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.

Columbia Lutheran Charities (NPI 1821254129)

Columbia Lutheran Charities is a surgery physician provider located in Astoria, Oregon. This profile covers 0 Medicare and 68 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	Columbia Lutheran Charities
Address	2111 Exchange St
City	Astoria
State	OR
ZIP	97103
Taxonomy	Surgery Physician
NPI Enumerated	August 6, 2008

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

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

68 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…	33,800	$50	$1.7M
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…	22,970	$60	$1.3M
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…	3,970	$100	$393.1K
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…	4,290	$90	$364.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,270	$110	$141.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,200	$100	$113.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,520	$70	$112.8K
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…	1,850	$50	$96.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	10,330	$10	$82.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	3,450	$20	$65.6K

Showing 1–10 of 68

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

Columbia Lutheran Charities — 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,059	1,380	540	$140	$363.3K
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…	66	1,500	650	$70	$312.4K
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…	48	1,590	590	$50	$236.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	90	400	230	$90	$153.8K
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…	22	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.	13	50	860	$80	$127.9K
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…	22	180	220	$90	$124.6K
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…	68	600	120	$80	$83.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	37	170	170	$90	$78.3K
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…	130	140	350	$30	$75.4K

Showing 1–10 of 68

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Columbia Lutheran Charities	OR	Critical Access Hospital	$0	$21.5M
Crawford Hospital District	IL	Rural Health Clinic/Center	$0	$5.5M
Sarah Bush Lincoln Health Center	IL	General Acute Care Hospital	$0	$3.3M
Robert Haag	IL	Diagnostic Radiology Physician	$946.5K	$416.5K
Gerald Riley	IL	Diagnostic Radiology Physician	$816.6K	$285.5K
Craig Russo	IL	Diagnostic Radiology Physician	$129.6K	$800.1K
Joseph Baima	IL	Diagnostic Radiology Physician	$217.4K	$708.3K
Edward Harter	IL	Diagnostic Radiology Physician	$242.8K	$666.8K
Mustafa Hindi	IL	Emergency Medicine Physician	$107.8K	$744.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoreline Counseling LLC	OR	Clinical Social Worker	$0	$1.7M
North Coast Home Care, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$1.4M
Todd Williams	OR	Nurse Practitioner	$234K	$0
Megan Mcchesney	OR	Ophthalmology Physician	$207.3K	$0
Aaron Sasaki	OR	Internal Medicine Physician	$204.6K	$0
Sangeeta Kalsi	OR	Ophthalmology Physician	$192.2K	$0
Sangkun Park	OR	Internal Medicine Physician	$163.6K	$0
Angela Nairn	OR	Family Medicine Physician	$128.8K	$0
Shannon Marsh	OR	Family Nurse Practitioner	$105.6K	$0
Robert Morse	OR	Cardiovascular Disease Physician	$70.4K	$0

Columbia Lutheran Charities — 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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