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.

Asante Three Rivers Medical Center, LLC (NPI 1801891809)

Field	Value
Entity Type	Organization
Organization	Asante Three Rivers Medical Center, LLC
Address	500 Sw Ramsey Avenue
City	Grants Pass
State	OR
ZIP	97527
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicaid	$27.7M
Medicare	$0

Key Findings

This provider effectively operates on a single-payer Medicaid footprint: there is no Medicare billing on file and lifetime Medicaid revenue is $27.7M, indicating Medicaid is the primary — essentially sole — source of billed public payer revenue captured here. The NPI was enumerated on 2005-06-16 (~21 years ago), so ASANTE THREE RIVERS MEDICAL CENTER, LLC is an established facility with two decades of enrollment history.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the top three Medicaid codes (99284, 99283, 99285) together account for 74.2% of this provider’s total Medicaid revenue, with 99284 alone generating $10.3M (38.1% of Medicaid revenue). This concentration signals that a small set of ED services drive the majority of Medicaid dollars flowing to the facility.

The billing mix and volumes point to a high-throughput ED and hospital outpatient operation: 99284 shows 52.2K claims ($198 avg paid/claim, $10.3M revenue), 99283 shows 51.6K claims ($131 avg paid/claim, $6.8M revenue), and 99285 shows 12.3K claims ($249 avg paid/claim, $3.1M revenue). These counts and the presence of G0463 (31.2K claims, $2.4M revenue) indicate sustained, mixed-acuity emergency and outpatient assessment activity rather than a clinic-only or elective-procedure profile.

Competitive standing within Oregon: for the largest ED codes this hospital ranks among the higher-volume in-state providers — 99284 is #9 of 145 providers (94th percentile; labeled "typical, unremarkable volume for this code"), 99283 is #9 of 137 (94th percentile; labeled "notably above typical state volume for this code"), while 99285 sits at #38 of 129 (71th percentile; "typical, unremarkable volume"). In short, the center is a significant statewide player for mid- and lower-acuity ED visits and a more modest participant for the highest-acuity ED billing.

Several ancillary and diagnostic codes further characterize operations: high-volume medication administration codes (96374: 13K claims, $1.5M revenue; 96375: 6.3K claims, $258.7K revenue) and COVID/infectious testing codes (U0003: 11.8K claims, $615.2K revenue; C9803: 5.9K claims, $112.5K revenue) show routine infusion and testing workflows tied to ED/outpatient throughput. Imaging and lab panels appear as expected complements (71046: 6.9K claims, $309.4K; 74177: 469 claims, $85.4K; 85025: 75.6K claims, $75.6K; 80053: 68.9K claims, $68.9K), consistent with an acute-care hospital supporting high patient turnover.

There are notable statistical outliers in volume for certain low-paid, high-frequency items: 99281 is ranked #2 of 40 providers (97th percentile) and explicitly labeled an "extreme outlier, far above typical state volume for this code," while basic specimen/rapid-test codes show very high relative ranks (87800 is #1 of 8, 100th percentile; 87502 is #3 of 87, 98th percentile). Additionally, 36415 (85.6K claims, $85.6K revenue) ranks #7 of 415 (99th percentile; labeled "notably above typical state volume for this code"). These patterns indicate unusually large volumes of low-reimbursement procedures and diagnostics relative to peers, which amplify claim counts without proportionate revenue.

Operational implication: the combination of very large claim counts for low-paid lab and panel codes (36415: 85.6K claims; 85025: 75.6K claims; 80053: 68.9K claims, each with $1 avg paid/claim) together with concentrated ED revenue suggests the hospital’s financials are driven by scale of ED throughput and accompanying routine testing rather than high-margin procedural revenue. This profile is consistent with an established regional acute-care facility that absorbs high patient volumes under Medicaid reimbursement rates.

Medicaid: Complete Services Breakdown

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

145 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	52,250	$200	$10.3M
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.	51,600	$130	$6.8M
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.	12,300	$250	$3.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	31,170	$80	$2.4M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,000	$120	$1.5M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	11,830	$50	$615.2K
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.	3,940	$90	$350.8K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	6,880	$50	$309.4K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	6,310	$40	$258.7K
99281	The provider sees a patient for the lowest level emergency department visit.	5,270	$50	$258K

Showing 1–10 of 145

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

Asante Three Rivers Medical Center, LLC — 4 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

145 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.	9	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.	38	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.	9	140	10,160	$130	$2.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	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.	10	60	3,620	$90	$623.7K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	3	10	1,790	$290	$477.5K
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…	24	60	420	$60	$405.1K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	9	60	460	$40	$327.4K
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.	26	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…	778	1,500	650	$70	$312.4K

Showing 1–10 of 145

Related Providers

Other providers that share a Tax Identification Number (TIN) with Asante Three Rivers Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante Three Rivers Medical Center LLC	OR	General Acute Care Hospital	$0	$5.2M
James Richardson	GA	Radiation Oncology Physician	$526.6K	$0
Eric Pena	OR	Clinical Cardiac Electrophysiology Physician	$232.2K	$0
Kent Dauterman	OR	Interventional Cardiology Physician	$163.2K	$0
Matthew Smelley	OR	Clinical Cardiac Electrophysiology Physician	$151.1K	$0
Halil Ikizler	OR	Radiation Oncology Physician	$151K	$0
Keval Patel	OR	Cardiovascular Disease Physician	$136.1K	$0
Nathan Funk	OR	Cardiovascular Disease Physician	$134.1K	$0
David Martin	OR	Clinical Cardiac Electrophysiology Physician	$130K	$0
Liam Macleod	OR	Urology Physician	$118.5K	$0

Nearby Providers

Other providers in the same ZIP code as Asante Three Rivers Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kairos Northwest	OR	Community/Behavioral Health Agency	$0	$20.7M
Benchmark Physical Therapy Of Oregon LLC	OR	Physical Therapist	$0	$10.1M
Women's Health Center Of Southern Oregon PC	OR	Obstetrics & Gynecology Physician	$0	$3.7M
Star Dialysis LLC	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Asante Community Services LLC	OR	Customized Equipment (DME)	$0	$2.2M
Three Rivers Radiology Associates, PC	OR	Diagnostic Radiology Physician	$0	$1.8M
Daniel Cowley	OR	Adult Reconstructive Orthopaedic Surgery Physician	$249K	$0
Joseph Vella	OR	Foot & Ankle Surgery Podiatrist	$218.1K	$0
Henry Ssentongo	OR	Hospitalist Physician	$172.2K	$0
Matthew Nugent	OR	Orthopaedic Surgery Physician	$156.1K	$0

Asante Three Rivers Medical Center, LLC — Billing Profile & Reimbursement Data

Sign up for Asante Three Rivers Medical Center, LLC — Billing Profile & Reimbursement Data policy alerts

Asante Three Rivers Medical Center, LLC — Billing Profile & Reimbursement Data

Sign up for Asante Three Rivers Medical Center, LLC — Billing Profile & Reimbursement Data policy alerts

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