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.

Willamette Valley Clinics LLC (NPI 1790740520)

Willamette Valley Clinics LLC is a family medicine physician provider located in Mcminnville, Oregon. This profile covers 0 Medicare and 80 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Willamette Valley Clinics LLC
Address	2700 Se Stratus Ave
City	Mcminnville
State	OR
ZIP	97128
Taxonomy	Family Medicine Physician
NPI Enumerated	April 17, 2006

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

80 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	13,950	$50	$669.6K
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…	9,400	$60	$536K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2,620	$80	$212.1K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	860	$90	$81.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,450	$30	$76.1K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	830	$90	$75.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	630	$110	$69K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	610	$110	$64.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,590	$40	$62.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,320	$50	$59.5K

Showing 1–10 of 80

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

Willamette Valley Clinics LLC — 0 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

80 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	28	40	310	$420	$325.7K
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…	165	1,500	650	$70	$312.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	27	60	350	$260	$251.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	27	50	200	$370	$238.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	119	1,590	590	$50	$236.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	88	90	320	$50	$187.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	26	70	610	$60	$150.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	29	100	370	$30	$138.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	59	170	300	$80	$133.1K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	40	50	860	$80	$127.9K

Showing 1–10 of 80

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vishal Bhatia	IN	Endocrinology, Diabetes & Metabolism Physician	$268.3K	$0
Eugene Spear	NY	Cardiovascular Disease Physician	$245.5K	$0
David Siepmann	OR	Diagnostic Radiology Physician	$131.6K	$0
Nazmul Hoque	OR	Gastroenterology Physician	$110.2K	$0
Richard Kimani	OR	Internal Medicine Physician	$98.8K	$0
Nathan Ruden	UT	Family Medicine Physician	$90.6K	$0
Vinod Vinjamuri	OR	Internal Medicine Physician	$82.1K	$0
Mark Thomas	OR	Orthopaedic Surgery Physician	$69.7K	$0
Basel Khoury	OH	Internal Medicine Physician	$68K	$0
Derek Rains	OR	Sports Medicine (Orthopaedic Surgery) Physician	$60.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Willamette Valley Medical Center LLC	OR	General Acute Care Hospital	$0	$17.3M
Yamhill County	OR	Community/Behavioral Health Agency	$0	$10.3M
Parkside Living Rtf	OR	Mental Illness Community Based Residential Treatment Facility	$0	$9.2M
Emergency Medical Associates Of Mcminnville	OR	Emergency Medicine Physician	$0	$6M
Physicians Medical Center P C	OR	General Practice Physician	$0	$3.5M
City Of Mcminnville	OR	Land Ambulance	$622K	$2.6M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$2.9M
Life Strategies Counseling	OR	Community/Behavioral Health Agency	$0	$2.5M
Yamhill County Hhs Public Health-mch	OR	Case Management Agency	$0	$2.4M
Goforth Inspired LLC	OR	Addiction (Substance Use Disorder) Counselor	$0	$1.5M

Willamette Valley Clinics LLC — Billing Profile & Reimbursement Data

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Willamette Valley Clinics 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

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