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.

Samaritan Pacific Health Services, Inc (NPI 1801847066)

Key Findings

Field	Value
Entity Type	Organization
Organization	Samaritan Pacific Health Services, Inc
Address	930 Sw Abbey St
City	Newport
State	OR
ZIP	97365
Taxonomy	Critical Access Hospital
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

This provider is effectively a Medicaid-centric hospital: Total Medicaid revenue on file is $20.6M while there is no Medicare billing on file. The absence of Medicare revenue means the provider’s reimbursement exposure and volume profile are concentrated entirely within Medicaid payer dynamics.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the top three Medicaid codes (99283, 99284, 99285) account for 71.7% of the provider’s total Medicaid revenue. Those three codes individually account for $6.5M (33.3%), $6.4M (32.5%), and $1.2M (5.9%) respectively, signaling that ED visits drive the overwhelming share of billed services.

The code mix indicates the facility operates as a community acute-care/critical-access hospital with a high-volume emergency department and associated outpatient services. Heavy counts for ED E/M codes (41.6K claims for 99283; 24.6K for 99284) and substantial volumes in basic lab, imaging, and IV administration codes (e.g., 80053, 85025, 96374) support a model focused on front-line emergency and outpatient diagnostic/therapeutic throughput.

Competitive standing by code shows the provider is a significant state-level participant for several ED codes but is not broadly dominant across all acuity levels. 99283 ranks #15 of 137 in-state (90th percentile) and is described as having typical, unremarkable volume despite the high percentile; 99284 ranks #36 of 145 (76th percentile) and 99285 ranks #58 of 129 (55th percentile), both labeled typical, which together suggest particular strength in lower-to-moderate acuity ED visits rather than a statewide leading position for highest-acuity care.

There are notable statistical signals in lower-acuity ED coding: 99282 is ranked #6 of 84 providers in-state (94th percentile) and explicitly described as "notably above typical state volume for this code," indicating above-typical volumes of straightforward ED visits. By contrast several high-claim lab/activity codes (for example, 36415 with 29.3K claims, ranked #28 of 415, 93rd percentile) are labeled as typical, unremarkable volume, suggesting high operational throughput that nevertheless falls within expected statewide patterns.

Ancillary service mix supports an ED-centered workflow: high claim counts for lab panels (80053: 27.3K claims, $572.6K revenue) and CBC (85025: 24.8K claims, $421.6K) plus elevated COVID testing volume (87635: 8.6K claims, ranks #7 of 143, 96th percentile) point to sustained inpatient/outpatient diagnostic activity that complements emergency care. These ancillary lines contribute modest shares of Medicaid revenue individually (each under ~3%), but together they underpin the ED-driven revenue stream.

The provider’s revenue concentration in a small set of ED codes (71.7% from the top three) creates both operational clarity and financial concentration risk: any shifts in Medicaid ED payment policies or local referral patterns could disproportionately affect total revenue. The lack of Medicare billing further reduces payer diversification, increasing sensitivity to state Medicaid reimbursement changes and local Medicaid enrollment trends.

The NPI tenure indicates a long-established presence: this NPI was enumerated on 2006-05-12 (~20 years ago), consistent with a stable critical access hospital footprint in Newport, OR. That longevity, combined with the ED-heavy billing profile, is consistent with a community hospital serving routine and urgent care needs for its region.

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	41,630	$160	$6.5M
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.	24,630	$260	$6.4M
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.	3,810	$300	$1.2M
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.	13,640	$80	$1.1M
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…	13,940	$70	$920.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	27,270	$20	$572.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	24,800	$20	$421.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	8,640	$40	$337K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	4,110	$70	$296.1K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	5,230	$60	$292.6K

Showing 1–10 of 120

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

Samaritan Pacific Health Services, Inc — 1 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

120 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.	36	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.	58	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.	15	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	23	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.	31	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…	36	60	420	$60	$405.1K
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.	6	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…	422	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.	46	80	1,210	$40	$294.3K
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…	53	90	530	$50	$281.6K

Showing 1–10 of 120

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-valley Healthcare Inc	OR	Critical Access Hospital	$0	$34.5M
Albany General Hospital	OR	General Acute Care Hospital	$0	$25.5M
Good Samaritan Hospital Corvallis	OR	General Acute Care Hospital	$0	$14.6M
Samaritan North Lincoln Hospital	OR	Critical Access Hospital	$0	$12.3M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$7.2M
Albany General Hospital	OR	Pediatrics Physician	$0	$4.9M
Albany General Hospital	OR	Family Medicine Physician	$0	$4.5M
Samaritan Endoscopy LLC	OR	Ambulatory Surgical Clinic/Center	$474.4K	$3.8M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$4.2M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$3.3M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reconnections A And D	OR	Addiction (Substance Use Disorder) Counselor	$0	$11.5M
County Of Lincoln	OR	Case Management Agency	$0	$5.8M
Pacific West Ambulance Inc	OR	Land Ambulance	$1.3M	$4.4M
Samaritan Pacific Health Services Inc	OR	Rural Health Clinic/Center	$0	$2.7M
Phoenix Wellness Center LLC	OR	Addiction (Substance Use Disorder) Counselor	$0	$2.4M
Discovery Counseling, Inc.	OR	Community/Behavioral Health Agency	$0	$2.2M
County Of Lincoln	OR	Federally Qualified Health Center (FQHC)	$0	$2M
Ocean Mist Counseling & Wellness	OR	Mental Health Counselor	$0	$1.3M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$1.2M
Barbara J Mantha	OR	Durable Medical Equipment & Medical Supplies	$0	$1.1M

Samaritan Pacific Health Services, Inc — Billing Profile & Reimbursement Data

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Samaritan Pacific Health Services, Inc — 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