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.

Oregon Health & Science University (NPI 1609824010)

Key Findings

Field	Value
Entity Type	Organization
Organization	Oregon Health & Science University
Address	3181 Sw Sam Jackson Park Rd
City	Portland
State	OR
ZIP	97239
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$70.6M
Medicare	$0

OREGON HEALTH & SCIENCE UNIVERSITY reports no Medicare billing on file (Medicare revenue: none) and $70.6M in lifetime Medicaid revenue, making Medicaid the effective sole payer pool represented in this dataset; this single-payer skew should be treated as the baseline when assessing revenue risk and payer-concentration exposure.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 74.2% of this provider's total Medicaid revenue, and a single code, G0463, represents $35.5M (54.5%) of the $70.6M total. Such concentration indicates the provider’s financial profile is driven overwhelmingly by a single outpatient clinic visit category.

The code mix points to a hybrid operation focused on hospital outpatient clinic activity plus substantial emergency department care: G0463 (443.7K claims) dominates outpatient clinic billing while ED E/M codes 99285 (20.1K claims, $8.8M) and 99284 (15.1K claims, $4M) are the next-largest contributors. This pattern is consistent with a large academic medical center that processes very high volumes of outpatient clinic encounters alongside high-acuity ED visits.

Competitive standing within Oregon is uneven by service line: for G0463 the provider ranks #1 of 44 and is labeled an extreme outlier at the 100th percentile, indicating state-level dominance in hospital outpatient clinic visits; by contrast, ED codes show more typical statewide participation (e.g., 99285 ranks #23 of 129 at the 83rd percentile, 99284 ranks #57 of 145 at the 61st percentile, 99283 ranks #44 of 137 at the 68th percentile), which suggests strong absolute ED volume but not unique statewide dominance for emergency care.

Several specialty and high-throughput services stand out as notably above-typical or extreme volumes in-state: U0003 (55K claims, $3.2M) ranks #3 of 60 at the 97th percentile (notably above typical state volume), 92014 (16K claims, $1.4M) ranks #4 of 251 at the 99th percentile (extreme outlier), and chemotherapy/infusion codes such as 96413 (5.4K claims, $744.4K) rank #2 of 34 at the 97th percentile, signaling above-typical activity in infectious disease testing, ophthalmology, and oncology infusion services.

The presence of high-volume ophthalmology codes (92014, 92012, 92004) alongside oncology infusion (96413, 96365) and radiation delivery (77386) and imaging/echo procedures (93303, 93306, 76770) indicates a broad clinical footprint beyond ED and general outpatient work. This breadth suggests the provider operates as an integrated academic hospital with multiple specialty services contributing nontrivial Medicaid revenue.

Several large-volume codes are reported with ambiguous descriptors in the file (e.g., 0001A and 0002A are high-volume entries with no description available but together account for material revenue positions and rank at the 99th percentile in-state), which flags areas where further claim-level review or code-mapping may be needed to interpret service mix and utilization drivers.

The provider has a long tenure in federal enrollment (NPI enumerated 2006-05-05 (~20 years ago)), which, together with the concentration and volume patterns described above, supports a profile of an established, high-volume academic hospital that is heavily reliant on Medicaid revenue and state-level dominance in hospital outpatient clinic visit billing.

Medicaid: Complete Services Breakdown

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

413 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	443,690	$80	$35.5M
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.	20,110	$440	$8.8M
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.	15,140	$270	$4M
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.	21,460	$170	$3.6M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	54,960	$60	$3.2M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	16,000	$90	$1.4M
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	4,080	$190	$767.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	5,390	$140	$744.4K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	440	$1,460	$646.8K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	3,410	$170	$590.6K

Showing 1–10 of 413

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

Oregon Health & Science University — 11 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

413 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.	57	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.	23	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.	44	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1	40	3,200	$60	$1.5M
J0178	Injection, aflibercept, 1 mg	15	20	460	$910	$1.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	30	60	3,620	$90	$623.7K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	5	20	190	$1,070	$556K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	5	10	1,480	$130	$443.3K
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	5	10	100	$1,160	$435.3K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	40	60	420	$60	$405.1K

Showing 1–10 of 413

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oregon Health & Science University	OR	Clinic/Center	$0	$52.1M
Oregon Health & Science University	OR	Federally Qualified Health Center (FQHC)	$0	$9.7M
Oregon Health And Science University	OR	Dentist	$0	$1.4M
Andrew Henning	OR	Family Nurse Practitioner	$675.9K	$0
Sarah Gaines	RI	Emergency Medicine Physician	$0	$530.4K
Y Pritham Raj	OR	Internal Medicine Physician	$93.3K	$0
Matthew Slater	OR	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$54.6K	$0
Gregory Moneta	OR	Vascular Surgery Physician	$43.8K	$0
Kimberly Mauer	OR	Pain Medicine (Anesthesiology) Physician	$24K	$0
Michele Ferchau	OR	Family Nurse Practitioner	$22.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Professional Services	OR	General Practice Physician	$0	$55.6M
Shriners Hospitals For Children	OR	Children's Hospital	$0	$3.9M
Portland Dbt Institute, Inc.	OR	Cognitive & Behavioral Psychologist	$0	$3.7M
Rene Choi	OR	Ophthalmology Physician	$2.2M	$0
Housecall Providers, PC	OR	Family Medicine Physician	$0	$2M
Pediatric Orthotic And Prosthetic Services - Northwest, LLC	OR	Prosthetic/Orthotic Supplier	$0	$1.2M
Steven Bailey	OR	Retina Specialist (Ophthalmology) Physician	$1M	$0
Housecall Providers Services, LLC	OR	Community Based Hospice Care Agency	$0	$953.5K
Mind Solutions LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$952.2K
John Campbell	OR	Retina Specialist (Ophthalmology) Physician	$885.9K	$0

Oregon Health & Science University — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References