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.

Silverton Health (NPI 1669424354)

Key Findings

Field	Value
Entity Type	Organization
Organization	Silverton Health
Address	342 Fairview St
City	Silverton
State	OR
ZIP	97381
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

SILVERTON HEALTH is effectively a single-payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $29.2M, with an NPI enumeration date of 2006-05-17 (~20 years ago), indicating two decades of presence in the market. The absence of Medicare revenue means analyses of Medicare-facing service lines or national competitiveness are not applicable for this facility and its operating profile should be assessed primarily through its Medicaid activity.

Revenue is highly concentrated in emergency department evaluation-and-management services: the top three Medicaid codes (99283, 99285, 99284) together account for 76.0% of the provider's total Medicaid revenue. Those individual contributions are 99283 $8.1M (28.2%), 99285 $6.9M (24.1%), and 99284 $6.8M (23.7%), signaling that the bulk of Medicaid dollars flow through ED encounters.

The code mix and claim volumes point to a busy, full-spectrum emergency department: 99283 has 43.1K claims, 99284 has 28.9K claims, and 99285 has 18.8K claims, showing high throughput across low- to high-complexity ED visits. This distribution suggests operations that manage a mix of straightforward cases and higher-acuity, resource-intensive visits rather than a narrow procedural or inpatient-only focus.

State competitive standing for the top ED codes is generally solid but not dominant. For example, 99283 ranks #14 of 137 providers in-state (90th percentile; typical, unremarkable volume), 99285 ranks #24 of 129 (82th percentile; typical, unremarkable volume), and 99284 ranks #25 of 145 (83th percentile; typical, unremarkable volume), which portrays SILVERTON HEALTH as a meaningful regional ED participant but not an outlier market leader on these measures.

Ancillary hospital services appear integrated with ED operations: notable Medicaid revenues and claim counts for lab and imaging—85025 (27.4K claims, $795.9K revenue), 80053 (20.1K claims, $402.2K revenue), 93005 (8.6K claims, $513.5K revenue), and 74177 (3K claims, $633.4K revenue)—reflect routine in-house diagnostics. The presence of endoscopy 43239 with $952.4K (3.3%) also indicates on-site procedural capability beyond emergency stabilization.

There is at least one code where SILVERTON HEALTH posts above-typical statewide volume: 84703 is $333.6K (1.2%) in revenue with an in-state rank of #3 of 51 (96th percentile; notably above typical state volume), marking a clear area of relative strength in hCG testing compared with peers. This suggests higher throughput for pregnancy testing or related workflows, which often align with ED and obstetric/gynecologic evaluation.

Other procedural and infusion codes support the picture of a hospital-based acute care setting: 96374 ($495.6K, 11.8K claims) and 96375 ($181.6K, 4K claims) show active IV medication administration, while pathology 88305 ($154.4K) and advanced lab testing 87631 ($47.2K) indicate downstream diagnostic services supporting inpatient and ED care. These revenue lines, while individually smaller than the top three ED codes, reflect a typical acute-care service mix that complements high ED volumes.

The extreme revenue concentration in ED E/M codes (76.0% from the top three Medicaid codes) creates both operational focus and financial exposure: payer or coding policy changes that affect ED reimbursements could materially impact overall revenue, while payers and health system planners should view SILVERTON HEALTH as an ED-centric facility when assessing network capacity and access for Medicaid populations.

Medicaid: Complete Services Breakdown

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

98 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	43,060	$190	$8.1M
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.	18,840	$360	$6.9M
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.	28,860	$230	$6.8M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,190	$800	$952.4K
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.	7,500	$110	$832.3K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	27,440	$30	$795.9K
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.	3,020	$210	$633.4K
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…	8,560	$60	$513.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,800	$40	$495.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	20,110	$20	$402.2K

Showing 1–10 of 98

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

Silverton Health — 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

98 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.	25	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.	24	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.	14	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	36	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.	16	60	3,620	$90	$623.7K
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…	31	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.	14	80	1,130	$90	$327.2K
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…	492	1,500	650	$70	$312.4K
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.	71	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…	31	90	530	$50	$281.6K

Showing 1–10 of 98

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Clinics LLC	OR	Clinic/Center	$35.6K	$48.7M
Silverton Health	OR	Clinic/Center	$0	$9.7M
Silverton Health	OR	Rural Health Clinic/Center	$0	$2.8M
Silverton Health	OR	Rural Health Clinic/Center	$0	$1.6M
Silverton Health	OR	Rural Health Clinic/Center	$0	$1.2M
Harminder Gandhok	OR	Cardiovascular Disease Physician	$306.1K	$0
Maziar Azadpour	OR	Cardiovascular Disease Physician	$299.7K	$0
Ashit Patel	OR	Clinical Cardiac Electrophysiology Physician	$199.4K	$0
Sarah Atkinson	OR	Neurology Physician	$181.5K	$0
Grant Harmon	OR	Radiation Oncology Physician	$176.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acorn Dentistry For Kids - Silverton, LLC	OR	Dental Clinic/Center	$0	$2.7M
Daniel M. Cote, D.c., L.L.C	OR	Chiropractor	$0	$1M
Michael Lemmers	OR	Urology Physician	$67.2K	$0
Nicholas Hedden	OR	Certified Registered Nurse Anesthetist	$44K	$0
Kelby Stout	OR	Medical Physician Assistant	$38.4K	$620
Rebecca Palmer	OR	Emergency Medicine Physician	$32.1K	$0
Paul Lentz	OR	Sports Medicine (Family Medicine) Physician	$21K	$0
Robert Revels	OR	Certified Registered Nurse Anesthetist	$2.3K	$0

Silverton Health — 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