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 (NPI 1770587107)

Field	Value
Entity Type	Organization
Organization	Asante
Address	2825 E Barnett Rd
City	Medford
State	OR
ZIP	97504
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicaid	$29.7M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reported $29.7M in lifetime Medicaid revenue, making its observed billing footprint effectively single‑payer (Medicaid) in the available data. Its NPI was enumerated 2005-06-13 (~21 years ago), indicating long tenure in the market which may support established payer relationships and referral patterns.

Revenue is highly concentrated in a small set of outpatient evaluation-and-management codes: the precomputed top three Medicaid codes (99284, 99283, G0463) together account for 68.4% of this provider's total Medicaid revenue. Those three codes are 99284 ($9.4M, 32.5% of this provider's total Medicaid revenue), 99283 ($8M, 27.8%), and G0463 ($2.3M, 8.1%), signaling a dependence on ED and hospital outpatient clinic visits for the bulk of Medicaid dollars.

The code mix and volumes point to an emergency-department–centric operating profile supplemented by hospital outpatient clinic visits: high counts and revenue for 99284 (43.4K claims, $216 avg paid/claim, $9.4M) and 99283 (53.5K claims, $150 avg paid/claim, $8M) combined with G0463 (37.5K claims, $62 avg paid/claim, $2.3M) imply the hospital captures large ED patient throughput and billings for moderate- and low-complexity E/M encounters.

Against in-state peers the provider is a major contributor for several ED codes: 99283 ranks #8 of 137 providers in-state (95th percentile; notably above typical state volume), while 99284 ranks #15 of 145 (90th percentile; typical volume) and 99285 ranks #43 of 129 (67th percentile; typical volume). These rank and percentile positions indicate particularly strong state market share for lower- and mid-acuity ED visits and a solidly competitive position overall in emergency care.

Obstetric and ultrasound services represent a visible secondary service line: 76811 (4.4K claims, $181 avg paid/claim, $791.5K, 2.7%) and 76819 (6.7K claims, $93 avg paid/claim, $624.7K, 2.2%) rank in the upper state percentiles (83th and 91th respectively), and 76805 (3.3K claims, $92, $304.6K, 1.1%) is notably above typical state volume (rank #4 of 45, 93th percentile). This pattern suggests a meaningful maternal–fetal imaging volume alongside the ED and outpatient clinic activity.

The provider shows substantial diagnostic and infectious-disease testing throughput: U0003 (29K claims, $40 avg paid/claim, $1.2M, 4.0%) ranks #6 of 60 in-state (92th percentile), and lab codes with very high claim counts such as 80053 (96.8K claims, $3 avg paid/claim, $290.3K, 1.0%) and 85025 (99.1K claims, $2 avg paid/claim, $198.3K, 0.7%) sit in the top state percentiles. Notably, C9803 (13.8K claims, $18 avg paid/claim, $248.5K, 0.9%) ranks #1 of 18 providers in-state (100th percentile; extreme outlier), indicating exceptionally high specimen-collection activity for SARS‑CoV‑2 relative to peers.

Infusion and procedure revenues are present but smaller relative to ED and testing lines: 96374 (6.1K claims, $124 avg paid/claim, $758.3K, 2.6%) reflects frequent single rapid IV medication administrations and 96413 (489 claims, $176 avg paid/claim, $86.1K, 0.3%) shows modest chemotherapy billing. These figures suggest an active infusion and procedural outpatient capability that complements, but does not drive, the provider's Medicaid revenue base.

From a payer-analytic perspective, the combination of long tenure (NPI 2005-06-13, ~21 years), concentrated Medicaid revenue (68.4% from three codes), strong state rankings for several ED and testing codes, and no Medicare billing on file means payers should treat this entity as a Medicaid-centric, high-volume ED and diagnostic services provider when modeling network capacity, utilization risk, and contract negotiations.

Medicaid: Complete Services Breakdown

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

173 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.	43,400	$220	$9.4M
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.	53,510	$150	$8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	37,480	$60	$2.3M
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.	10,220	$220	$2.3M
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…	29,020	$40	$1.2M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	4,370	$180	$791.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,120	$120	$758.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	6,720	$90	$624.7K
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.	4,820	$100	$496.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	7,990	$60	$447.2K

Showing 1–10 of 173

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 — 6 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

173 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.	15	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.	43	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.	8	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	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.	27	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…	29	60	420	$60	$405.1K
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…	6	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.	22	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…	723	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.	45	80	1,210	$40	$294.3K

Showing 1–10 of 173

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante	OR	General Acute Care Hospital	$0	$5.3M
James Richardson	GA	Radiation Oncology Physician	$526.6K	$0
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
Halil Ikizler	OR	Radiation Oncology Physician	$151K	$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
Liam Macleod	OR	Urology Physician	$118.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Addictions Recovery Center, Inc.	OR	Substance Abuse Rehabilitation Facility	$0	$29.2M
Asante Physician Partners	OR	Family Medicine Physician	$0	$27.2M
Mercy Flights Incorporated	OR	Ambulance	$3.6M	$19.4M
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$20.9M
Crc Health Oregon, LLC	OR	Methadone Clinic	$193K	$13M
James Kolby Robinson, Dmd	OR	Pediatric Dentistry	$0	$11.6M
Valley Immediate Care, LLC	OR	Urgent Care Clinic/Center	$0	$9.4M
Lincare Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Southern Oregon Pediatrics, LLP	OR	Pediatric Hospice and Palliative Medicine Physician	$0	$6.5M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$6.1M

Asante — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References