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 Tribal Health & Family Services (NPI 1629078274)

Field	Value
Entity Type	Organization
Organization	Klamath Tribal Health & Family Services
Address	330 Chiloquin Blvd
City	Chiloquin
State	OR
ZIP	97624
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 26, 2005

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 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…	6,390	$450	$2.9M
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…	3,960	$440	$1.7M
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.	1,330	$530	$703K
H0005	Alcohol and/or drug services; group counseling by a clinician	1,330	$480	$632.5K
S0215	Non-emergency transportation; mileage, per mile	11,290	$50	$542.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	660	$500	$328.2K
D0140	Limited oral evaluation – problem focused	450	$530	$237.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	390	$520	$205K
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…	340	$550	$183.5K
D0191	N/A	450	$400	$178.5K

Showing 1–10 of 35

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 Tribal Health & Family Services — 0 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	112	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	185	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…	849	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…	330	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…	229	1,590	590	$50	$236.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	299	400	230	$90	$153.8K
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…	179	530	150	$110	$74.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	261	270	200	$40	$60.1K
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.	35	210	150	$60	$59.2K
D1120	Prophylaxis–child	285	480	350	$30	$55.5K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Klamath Tribal Health & Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Kahr	OR	Rheumatology Physician	$2.8M	$0
Heather Hansen-dispenza	OR	Rheumatology Physician	$726.8K	$0
Andrew Shaffer	OR	Rheumatology Physician	$349.8K	$0

Nearby Providers

Other providers in the same ZIP code as Klamath Tribal Health & Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrew Hughes	OR	Nurse Practitioner	$4.3K	$0

Klamath Tribal Health & Family Services — Billing Profile & Reimbursement Data

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Klamath Tribal Health & Family Services — 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