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.

Mulnomah County (NPI 1649339581)

Field	Value
Entity Type	Organization
Organization	Mulnomah County
Address	619 Nw 6th Ave Ste 500
City	Portland
State	OR
ZIP	97209
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$65M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while Medicaid revenue totals $65M, so financial exposure and performance are concentrated in Medicaid reimbursements. Analysts should treat Medicaid payment patterns as the primary driver of this entity’s revenue and utilization profile rather than distributing attention across both payers.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes (99213, 99214, D0140) account for 52.5% of the provider’s total Medicaid revenue. Specifically, 99213 generated $14.2M (24.7%), 99214 generated $13.1M (22.8%), and D0140 generated $2.9M (5.0%), indicating a narrow set of services produce the majority of Medicaid dollars.

The code mix points to a high‑volume ambulatory primary care operation: 99213 has 214.4K claims and 99214 has 151.9K claims, reflecting heavy throughput of established‑patient E/M visits consistent with routine chronic care and follow‑up management. These E/M volumes, combined with the FQHC taxonomy, suggest the organization operates broad primary care access with substantial visit-based care delivery.

Dental services are a major service line alongside primary care: several dental procedure codes appear in the top revenue list, including D0140 ($2.9M, 5.0%), D0120 ($2.7M, 4.7%), D7140 ($2.4M, 4.2%), and D1206 ($2.4M, 4.1%). High claim counts and ranked positions on these dental codes indicate integrated or co‑located dental capacity that materially contributes to the provider’s Medicaid revenue mix.

Preventive and pediatric care volume is substantial: D1120 (Prophylaxis–child) generated $1.8M, 90471 records 90K claims with $719.6K, and 99394 (adolescent well visit) generated $662.9K. These volumes and dollar amounts show an emphasis on vaccinations, pediatric preventive visits, and adolescent preventive care within the Medicaid population.

Statewide competitive standing is dominant for many top codes: 99213 ranks #1 of 1591 providers in-state (100th percentile; extreme outlier) and 99214 ranks #3 of 1503 (100th percentile; extreme outlier), while numerous dental and preventive codes are also 100th‑percentile extreme outliers. This pattern indicates the provider is a major, above‑typical statewide participant for the services that drive its Medicaid revenue.

Operational scale implications are clear from claim counts: very large volumes such as 214.4K claims for 99213, 151.9K claims for 99214, and 118.4K claims for D1206 imply substantial patient panel size and throughput requirements. Staffing, clinic capacity, care coordination, and billing operations would need to be sized to support sustained high visit and procedure volumes across primary care and dental services.

The provider has long tenure in the NPI registry (enumerated 2006-12-06, ~20 years ago), which—paired with its statewide outlier ranks and $65M Medicaid footprint—suggests an established community presence and operational stability in serving Medicaid populations. Longevity plus dominant code rankings strengthens the view that these utilization patterns are persistent rather than transient.

Medicaid: Complete Services Breakdown

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

203 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…	214,420	$70	$14.2M
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…	151,900	$90	$13.1M
D0140	Limited oral evaluation – problem focused	49,220	$60	$2.9M
D0120	Periodic oral evaluation - established patient	67,220	$40	$2.7M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	17,090	$140	$2.4M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	118,420	$20	$2.4M
D0150	Comprehensive oral evaluation – new or established patient	32,310	$70	$2.1M
D1120	Prophylaxis–child	40,050	$50	$1.8M
D0230	Intraoral - periapical each additional radiographic image	169,090	$10	$1.5M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	23,210	$60	$1.4M

Showing 1–10 of 203

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

Mulnomah County — 25 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

203 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	105	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	113	150	1,030	$80	$417.2K
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…	3	1,500	650	$70	$312.4K
T1015	Clinic visit/encounter, all-inclusive	61	60	480	$120	$291K
D2930	N/A	81	90	530	$120	$244.4K
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…	1	1,590	590	$50	$236.5K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	72	90	140	$180	$233.1K
G9012	Other specified case management service not elsewhere classified	12	20	60	$330	$176.5K
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…	248	400	230	$90	$153.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	57	130	230	$110	$152K

Showing 1–10 of 203

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central City Concern	OR	Federally Qualified Health Center (FQHC)	$0	$94.9M
Crc Health Oregon, LLC	OR	Methadone Clinic	$334.7K	$27.6M
Clinicops, LLC	OR	Family Medicine Physician	$0	$9.8M
Multnomah County	OR	Case Management Agency	$0	$9.4M
Integrative Trauma Treatment Center, LLC	OR	Clinical Social Worker	$0	$5.7M
Pearl Health Center,pc	OR	Primary Care Clinic/Center	$0	$5.2M
Express Care Or PC	OR	General Practice Physician	$0	$2.4M
Roxanne Mossman	OR	Clinical Social Worker	$0	$1.7M
Cascade Aids Project	OR	Clinic/Center	$0	$1.2M
2bwell Group, LLC	OR	Acupuncturist	$0	$1.2M

Mulnomah County — Billing Profile & Reimbursement Data

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Mulnomah County — 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

Nearby Providers

Frequently Asked Questions

References