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.

Northwest Medical, LLC. (NPI 1770539603)

Field	Value
Entity Type	Organization
Organization	Northwest Medical, LLC.
Address	14200 Se 98th
City	Clackamas
State	OR
ZIP	97015
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	4,490	$470	$2.1M
E0601	Continuous positive airway pressure (CPAP) device	17,730	$70	$1.2M
A7030	Full face mask used with positive airway pressure device, each	7,010	$110	$736.4K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	6,580	$100	$677.3K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	6,770	$70	$446.5K
A4604	Tubing with integrated heating element for use with positive airway pressure device	11,530	$40	$437.9K
E0562	Humidifier, heated, used with positive airway pressure device	15,300	$30	$382.5K
A4606	Oxygen probe for use with oximeter device, replacement	5,020	$70	$366.7K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	2,720	$130	$345.9K
A7031	Face mask interface, replacement for full face mask, each	8,210	$40	$320.3K

Showing 1–10 of 59

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

Northwest Medical, LLC. — 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

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	1,710	$520	$915.3K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	10	10	350	$240	$690.5K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	30	70	4,460	$60	$538K
E0603	Breast pump, electric (ac and/or dc), any type	17	20	1,060	$180	$452.2K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	18	20	440	$270	$305.6K
E0601	Continuous positive airway pressure (CPAP) device	1	80	2,470	$70	$281K
E1399	Durable medical equipment, miscellaneous	9	10	340	$280	$272K
A7030	Full face mask used with positive airway pressure device, each	4	80	1,560	$90	$192.7K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	8	80	1,440	$60	$130.3K
A7031	Face mask interface, replacement for full face mask, each	8	70	1,940	$40	$128.1K

Showing 1–10 of 59

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northwest Medical, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Medical, LLC.	OR	Oxygen Equipment & Supplies (DME)	$0	$5.3M
Northwest Medical, LLC.	OR	Oxygen Equipment & Supplies (DME)	$0	$3.2M
Northwest Medical, LLC.	AK	Oxygen Equipment & Supplies (DME)	$0	$2.2M
Northwest Medical, LLC.	AK	Oxygen Equipment & Supplies (DME)	$0	$774.9K

Nearby Providers

Other providers in the same ZIP code as Northwest Medical, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	OR	General Acute Care Hospital	$0	$18M
First Transit, Inc.	OR	Transportation Broker	$0	$6.7M
Rupa K. Shah, Md, PC	OR	Pediatrics Physician	$0	$5.5M
Sleep Technologies Ltd	OR	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Clackamas County	OR	Federally Qualified Health Center (FQHC)	$0	$3.3M
Active Recovery Tms PLLC	OR	Psychiatry Physician	$0	$2.4M
Kaiser Foundation Hospitals	OR	Ambulatory Surgical Clinic/Center	$6.9K	$1.9M
Crossing Bridges Counseling Center	OR	Mental Health Counselor	$0	$1.9M
Kaiser Foundation Hospitals	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Elizabeth Verner-cole	OR	Retina Specialist (Ophthalmology) Physician	$1.7M	$0

Northwest Medical, LLC. — Billing Profile & Reimbursement Data

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Northwest Medical, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References