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.

Oregon Pediatrics- Meridian Park, LLC (NPI 1659317386)

Oregon Pediatrics- Meridian Park, LLC is a pediatrics physician provider located in Tualatin, Oregon. This profile covers 0 Medicare and 34 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	Oregon Pediatrics- Meridian Park, LLC
Address	19250 Sw 65th Ave Ste 100
City	Tualatin
State	OR
ZIP	97062
Taxonomy	Pediatrics Physician
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

34 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…	6,120	$70	$409.8K
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…	2,400	$90	$220.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,330	$130	$174.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	880	$140	$119.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,000	$120	$117.5K
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	2,930	$10	$38K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	170	$150	$25.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	1,320	$20	$25K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	5,820	$1	$17.5K
D0191	N/A	1,070	$10	$13.8K

Showing 1–10 of 34

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

Oregon Pediatrics- Meridian Park, LLC — 1 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	430	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…	237	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…	357	400	230	$90	$153.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	55	170	300	$80	$133.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	48	180	220	$90	$124.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	45	170	170	$90	$78.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	54	150	60	$90	$33.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	372	580	430	$10	$28.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	46	90	170	$20	$22.6K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	75	420	160	$20	$19K

Showing 1–10 of 34

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Meridian Park Hospital	OR	General Acute Care Hospital	$0	$13.3M
Danny Sadakah	OR	Dentist	$0	$11.8M
United Seating And Mobility LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Tualatin Imaging P C	OR	Diagnostic Radiology Physician	$0	$2.8M
Legacy Meridian Park Hospital	OR	Hospitalist Physician	$0	$2.4M
Gso Equipment Corp	OR	Endoscopy Clinic/Center	$528K	$1.2M
Or Krew, LLC	OR	Home Health Agency	$0	$1.4M
Cascade Spine Center, LLC	OR	Ambulatory Surgical Clinic/Center	$1.1M	$0
Pacific Cataract And Laser Institute, Inc., P.C.	OR	Ambulatory Surgical Clinic/Center	$1M	$66.9K
Ian Schnadig	OR	Hematology & Oncology Physician	$721K	$0

Oregon Pediatrics- Meridian Park, LLC — Billing Profile & Reimbursement Data

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Oregon Pediatrics- Meridian Park, LLC — 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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