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.

Klamath Health Partnership Inc (NPI 1538155825)

Field	Value
Entity Type	Organization
Organization	Klamath Health Partnership Inc
Address	2074 South 6th Street
City	Klamath Falls
State	OR
ZIP	97601
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 22, 2005

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

95 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…	48,970	$10	$293.8K
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…	2,850	$100	$270.4K
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…	10,540	$10	$105.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,030	$60	$57.7K
D0140	Limited oral evaluation – problem focused	6,910	$10	$41.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,910	$1	$35.6K
98968	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	1,180	$30	$31.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	6,290	$10	$31.4K
99443	N/A	760	$40	$29.6K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	460	$60	$25K

Showing 1–10 of 95

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

Klamath Health Partnership Inc — 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

95 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	155	270	1,660	$90	$681K
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…	237	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…	146	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…	31	1,590	590	$50	$236.5K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	43	90	140	$180	$233.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	32	90	320	$50	$187.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	37	100	370	$30	$138.2K
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…	172	180	220	$90	$124.6K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	9	20	130	$80	$99.6K
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…	346	600	120	$80	$83.3K

Showing 1–10 of 95

Related Providers

Other providers that share a Tax Identification Number (TIN) with Klamath Health Partnership Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sara Marchessault	OR	Family Nurse Practitioner	$29.8K	$0
Sherine Talaat	OR	Hospice and Palliative Medicine (Internal Medicine) Physician	$28.1K	$0

Nearby Providers

Other providers in the same ZIP code as Klamath Health Partnership Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sky Lakes Medical Center Inc	OR	General Acute Care Hospital	$0	$30.3M
Klamath Child And Family Treatment Center	OR	Voluntary or Charitable Agency	$0	$16.2M
Klamath County Fire District No 1	OR	Ambulance	$880.4K	$2.8M
Best Care Treatment Services	OR	Substance Abuse Rehabilitation Facility	$0	$2.3M
Lutheran Community Services Northwest	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Klamath Counseling Services	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
David H Panossian Md PC	OR	Sleep Specialist (PhD)	$0	$1.6M
Klamath Ophthalmology PC	OR	Ophthalmology Physician	$0	$1.6M
Full Circle Healing	OR	Community/Behavioral Health Agency	$0	$1.1M
Scott Stevens	OR	Ophthalmology Physician	$758.7K	$0

Klamath Health Partnership Inc — Billing Profile & Reimbursement Data

Sign up for Klamath Health Partnership Inc — Billing Profile & Reimbursement Data policy alerts

Klamath Health Partnership Inc — Billing Profile & Reimbursement Data

Sign up for Klamath Health Partnership Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References