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.

Caroline Tse (NPI 1629202106)

Field	Value
Entity Type	Individual
Organization	Caroline Tse
Address	3181 Sw Sam Jackson Park Rd
City	Portland
State	OR
ZIP	97239
Taxonomy	Sleep Medicine (Psychiatry & Neurology) Physician
NPI Enumerated	May 12, 2009

Payer Source	Total Paid
Medicare	$77.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	90	$520	$44.3K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	50	$490	$24.1K
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	40	$70	$2.7K
95800	A patient undergoes a sleep study with no provider physically present. Parameters recorded include heart rate, blood oxygen concentration, respiratory analysis, and the amount of time sleeping.	20	$130	$2.3K
99204	The provider sees a new 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 provider…	20	$110	$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…	20	$80	$1.6K
99451	A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…	20	$30	$530

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Caroline Tse — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95811	9	50	50	$290	$16.6K
95810	19	50	40	$260	$12.2K
99214	5,390	6,070	80	$70	$10.3K
99204	1,834	2,750	30	$110	$4.4K
95800	15	20	30	$70	$3.6K
G0399	9	30	30	$50	$2.6K
99451	28	50	20	$30	$1.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Caroline Tse, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Clinics LLC	OR	Clinic/Center	$35.6K	$48.7M
Legacy Mount Hood Medical Center	OR	General Acute Care Hospital	$0	$43.2M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$20.1M
Legacy Good Samaritan Hospital And Medical Center	OR	General Acute Care Hospital	$0	$18.3M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$13.7M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$3.8M
Randall Harada	WA	Interventional Cardiology Physician	$303.2K	$0
Christina Mcdowell	VA	Cardiovascular Disease Physician	$293.1K	$0
David Philips	WA	Interventional Cardiology Physician	$268.4K	$0

Nearby Providers

Other providers in the same ZIP code as Caroline Tse, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oregon Health & Science University	OR	General Acute Care Hospital	$0	$70.6M
University Professional Services	OR	General Practice Physician	$0	$55.6M
Oregon Health & Science University	OR	Clinic/Center	$0	$52.1M
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

Caroline Tse — Billing Profile & Reimbursement Data

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Caroline Tse — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References