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.

Legacy Good Samaritan Hospital And Medical Center (NPI 1679597108)

Legacy Good Samaritan Hospital And Medical Center is a clinic/center provider located in Portland, Oregon. This profile covers 0 Medicare and 66 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	Legacy Good Samaritan Hospital And Medical Center
Address	1200 Nw 23rd Ave
City	Portland
State	OR
ZIP	97210
Taxonomy	Clinic/Center
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

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

66 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…	17,480	$70	$1.2M
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…	16,130	$50	$758.3K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	3,600	$80	$299K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	6,030	$50	$289.3K
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…	3,040	$90	$264.7K
J0178	Injection, aflibercept, 1 mg	160	$1,160	$179.2K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	9,200	$20	$138K
90832	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…	1,650	$60	$95.5K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	1,760	$50	$93.2K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	970	$90	$91.3K

Showing 1–10 of 66

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

Legacy Good Samaritan Hospital And Medical Center — 4 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	10	20	460	$910	$1.4M
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…	88	1,500	650	$70	$312.4K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	6	20	4,080	$60	$290K
19318	Breast reduction is the removal of excess breast tissue which results from top scarring, calcification, or architectural distortion.	2	10	70	$3,270	$268K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	161	290	770	$60	$252K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	6	10	60	$90	$237.2K
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…	102	1,590	590	$50	$236.5K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	30	40	120	$330	$175.5K
96153	N/A	4	10	150	$210	$160K
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…	363	400	230	$90	$153.8K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Clinics LLC	OR	Clinic/Center	$35.6K	$48.7M
Legacy Mount Hood Medical Center	OR	General Acute Care Hospital	$0	$43.2M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Legacy Good Samaritan Hospital And Medical Center	OR	General Acute Care Hospital	$0	$18.3M
Legacy Emanuel Hospital & Health Center	OR	Clinic/Center	$0	$17M
Sandeep Garg	OR	Cardiovascular Disease Physician	$303.4K	$0
Randall Harada	WA	Interventional Cardiology Physician	$303.2K	$0
Christina Mcdowell	VA	Cardiovascular Disease Physician	$293.1K	$0
David Philips	WA	Interventional Cardiology Physician	$268.4K	$0
Amish Desai	OR	Interventional Cardiology Physician	$201.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metropolitan Pediatrics, LLC	OR	Pediatrics Physician	$0	$15M
Northwest Renal Clinic, Inc.	OR	Nephrology Physician	$0	$2.5M
Connections First, LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.4M
Ngc Endoscopy Services LLC	OR	Ambulatory Surgical Clinic/Center	$437.7K	$1.6M
Kjb Consulting Corporation	OR	Physical Therapy Clinic/Center	$0	$1.8M
Therapeutic Associates Inc	OR	Physical Therapist	$0	$1.3M
Uptown Providers PC	OR	General Practice Physician	$0	$1M
Andre Barkhuizen	OR	Rheumatology Physician	$349.9K	$0
James Tycast	OR	Urology Physician	$228.3K	$0
Tamar Hajar	OR	MOHS-Micrographic Surgery Physician	$193.2K	$0

Legacy Good Samaritan Hospital And Medical Center — Billing Profile & Reimbursement Data

Sign up for Legacy Good Samaritan Hospital And Medical Center — Billing Profile & Reimbursement Data policy alerts

Legacy Good Samaritan Hospital And Medical Center — Billing Profile & Reimbursement Data

Sign up for Legacy Good Samaritan Hospital And Medical Center — 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