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.

Performance Modalities Inc (NPI 1790326882)

Field	Value
Entity Type	Organization
Organization	Performance Modalities Inc
Address	21606 Se Stark St
City	Gresham
State	OR
ZIP	97030
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	October 1, 2019

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0601	Continuous positive airway pressure (CPAP) device	5,290	$70	$364.7K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	1,070	$180	$188.5K
E0562	Humidifier, heated, used with positive airway pressure device	1,460	$120	$180.9K
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…	1,080	$100	$109.3K
A7030	Full face mask used with positive airway pressure device, each	1,280	$80	$105.1K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	1,750	$60	$96.3K
A4604	Tubing with integrated heating element for use with positive airway pressure device	2,960	$30	$91.7K
A7031	Face mask interface, replacement for full face mask, each	1,240	$40	$43.3K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1,050	$40	$39.7K
A7035	Headgear used with positive airway pressure device	2,090	$20	$37.7K

Showing 1–10 of 19

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

Performance Modalities Inc — 0 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	2	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	53	70	4,460	$60	$538K
E0601	Continuous positive airway pressure (CPAP) device	21	80	2,470	$70	$281K
A7030	Full face mask used with positive airway pressure device, each	44	80	1,560	$90	$192.7K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	33	80	1,440	$60	$130.3K
A7031	Face mask interface, replacement for full face mask, each	45	70	1,940	$40	$128.1K
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…	18	60	480	$140	$124.1K
A4604	Tubing with integrated heating element for use with positive airway pressure device	31	80	2,080	$30	$112.3K
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	11	20	320	$260	$108.9K
E2103	Non‑adjunctive, non‑implanted continuous glucose monitor or receiver	2	10	200	$160	$105.8K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Performance Modalities Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$12.6M
Performance Modalities, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Performance Modalities Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Mount Hood Medical Center	OR	General Acute Care Hospital	$0	$43.2M
Telecare Mental Health Services Of Oregon, Inc	OR	Mental Illness Community Based Residential Treatment Facility	$0	$12M
The Evangelical Lutheran Good Samaritan Society	OR	In Home Supportive Care Agency	$0	$5M
Calcagno Pediatrics PC	OR	Pediatrics Physician	$0	$5M
Mtn. View Family Practice, PC	OR	Family Medicine Physician	$0	$1.8M
Jiyoung E Lee Dmd PC	OR	Pediatric Dentistry	$0	$1.6M
Providence Health & Services - Oregon	OR	Family Medicine Physician	$0	$1.3M
Legacy Mount Hood Medical Center	OR	Clinic/Center	$0	$1.1M
Columbia Pain And Spine Institute	OR	Physical Medicine & Rehabilitation Physician	$0	$1M
Ana Squellati	OR	Naturopath	$0	$959K

Performance Modalities Inc — Billing Profile & Reimbursement Data

Sign up for Performance Modalities Inc — Billing Profile & Reimbursement Data policy alerts

Performance Modalities Inc — Billing Profile & Reimbursement Data

Sign up for Performance Modalities Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References