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.

Paul Motika (NPI 1770600405)

Field	Value
Entity Type	Individual
Organization	Paul Motika
Address	3181 Sw Sam Jackson Park Rd
City	Portland
State	OR
ZIP	97239
Taxonomy	Neurology Physician
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicare	$16.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0453	Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in…	250	$30	$6.4K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	40	$170	$6.2K
95939	The provider performs a central motor evoked potential study in the upper and lower limbs for diagnosis of multiple sclerosis and as a prognostic indicator for stroke motor recovery.	20	$100	$2.3K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	30	$40	$1.1K
95938	In this procedure, the provider performs a short–latency somatosensory evoked potential study by stimulating the peripheral nerves or skin sites in both the upper limbs and lower limbs. The provider…	20	$40	$890

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Paul Motika — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0453	5	10	340	$30	$11.9K
95720	7	20	40	$160	$7.2K
95939	5	10	40	$90	$4.4K
95938	5	10	50	$40	$2.1K
95816	10	30	20	$70	$1.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tuality Healthcare	OR	General Acute Care Hospital	$0	$27.8M
Columbia Lutheran Charities	OR	Critical Access Hospital	$0	$21.5M
Tuality Medical Group LLC	OR	Internal Medicine Physician	$0	$11.5M
Bay Area Hospital District	OR	General Acute Care Hospital	$0	$8.7M
Portland Adventist Medical Center	OR	Family Medicine Physician	$0	$5.8M
Columbia Lutheran Charities	OR	Surgery Physician	$0	$4.7M
Rohit Kapoor	TX	Hematology & Oncology Physician	$1.2M	$0
Shawn Macalester	OR	Rheumatology Physician	$887.2K	$6.2K
Erik Young	OR	Diagnostic Radiology Physician	$648.6K	$0
Ashley Buice	MS	Diagnostic Radiology Physician	$646.2K	$0

Paul Motika — Billing Profile & Reimbursement Data

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Paul Motika — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References