics & Gynecology Physician	$12.4K	$0
Lauren Jones	OR	Family Nurse Practitioner	$7.9K	$0
Crystal Lindahl	OR	Women's Health Nurse Practitioner	$5.1K	$0
Sarah Witesman	OR	Physician Assistant	$3.4K	$0

Nearby Providers

Other providers in the same ZIP code as Women's Health Center Of Southern Oregon PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante Three Rivers Medical Center, LLC	OR	General Acute Care Hospital	$0	$27.7M
Kairos Northwest	OR	Community/Behavioral Health Agency	$0	$20.7M
Benchmark Physical Therapy Of Oregon LLC	OR	Physical Therapist	$0	$10.1M
Asante Three Rivers Medical Center LLC	OR	General Acute Care Hospital	$0	$5.2M
Star Dialysis LLC	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Asante Community Services LLC	OR	Customized Equipment (DME)	$0	$2.2M
Three Rivers Radiology Associates, PC	OR	Diagnostic Radiology Physician	$0	$1.8M
Daniel Cowley	OR	Adult Reconstructive Orthopaedic Surgery Physician	$249K	$0
Joseph Vella	OR	Foot & Ankle Surgery Podiatrist	$218.1K	$0
Henry Ssentongo	OR	Hospitalist Physician	$172.2K	$0

Women's Health Center Of Southern Oregon PC — Billing Profile & Reimbursement Data

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Women's Health Center Of Southern Oregon 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