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NPI 1760404396 · Coos Bay, OR · Clinical Medical Laboratory
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North Bend Medical Center Inc is a clinical medical laboratory provider located in Coos Bay, Oregon. This profile covers 87 Medicare and 74 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | North Bend Medical Center Inc |
| Address | 1900 Woodland Dr |
| City | Coos Bay |
| State | OR |
| ZIP | 97420 |
| Taxonomy | Clinical Medical Laboratory |
| NPI Enumerated | July 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $898.1K |
| Medicaid | $587.8K |
Payer mix and scale: This provider reports $898.1K in total Medicare revenue and $587.8K in total Medicaid revenue, so Medicare is the larger single payer for this entity while Medicaid remains a material secondary revenue stream. Both payers contribute meaningful volumes of routine laboratory work rather than the profile of a single-payer specialist operation.
Revenue concentration by code: The three highest‑revenue Medicare codes (36415, 80053, 80061) account for 40.4% of the provider’s Medicare revenue, and the three highest‑revenue Medicaid codes (80053, 84443, 80061) account for 37.7% of Medicaid revenue. This concentration indicates a reliance on a small set of common panels and specimen-collection services to drive a large share of overall billing for both payers.
Service-line implications: The top codes across both payers are dominated by routine chemistry and hematology panels (80053, 80061, 85025, 80048) plus specimen collection (36415), which is consistent with a clinical medical laboratory focused on outpatient diagnostic testing and chronic disease monitoring. The presence of molecular and infectious-disease codes on both Medicare and Medicaid lists (87635, 87637, 87491, 87591, 87800) shows the lab performs higher-complexity molecular and STI testing in addition to routine panels.
Medicare competitive standing — national throughput: The provider ranks very highly on several common Medicare codes; for example, 36415 is ranked #133 of 86467 providers nationally (100th percentile) and explicitly labeled "notably above typical national volume," while 80053 and 80061 sit at the 99th percentile among national peers. These placements indicate above-typical national throughput for specimen collection and common metabolic/lipid panels relative to many other Medicare-billing labs.
Medicaid competitive standing — in-state position: Within Oregon, the provider is a strong participant for common Medicaid panels: 80061 ranks #11 of 109 providers in-state (91st percentile), 84443 ranks #11 of 95 (89th percentile), and 82306 ranks #8 of 76 (91st percentile). Those standings suggest competitive in-state performance on endocrine and vitamin testing and meaningful share of outpatient Medicaid lab volume, though not universally the top performer across every test.
Statistical/reimbursement outliers: Some molecular codes carry higher average payment per claim on Medicare (87637 at $140 avg paid/claim and 87635 at $50 avg paid/claim), producing non-trivial Medicare revenue ($20.4K and $21.9K respectively). On Medicaid, nucleic-acid STI tests 87491 and 87591 each have $45 avg paid/claim and contribute $39K and $38.8K, showing the provider captures higher-reimbursement molecular/NAAT services alongside low‑unit-price routine testing.
Operational sensitivity and business implications: The single largest Medicare line is specimen collection (36415 — $131.4K, 15.6% of Medicare revenue), coupled with large shares from routine panels (80053 $115.6K, 13.8%; 80061 $92.3K, 11.0%). This mix ties revenue closely to outpatient specimen throughput and primary‑care testing volumes, so changes in referral patterns or ambulatory care activity would likely have an outsized impact on revenue.
Tenure and stability: The provider’s NPI was enumerated on 2006-07-24 (~20 years ago), indicating an established billing history; the consistent appearance of the same routine panels and specimen-collection codes across both Medicare and Medicaid lists suggests steady operations serving both senior and Medicaid populations over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
87 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 18,770 | $10 | $131.4K |
| 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. | 11,560 | $10 | $115.6K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 7,100 | $10 | $92.3K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 3,120 | $30 | $90.4K |
| 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… | 10,730 | $10 | $85.8K |
| 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… | 5,210 | $20 | $83.4K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 4,970 | $10 | $44.7K |
| 84153 | The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and… | 1,340 | $20 | $24.1K |
| 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… | 440 | $50 | $21.9K |
| 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)… | 150 | $140 | $20.4K |
Showing 1–10 of 87
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 87 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
74 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 23,000 | $1 | $69K |
| 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… | 11,210 | $10 | $67.3K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 13,060 | $10 | $65.3K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 5,970 | $10 | $47.8K |
| 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… | 22,150 | $1 | $44.3K |
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 870 | $50 | $39K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 860 | $50 | $38.8K |
| 87800 | The lab analyst performs a test for multiple infectious organisms in one sample using direct nucleic acid probe technique. | 590 | $50 | $29K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 10,840 | $1 | $21.7K |
| 84439 | The lab analyst performs a test to measure free thyroxine, or free T4, typically in patient serum. | 3,980 | $1 | $15.9K |
Showing 1–10 of 74
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
74 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 87491 | The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique. | 29 | 70 | 350 | $40 | $189.7K |
| 87591 | The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique. | 29 | 70 | 350 | $40 | $189.3K |
| 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. | 37 | 140 | 5,430 | $10 | $147.7K |
| 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… | 11 | 100 | 1,090 | $20 | $107.8K |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 8 | 10 | 590 | $50 | $101.6K |
| 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… | 42 | 160 | 2,690 | $1 | $81.3K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 11 | 110 | 770 | $10 | $79.7K |
| 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… | 64 | 140 | 350 | $30 | $75.4K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 8 | 80 | 510 | $20 | $74K |
| 86803 | Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody | 42 | 50 | 170 | $10 | $47.8K |
Showing 1–10 of 74
Other providers in the same ZIP code as North Bend Medical Center Inc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bay Cities Ambulance | OR | Land Ambulance | $1.7M | $9.5M |
| Bay Area Hospital District | OR | General Acute Care Hospital | $0 | $8.7M |
| Coos County Oregon | OR | Clinic/Center | $0 | $8.5M |
| Cep America LLC | OR | Emergency Medicine Physician | $0 | $5.7M |
| Lincare Inc. | OR | Durable Medical Equipment & Medical Supplies | $0 | $3.4M |
| Coos County Oregon | OR | Public Health or Welfare Agency | $15.8K | $3.2M |
| Coquille Indian Tribe | OR | Clinic/Center | $0 | $2.1M |
| Bay Clinic | OR | Specialist | $0 | $2M |
| Nbmc Day Surgery Inc | OR | Ambulatory Surgical Clinic/Center | $1.1M | $830.1K |
| Coastal Center, LLC. | OR | Mental Health Counselor | $0 | $1.7M |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.