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.

Commonspirit Oregon (NPI 1649276734)

Commonspirit Oregon is a critical access hospital provider located in Pendleton, Oregon. This profile covers 0 Medicare and 65 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	Commonspirit Oregon
Address	2801 St Anthony Way
City	Pendleton
State	OR
ZIP	97801
Taxonomy	Critical Access Hospital
NPI Enumerated	June 22, 2005

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

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

65 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.	11,450	$490	$5.6M
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.	14,920	$240	$3.6M
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.	3,450	$570	$2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	7,190	$60	$431.6K
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…	3,280	$100	$337.8K
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…	3,540	$80	$269.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	3,070	$70	$217.6K
J7030	Infusion, normal saline solution , 1000 cc	4,290	$30	$141.6K
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.	750	$160	$117.8K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	2,480	$40	$109K

Showing 1–10 of 65

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

Commonspirit Oregon — 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

65 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.	64	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.	62	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.	58	140	10,160	$130	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	25	60	3,620	$90	$623.7K
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…	34	60	420	$60	$405.1K
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…	21	60	460	$40	$327.4K
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.	48	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.	52	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…	69	90	530	$50	$281.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	91	100	250	$80	$268K

Showing 1–10 of 65

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonspirit Oregon	OR	General Acute Care Hospital	$0	$29.3M
Mershed Alsamara	MI	Internal Medicine Physician	$296.2K	$0
Iyad Jamali	WA	Cardiovascular Disease Physician	$284.7K	$0
Praveen Korimerla	WA	Cardiovascular Disease Physician	$252.1K	$0
Stephen Chung	WA	Sleep Medicine (Internal Medicine) Physician	$171.8K	$0
Nagarjuna Reddy Gujjula	WA	Cardiovascular Disease Physician	$148.8K	$0
Marlou Heiland	AZ	Urology Physician	$115.7K	$0
Marla Kae Stahlnecker	WA	Family Nurse Practitioner	$90.2K	$0
Lohith Reddy	OR	Internal Medicine Physician	$86.5K	$0
John Mcbee	OR	Surgery Physician	$81.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interpath Laboratory, Inc.	OR	Clinical Medical Laboratory	$7.8M	$70M
Pendleton House	OR	Mental Illness Community Based Residential Treatment Facility	$0	$17.9M
Eastern Oregon Alcoholism Foundation	OR	Substance Abuse Rehabilitation Facility	$0	$9.9M
Yellowhawk Tribal Health Center	OR	Clinic/Center	$0	$5.1M
Jeffrey Kobernik	OR	General Practice Dentistry	$0	$1.9M
City Of Pendleton	OR	Land Ambulance	$529K	$1.1M
Umatilla River Emergency Physicians LLC	OR	Emergency Medicine Physician	$0	$1.5M
Joshua Garren	OR	Radiation Oncology Physician	$1.3M	$0
Case Ketting	OR	Radiation Oncology Physician	$325.1K	$0
Terrol Marshall	OR	Podiatrist	$209.8K	$0

Commonspirit Oregon — Billing Profile & Reimbursement Data

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Commonspirit Oregon — 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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