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.

Asante Ashland Community Hospital, LLC (NPI 1730628827)

Asante Ashland Community Hospital, LLC is a general acute care hospital provider located in Ashland, Oregon. This profile covers 0 Medicare and 42 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	Asante Ashland Community Hospital, LLC
Address	280 Maple St
City	Ashland
State	OR
ZIP	97520
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 22, 2017

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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

42 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.	22,110	$200	$4.5M
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.	10,120	$290	$2.9M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1,360	$300	$405K
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.	1,570	$150	$235.7K
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.	4,540	$50	$227.1K
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…	4,900	$40	$201K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1,790	$70	$130.6K
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.	210	$490	$100.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	370	$270	$98.3K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	150	$140	$21.3K

Showing 1–10 of 42

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

Asante Ashland Community Hospital, LLC — 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

42 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.	67	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.	99	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.	42	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	26	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.	52	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…	40	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.	39	80	1,130	$90	$327.2K
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…	1,371	1,590	590	$50	$236.5K
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	4	10	220	$90	$213.3K
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.	71	140	5,430	$10	$147.7K

Showing 1–10 of 42

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Pena	OR	Clinical Cardiac Electrophysiology Physician	$232.2K	$0
Kent Dauterman	OR	Interventional Cardiology Physician	$163.2K	$0
Matthew Smelley	OR	Clinical Cardiac Electrophysiology Physician	$151.1K	$0
Keval Patel	OR	Cardiovascular Disease Physician	$136.1K	$0
Nathan Funk	OR	Cardiovascular Disease Physician	$134.1K	$0
David Martin	OR	Clinical Cardiac Electrophysiology Physician	$130K	$0
Jon Brower	OR	Cardiovascular Disease Physician	$118.2K	$0
Ali Azeem	WI	Cardiovascular Disease Physician	$116K	$0
Jaekyoung Hong	OR	Interventional Cardiology Physician	$104.4K	$0
Mark Moran	OR	Interventional Cardiology Physician	$103.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Oregon Chiropractic-ashland LLC	OR	Rehabilitation Chiropractor	$0	$2.7M
Jeffrey Welder	OR	Ophthalmology Physician	$2.3M	$0
Christine Gonzales	OR	Ophthalmology Physician	$2.1M	$0
John Hyatt	OR	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
City Of Ashland	OR	Land Ambulance	$401.3K	$1.1M
David Dryland	OR	Rheumatology Physician	$1.4M	$0
Bear Creek Physical Therapy	OR	Physical Therapist	$0	$1.3M
Rogue Community Health	OR	Federally Qualified Health Center (FQHC)	$0	$1.3M
Ashland Surgery Center	OR	Ambulatory Surgical Clinic/Center	$1.2M	$3.2K
Robert Medeck	OR	Chiropractor	$8.2K	$1M

Asante Ashland Community Hospital, LLC — Billing Profile & Reimbursement Data

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Asante Ashland Community Hospital, LLC — 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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