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.

Mckenzie-willamette Regional Medical Center Associates LLC (NPI 1568413573)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mckenzie-willamette Regional Medical Center Associates LLC
Address	1460 G St
City	Springfield
State	OR
ZIP	97477
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$44.6M
Medicare	$0

This provider reports no Medicare billing on file and $44.6M in lifetime Medicaid revenue, making Medicaid effectively its sole reported public-payer revenue source. Its NPI was enumerated on 2006-05-15 (~20 years ago), indicating a multi-year presence in the market and established operations under this billing identity.

Revenue is highly concentrated in three emergency department E/M codes, which together account for 74.0% of Medicaid revenue: 99284 ($18M; 40.5%), 99283 ($10.9M; 24.4%), and 99285 ($4.1M; 9.2%). This concentration means a large share of Medicaid dollars for the provider depend on ED visit volumes rather than a broad mix of outpatient or inpatient procedure revenue.

The code mix points to an ED-centric service profile: 99284, 99283, and 99285 correspond to moderate-, low-, and high-acuity emergency visits respectively, and the Medicaid revenue skew toward 99284 and 99283 indicates operational emphasis on moderate- and low-acuity ED care. That pattern suggests the facility functions as a high-volume community/hospital ED treating a broad acuity range but weighted toward less-complex encounters.

Competitive standing in-state is strong for mid- and lower-acuity ED services: 99284 ranks #5 of 145 (97th percentile) and 99283 ranks #6 of 137 (96th percentile), both described as notably above typical state volume, which positions the provider as a major regional ED participant for those visit levels. By contrast, 99285 ranks #36 of 129 (73th percentile) and is characterized as typical/unremarkable, so the facility is less dominant for the highest-acuity ED presentations.

Ancillary service codes show extreme or notable outlier volumes that reinforce an ED-and-acute-care operational model: 96374 ($3.3M) ranks #2 of 62 (98th percentile; notably above typical state volume), 96375 ($834.8K) ranks #2 of 63 (98th percentile; extreme outlier), 96361 ($483K) ranks #1 of 51 (100th percentile; extreme outlier), and 11042 ($2.5M) ranks #2 of 49 (98th percentile; extreme outlier). These patterns indicate frequent IV medication/fluid administration and wound debridement services delivered in the hospital setting rather than being routed to lower-acuity outpatient specialty clinics.

The provider also posts extreme outlier activity in the lowest-acuity ED code: 99281 (7.7K claims, $429.9K) ranks #1 of 40 (100th percentile; extreme outlier), signaling a particularly large volume of very low-acuity ED encounters relative to in-state peers. High volumes at both ends of acuity (very low and moderate) can reflect either local access patterns or ED use as a primary point of care for Medicaid populations.

Diagnostic testing and imaging contribute modestly to Medicaid revenue: U0004 (32.9K claims, $952.8K; 2.1%) ranks #3 of 8 (71th percentile) for COVID testing, while chest x-rays 71045 and 71046 appear with typical, unremarkable or modest state rankings and revenues (71045 $432.8K; 71046 $425.6K). Overall, lab and imaging line items are meaningful operational complements to ED care but do not drive the revenue base the way E/M and infusion/wound codes do.

From a business-risk and operational-planning perspective, the combination of no Medicare billing and a $44.6M Medicaid base concentrated in ED E/M and infusion/wound codes highlights dependence on Medicaid ED volume and related procedures. That concentration suggests priorities for capacity planning (ED staffing, infusion capability, wound care pathways) and a sensitivity to Medicaid policy or utilization shifts that could materially affect revenue.

Medicaid: Complete Services Breakdown

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

96 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	69,680	$260	$18M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	60,840	$180	$10.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	13,480	$300	$4.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	30,990	$110	$3.3M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	17,430	$140	$2.5M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	32,860	$30	$952.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,130	$100	$949.1K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	22,560	$40	$834.8K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	17,890	$30	$483K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	10,560	$40	$432.8K

Showing 1–10 of 96

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

Mckenzie-willamette Regional Medical Center Associates LLC — 9 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

96 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	5	150	7,400	$170	$2.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	36	130	2,610	$200	$2.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	6	140	10,160	$130	$2.3M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	3	10	1,790	$60	$1.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	40	3,200	$60	$1.5M
S9480	Intensive outpatient psychiatric services, per diem	13	20	650	$330	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2	60	3,620	$90	$623.7K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	12	80	1,130	$90	$327.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	53	80	1,210	$40	$294.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	80	90	530	$50	$281.6K

Showing 1–10 of 96

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	OR	General Acute Care Hospital	$0	$30.7M
Lane County Oregon	OR	Federally Qualified Health Center (FQHC)	$0	$20.6M
Springfield Treatment Center	OR	Methadone Clinic	$0	$20.5M
Mental Health For Children, Inc	OR	Mental Health Counselor	$0	$12.7M
G Street Integrated Health	OR	Clinic/Center	$0	$9.3M
Radiology Associates PC	OR	Diagnostic Radiology Physician	$0	$7.8M
Oregon Endoscopy Center, LLC	OR	Ambulatory Surgical Clinic/Center	$919.2K	$5.6M
Pathology Consultants, PC	OR	Anatomic Pathology & Clinical Pathology Physician	$0	$5.5M
Peacehealth	OR	Hospitalist Physician	$0	$5.5M
Womens Care, PC	OR	Obstetrics & Gynecology Physician	$0	$5.3M

Mckenzie-willamette Regional Medical Center Associates LLC — Billing Profile & Reimbursement Data

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Mckenzie-willamette Regional Medical Center Associates LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References