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.

Asante Three Rivers Medical Center LLC (NPI 1598895690)

Asante Three Rivers Medical Center LLC is a general acute care hospital provider located in Grants Pass, Oregon. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Asante Three Rivers Medical Center LLC
Address	500 Sw Ramsey Ave
City	Grants Pass
State	OR
ZIP	97527
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 7, 2007

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

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

13 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.	26,930	$80	$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.	40,580	$50	$1.9M
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…	9,330	$50	$438.6K
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.	1,860	$120	$217.4K
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…	1,660	$70	$113.2K
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…	1,310	$60	$76.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,600	$50	$75.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10,870	$10	$65.2K
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.	670	$30	$19.4K
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,…	480	$20	$11.5K

Showing 1–10 of 13

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

Asante Three Rivers Medical Center LLC — 0 of 13 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

13 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.	30	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.	72	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.	17	140	10,160	$130	$2.3M
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.	51	80	1,130	$90	$327.2K
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…	530	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…	167	1,590	590	$50	$236.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	25	70	610	$60	$150.7K
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…	90	600	120	$80	$83.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	110	210	150	$60	$59.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30	140	710	$10	$48.7K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante Three Rivers Medical Center, LLC	OR	General Acute Care Hospital	$0	$27.7M
James Richardson	GA	Radiation Oncology Physician	$526.6K	$0
Eric Pena	OR	Clinical Cardiac Electrophysiology Physician	$232.2K	$0
Kent Dauterman	OR	Interventional Cardiology Physician	$163.2K	$0
Matthew Smelley	OR	Clinical Cardiac Electrophysiology Physician	$151.1K	$0
Halil Ikizler	OR	Radiation Oncology Physician	$151K	$0
Keval Patel	OR	Cardiovascular Disease Physician	$136.1K	$0
Nathan Funk	OR	Cardiovascular Disease Physician	$134.1K	$0
David Martin	OR	Clinical Cardiac Electrophysiology Physician	$130K	$0
Liam Macleod	OR	Urology Physician	$118.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kairos Northwest	OR	Community/Behavioral Health Agency	$0	$20.7M
Benchmark Physical Therapy Of Oregon LLC	OR	Physical Therapist	$0	$10.1M
Women's Health Center Of Southern Oregon PC	OR	Obstetrics & Gynecology Physician	$0	$3.7M
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
Matthew Nugent	OR	Orthopaedic Surgery Physician	$156.1K	$0

Asante Three Rivers Medical Center LLC — Billing Profile & Reimbursement Data

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Asante Three Rivers Medical Center LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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