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.

St. Charles Health System, Inc. (NPI 1710160445)

St. Charles Health System, Inc. is a critical access hospital provider located in Prineville, Oregon. This profile covers 0 Medicare and 89 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	St. Charles Health System, Inc.
Address	384 Se Combs Flat Rd
City	Prineville
State	OR
ZIP	97754
Taxonomy	Critical Access Hospital
NPI Enumerated	December 17, 2007

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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

89 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.	10,980	$60	$702.7K
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.	14,800	$30	$458.6K
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.	4,750	$20	$90.2K
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.	750	$60	$47.8K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	1,700	$10	$15.3K
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…	11,430	$1	$11.4K
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.	11,190	$1	$11.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,830	$1	$7.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	1,090	$10	$6.5K
J7030	Infusion, normal saline solution , 1000 cc	1,180	$1	$3.5K

Showing 1–10 of 89

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

St. Charles Health System, Inc. — 0 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

89 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.	66	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.	82	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.	59	140	10,160	$130	$2.3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	45	60	3,620	$90	$623.7K
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…	51	60	420	$60	$405.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	65	80	1,420	$60	$368.8K
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…	46	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.	23	80	1,130	$90	$327.2K
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.	60	80	1,210	$40	$294.3K
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.	79	100	250	$80	$268K

Showing 1–10 of 89

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic Community Health	OR	Federally Qualified Health Center (FQHC)	$0	$5.4M
Rimrock Trails Treatment Services	OR	Children's Substance Abuse Rehabilitation Facility	$0	$5.4M
Choices Recovery Services, LLC	OR	Community/Behavioral Health Agency	$0	$3M
Crook County Fire And Rescue	OR	Land Ambulance	$415.1K	$949K
Imagine Freedom, LLC	OR	Mental Health Counselor	$0	$1M
Laura Gratton	OR	Family Medicine Physician	$68.1K	$0
Kelsee Sofich	OR	Physical Therapist	$62.5K	$0
Ryan Short	OR	Physical Therapist	$60.9K	$0
Matthew Giordanengo	OR	Family Medicine Physician	$57.2K	$0
Brian Lane	OR	Emergency Medicine Physician	$56.6K	$0

St. Charles Health System, Inc. — Billing Profile & Reimbursement Data

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St. Charles Health System, Inc. — Billing Profile & Reimbursement Data

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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
St. Charles Health System, Inc.	OR	Family Medicine Physician	$0	$8.6M
St. Charles Health System, Inc.	OR	Critical Access Hospital	$0	$5M
St. Charles Health System, Inc.	OR	General Acute Care Hospital	$0	$4.4M
Natasha Tiffany	OR	Hematology & Oncology Physician	$1.7M	$0
St. Charles Health System, Inc.	OR	Clinical Social Worker	$0	$1.4M
Heather Hansen-dispenza	OR	Rheumatology Physician	$726.8K	$0
Russell Lewis	OR	Hematology & Oncology Physician	$569.3K	$0
Steven Michel	OR	Diagnostic Radiology Physician	$541.9K	$0
James Verheyden	OR	Orthopaedic Hand Surgery Physician	$519.9K	$0
Tianna Welch	OR	Physician Assistant	$507.6K	$0