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 Emanuel Hospital & Health Center (NPI 1700809027)

Key Findings

Field	Value
Entity Type	Organization
Organization	Legacy Emanuel Hospital & Health Center
Address	2800 N Vancouver Ave Ste 230
City	Portland
State	OR
ZIP	97227
Taxonomy	Clinic/Center
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$17M
Medicare	$0

This provider is effectively a Medicaid-focused operation: Medicare revenue is listed as none while Medicaid revenue totals $17M, so Medicaid is the dominant and effectively sole payer represented in the available billing data. The absence of Medicare billing on file makes comparisons to national Medicare peer performance impossible and highlights a single-payer footprint in these records.

Revenue is highly concentrated in ambulatory evaluation-and-management services: the precomputed top 3 Medicaid codes (99214, 99213, 99215) account for 65.5% of the provider's total Medicaid revenue. Those three codes individually are 99214 ($6.1M; 38.4%), 99213 ($3.2M; 20.0%), and 99215 ($1.1M; 7.2%), confirming that a small set of office/outpatient E/M services drive most of the Medicaid dollars recorded.

The code mix points to a large outpatient primary care and general ambulatory practice with substantial preventive care volume: 99214 (69.5K claims), 99213 (49.8K claims), and preventive visit codes 99391 (7.1K claims) and 99392 (5.5K claims) together show routine well visits and chronic care management are core services. High counts for new-patient codes such as 99203 (6.3K claims) and higher-complexity new visits 99205 (2.8K claims) indicate active new-patient intake in addition to heavy established-patient throughput.

Competitive standing within the state is strong and concentrated: 99214 ranks #15 of 1503 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code) and 99213 ranks #30 of 1591 (98th percentile; notably above typical state volume). Higher-complexity office visits like 99215 rank #5 of 531 (99th percentile; extreme outlier), signaling that the provider is a dominant regional source of both high-volume and higher-acuity ambulatory E/M services.

Although outpatient E/M dominates revenue, the billing mix shows inpatient, observation, and emergency activity as well: codes such as 99233 (5.3K claims, $372.9K revenue), 99232 (5.5K claims, $297.9K revenue), and ED code 99284 (14.7K claims, $294.8K revenue) appear in the top-25 Medicaid list. This breadth suggests the clinic/center operates with care pathways that include ED and inpatient follow-up or is clinically integrated with settings that bill those services to Medicaid.

Several codes flag provision of higher-intensity or complex care in addition to routine visits: G2211 appears with 9.7K claims ($107.1K) and ranks #5 of 229 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code), while critical care code 99291 has 389 claims ($73.1K). These items indicate frequent use of add-on complexity billing and occasional critical-care services alongside high ambulatory volume.

Pediatric and preventive care are material subcomponents of activity: 99391 ($696.1K, 7.1K claims) and 99392 ($614.1K, 5.5K claims) together account for a visible share of revenue and rank in high state percentiles (99391 at 94th, 99392 at 92nd), consistent with a clinic that provides routine well-child and preventive adult services in addition to general outpatient care.

The provider has long tenure in the dataset, with an NPI enumerated on 2006-07-26 (~20 years ago), and the large raw claim counts (for example 69.5K claims for 99214) combined with $17M in Medicaid revenue indicate a high-volume ambulatory operation that is well established in-state and functions as a major Medicaid outpatient provider in its market.

Medicaid: Complete Services Breakdown

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

134 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…	69,540	$90	$6.1M
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…	49,840	$60	$3.2M
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…	8,290	$140	$1.1M
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…	7,100	$100	$696.1K
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…	5,530	$110	$614.1K
99203	The provider sees a new 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 provider…	6,280	$90	$590.1K
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…	2,800	$180	$515.8K
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…	2,750	$140	$380.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,330	$70	$372.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,890	$110	$315.2K

Showing 1–10 of 134

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 Emanuel Hospital & Health Center — 9 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

134 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.	58	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.	61	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.	72	140	10,160	$130	$2.3M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3	10	1,580	$300	$385.7K
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.	64	80	1,130	$90	$327.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	40	380	$130	$326.9K
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…	15	1,500	650	$70	$312.4K
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.	44	60	350	$260	$251.9K
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…	30	1,590	590	$50	$236.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	14	90	320	$50	$187.6K

Showing 1–10 of 134

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central City Concern	OR	Substance Abuse Rehabilitation Facility	$0	$6.9M
Pediatric Cardiology Center Of Oregon PC	OR	Pediatric Cardiology Physician	$0	$5.5M
Northwest Surgical Specialists, P.C.	OR	Orthopaedic Surgery Physician	$0	$2.4M
Kaiser Foundation Hospitals	OR	Ambulatory Surgical Clinic/Center	$35.3K	$2.3M
Radiology Consultants, Inc	OR	Diagnostic Radiology Physician	$0	$1.9M
Uplifting Journey LLC	OR	Community/Behavioral Health Agency	$0	$1.3M
Tony Ho	OR	Hematology & Oncology Physician	$796.7K	$0
Gerald Segal	OR	Hematology & Oncology Physician	$583.9K	$0
Julia Obadiah	OR	MOHS-Micrographic Surgery Physician	$444.5K	$0
Spencer Shao	OR	Medical Oncology Physician	$302.8K	$0

Legacy Emanuel Hospital & Health Center — Billing Profile & Reimbursement Data

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Legacy Emanuel Hospital & Health Center — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$64.2M
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$50.8M
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 Salmon Creek Hospital	WA	Clinic/Center	$0	$9.9M
Legacy Good Samaritan Hospital And Medical Center	OR	Clinic/Center	$0	$3.9M
Legacy Emanuel Hospital & Health Center	OR	Rural Health Clinic/Center	$0	$1.8M
Legacy Emanuel Hospital & Health Center	OR	Clinic/Center	$0	$1.5M