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.

Sky Lakes Medical Center Inc (NPI 1659340370)

Field	Value
Entity Type	Organization
Organization	Sky Lakes Medical Center Inc
Address	2865 Daggett Ave
City	Klamath Falls
State	OR
ZIP	97601
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 15, 2006

Payer Source	Total Paid
Medicaid	$30.3M
Medicare	$0

Key Findings

Payer mix is effectively single‑payer on file: Medicare revenue is listed as none (no Medicare billing on file) while Medicaid revenue totals $30.3M, indicating this provider’s inpatient and outpatient reported activity in the available dataset is driven almost entirely by Medicaid. This creates a concentrated exposure to Medicaid reimbursement and utilization trends.

Revenue concentration is high: the precomputed top three Medicaid codes by revenue — 99284 ($7.1M, 24.9%), 99283 ($6.5M, 23.0%), and 99285 ($5.6M, 19.8%) — account for 67.7% of the provider’s total Medicaid revenue. That concentration shows the facility derives the majority of its Medicaid dollars from emergency department evaluation-and-management services.

The code mix and top revenue drivers indicate an ED-centric operating model. The three largest revenue codes (99284, 99283, 99285) are all emergency department E/M visits, and additional high-volume ED codes like 99282 ($1.8M, 6.2%) further support that the hospital’s Medicaid revenue is primarily generated by emergency care and associated outpatient throughput.

Competitive standing within the state is strong for ED services: 99283 ranks #4 of 137 providers in-state (98th percentile; notably above typical state volume for this code) and 99284 ranks #8 of 145 providers in-state (95th percentile; notably above typical state volume for this code), showing the hospital is a major Medicaid ED provider regionally. By contrast, 99285 ranks #21 of 129 providers in-state (84th percentile; typical, unremarkable volume for this code), indicating leadership is concentrated in lower- to moderate-acuity ED visits rather than the very highest-acuity ED case mix.

There are clear statistical outliers in utilization: 99282 is listed as rank #1 of 84 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and office/outpatient visit codes 99213 (75.2K claims, $451.3K revenue) and 99214 (42.8K claims, $513.2K revenue) appear at very high state percentiles (99213: 99th percentile; extreme outlier, far above typical state volume for this code; 99214: 98th percentile; notably above typical state volume for this code). These outlier labels point to unusually large volumes of low‑ to moderate‑acuity outpatient and ED visits relative to peers.

The provider also reports substantial hospital outpatient and infusion activity beyond ED visits: G0463 shows 177.2K claims and $1.2M revenue while infusion/administration codes such as 96374 ($1.4M), 96361 ($259.4K), 96375 ($214.8K) and biologic infusion Q5103 ($777.4K, rank #2 of 9 in-state) indicate ongoing infusion and procedural outpatient services. Together these codes suggest an integrated hospital outpatient clinic and infusion capability that complements ED volume.

Diagnostic and specialty service footprint is consistent with a full‑service acute care hospital: relatively high volumes for chest X‑ray 71045 (26.5K claims, $370.7K), CT abdomen/pelvis 74177 (3.5K claims, $307.9K), obstetric ultrasound codes 76811/76816, mammography 77067, and echocardiography 93306 reflect substantial imaging and diagnostic throughput supporting both ED and outpatient care. These revenue lines are individually smaller but collectively demonstrate breadth of clinical services billed to Medicaid.

Tenure and market role: the NPI was enumerated 2006-03-15 (~20 years ago), indicating an established presence in the region. Coupled with the strong in‑state rankings and multiple extreme/notably above‑typical percentiles across ED and outpatient codes, the provider functions as a major regional Medicaid acute‑care and outpatient hub rather than a modest or new entrant.

Medicaid: Complete Services Breakdown

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

286 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.	61,320	$120	$7.1M
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.	72,200	$90	$6.5M
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.	23,160	$240	$5.6M
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.	35,220	$50	$1.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,080	$110	$1.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	177,220	$10	$1.2M
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	810	$960	$777.4K
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…	42,760	$10	$513.2K
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…	75,210	$10	$451.3K
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…	26,480	$10	$370.7K

Showing 1–10 of 286

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

Sky Lakes Medical Center Inc — 6 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

286 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.	8	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.	21	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.	4	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	40	3,200	$60	$1.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	9	60	3,620	$90	$623.7K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	7	20	190	$1,070	$556K
Q5103	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	2	10	100	$1,160	$435.3K
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…	12	60	420	$60	$405.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,264	1,380	540	$140	$363.3K
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…	10	60	460	$40	$327.4K

Showing 1–10 of 286

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sky Lakes Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mihaela Matei	CO	Hematology & Oncology Physician	$1.3M	$0
David Greenberg	OR	Diagnostic Radiology Physician	$997.3K	$0
Joseph Poole	NM	Nurse Practitioner	$554.4K	$0
Steven Michel	OR	Diagnostic Radiology Physician	$541.9K	$0
Laurie Martin	OR	Diagnostic Radiology Physician	$437.3K	$0
Matthew Bentz	OR	Diagnostic Radiology Physician	$403.4K	$0
Jozef Brozyna	OR	Diagnostic Radiology Physician	$359.4K	$0
Kendall Michels	OR	Specialist	$306.1K	$0
Traci Clautice-engle	OR	Diagnostic Radiology Physician	$301.5K	$0
Karen Lynn	OR	Diagnostic Radiology Physician	$292.7K	$0

Nearby Providers

Other providers in the same ZIP code as Sky Lakes Medical Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Klamath Child And Family Treatment Center	OR	Voluntary or Charitable Agency	$0	$16.2M
Klamath County Fire District No 1	OR	Ambulance	$880.4K	$2.8M
Best Care Treatment Services	OR	Substance Abuse Rehabilitation Facility	$0	$2.3M
Lutheran Community Services Northwest	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Klamath Counseling Services	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
David H Panossian Md PC	OR	Sleep Specialist (PhD)	$0	$1.6M
Klamath Ophthalmology PC	OR	Ophthalmology Physician	$0	$1.6M
Klamath Health Partnership Inc	OR	Federally Qualified Health Center (FQHC)	$0	$1.2M
Full Circle Healing	OR	Community/Behavioral Health Agency	$0	$1.1M
Scott Stevens	OR	Ophthalmology Physician	$758.7K	$0

Sky Lakes Medical Center Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References