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.

Coquille Valley Hospital District (NPI 1730223967)

Coquille Valley Hospital District is a critical access hospital provider located in Coquille, Oregon. This profile covers 0 Medicare and 101 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	Coquille Valley Hospital District
Address	940 East Fifth Street
City	Coquille
State	OR
ZIP	97423
Taxonomy	Critical Access Hospital
NPI Enumerated	February 19, 2007

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

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

101 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.	14,270	$120	$1.7M
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.	8,720	$160	$1.4M
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.	2,590	$190	$496.3K
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.	5,970	$80	$477.4K
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.	14,600	$30	$467.1K
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…	9,830	$40	$402.9K
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…	15,610	$20	$296.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	21,220	$10	$169.8K
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…	5,810	$30	$151.1K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	4,310	$30	$133.5K

Showing 1–10 of 101

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

Coquille Valley Hospital District — 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

101 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.	70	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.	66	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.	63	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.	44	60	3,620	$90	$623.7K
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…	946	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…	35	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.	20	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…	154	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.	61	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.	85	100	250	$80	$268K

Showing 1–10 of 101

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Dohrman	OR	Diagnostic Radiology Physician	$807.9K	$0
Erik Young	OR	Diagnostic Radiology Physician	$648.6K	$0
Ashley Buice	MS	Diagnostic Radiology Physician	$646.2K	$0
Corey Orton	OR	Diagnostic Radiology Physician	$536.8K	$0
Jon Ekstrom	OR	Diagnostic Radiology Physician	$345.7K	$880
Cameron Evans	WA	Diagnostic Radiology Physician	$254.1K	$0
Akshay Gupta	OR	Diagnostic Radiology Physician	$231.8K	$0
Jean Colon-pons	ID	Diagnostic Radiology Physician	$231.4K	$0
Jonathan Sims	OR	Diagnostic Radiology Physician	$222.8K	$110
Jeffrey Anderson	OR	Diagnostic Radiology Physician	$222.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pahls Dentistry PC	OR	Dentist	$0	$1.6M
Susan Hohmann	OR	Mental Health Counselor	$0	$1.3M
City Of Coquille	OR	Land Ambulance	$154.7K	$254.2K
William Croson	OR	Pain Medicine Physician	$178.6K	$0
Douglas Crane	OR	Internal Medicine Physician	$159.3K	$11.1K
Morgan Grove	OR	Optometrist	$141.6K	$4.5K
Brock Millet	OR	Family Medicine Physician	$136.8K	$6.1K
Paavani Atluri	OR	Internal Medicine Physician	$104.7K	$3K
Roger Willis	OR	Family Medicine Physician	$92.1K	$0
Lyle Norton	OR	Chiropractor	$55K	$0

Coquille Valley Hospital District — Billing Profile & Reimbursement Data

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Coquille Valley Hospital District — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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