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.

Oregon Urology Institute PC (NPI 1801812078)

Oregon Urology Institute PC is a specialist provider located in Springfield, Oregon. This profile covers 0 Medicare and 27 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	Oregon Urology Institute PC
Address	2400 Hartman Ln Ste 200
City	Springfield
State	OR
ZIP	97477
Taxonomy	Specialist
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

27 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…	12,260	$40	$429.2K
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…	6,950	$50	$368.5K
99204	The provider sees a new 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 provider…	1,660	$100	$169.6K
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	10,390	$10	$72.7K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	250	$100	$25.7K
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each	160	$150	$25.1K
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…	260	$70	$17.8K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	12,120	$1	$12.1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	30	$360	$11.3K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	1,320	$10	$10.5K

Showing 1–10 of 27

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

Oregon Urology Institute PC — 3 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each	3	10	2,380	$410	$987.3K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	6	10	250	$150	$404.6K
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…	223	1,500	650	$70	$312.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	75	90	530	$50	$281.6K
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…	141	1,590	590	$50	$236.5K
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…	233	600	120	$80	$83.3K
99204	The provider sees a new 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 provider…	46	530	80	$120	$68.5K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	13	20	60	$140	$57.4K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	22	30	330	$50	$44.5K
74420	The provider images the urinary tract by performing a retrograde urography, also known as a retrograde pyelography in which he inserts the radiopaque contrast material through a catheter so that it…	3	10	20	$110	$37.8K

Showing 1–10 of 27

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barry Blyton	OR	Therapeutic Radiology Physician	$863.2K	$0
Dwight Mirmow	GA	Anatomic Pathology & Clinical Pathology Physician	$671.3K	$0
Adam Cole	AR	Anatomic Pathology & Clinical Pathology Physician	$472.3K	$0
Nicole Massoll	AR	Anatomic Pathology & Clinical Pathology Physician	$347.3K	$0
Mark Wells	OR	Physician Assistant	$256.8K	$0
Bryan Mehlhaff	OR	Urology Physician	$212.1K	$0
John Muenchrath	OR	Urology Physician	$110.7K	$0
Connie Dimarco	OR	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$91.3K	$0
Douglas Hoff	OR	Urology Physician	$75.1K	$0
Chad Jorgensen	OR	Physician Assistant	$75.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mckenzie-willamette Regional Medical Center Associates LLC	OR	General Acute Care Hospital	$0	$44.6M
Peacehealth	OR	General Acute Care Hospital	$0	$30.7M
Lane County Oregon	OR	Federally Qualified Health Center (FQHC)	$0	$20.6M
Springfield Treatment Center	OR	Methadone Clinic	$0	$20.5M
Mental Health For Children, Inc	OR	Mental Health Counselor	$0	$12.7M
G Street Integrated Health	OR	Clinic/Center	$0	$9.3M
Radiology Associates PC	OR	Diagnostic Radiology Physician	$0	$7.8M
Oregon Endoscopy Center, LLC	OR	Ambulatory Surgical Clinic/Center	$919.2K	$5.6M
Pathology Consultants, PC	OR	Anatomic Pathology & Clinical Pathology Physician	$0	$5.5M
Peacehealth	OR	Hospitalist Physician	$0	$5.5M

Oregon Urology Institute PC — Billing Profile & Reimbursement Data

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Oregon Urology Institute PC — 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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