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.

Boulder Care Provider Group PA (NPI 1649838590)

Field	Value
Entity Type	Organization
Organization	Boulder Care Provider Group PA
Address	111 Sw Naito Pkwy Ste 200
City	Portland
State	OR
ZIP	97204
Taxonomy	Addiction Medicine (Family Medicine) Physician
NPI Enumerated	June 4, 2019

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	54,730	$60	$3.1M
H2036	Alcohol and/or other drug treatment program, per diem	2,410	$370	$888.4K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1,840	$390	$724.3K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	2,720	$190	$512.1K
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…	9,010	$50	$459.4K
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…	6,110	$70	$451.8K
99205	The provider sees a new 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 provider…	1,850	$100	$183K
T1041	Medicaid certified community behavioral health clinic services, per month	500	$270	$136.2K
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…	1,250	$70	$87.6K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	9,730	$10	$68.1K

Showing 1–10 of 19

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

Boulder Care Provider Group PA — 5 of 17 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	26	30	86,800	$10	$2.4M
H2036	Alcohol and/or other drug treatment program, per diem	4	10	1,920	$460	$1.5M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	1	10	2,720	$190	$512.5K
H0038	Self‑help/peer services, per 15 minutes	144	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…	20	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…	170	1,590	590	$50	$236.5K
T1041	Medicaid certified community behavioral health clinic services, per month	1	10	500	$270	$136.1K
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…	7	530	150	$110	$74.9K
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…	58	530	80	$120	$68.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	130	150	350	$70	$64.6K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Boulder Care Provider Group PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joanne Pomeranz	NH	Family Nurse Practitioner	$12.2K	$116.5K
Melissa Inman	IL	Nurse Practitioner	$5.5K	$14.9K
Laura Dillard	OR	Psychiatric/Mental Health Nurse Practitioner	$19.1K	$0
Elisabeth Fisher	AK	Nurse Practitioner	$13.7K	$0
Morgan Hoover	OH	Family Nurse Practitioner	$12.7K	$0
Ericka Clark	MD	Family Nurse Practitioner	$11.8K	$0
Korena Popp	ID	Family Nurse Practitioner	$10.7K	$0
Shannon Boustead	WA	Family Medicine Physician	$2.8K	$0

Nearby Providers

Other providers in the same ZIP code as Boulder Care Provider Group PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Acute Care Specialists PC	OR	Emergency Medicine Physician	$0	$42.6M
Norma Furlong	OR	Family Nurse Practitioner	$20.2K	$0

Boulder Care Provider Group PA — Billing Profile & Reimbursement Data

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Boulder Care Provider Group PA — Billing Profile & Reimbursement Data

Sign up for Boulder Care Provider Group PA — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References