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    OpenPayerNPI Medicare & MedicaidLegacy Emanuel Hospital & Health Center
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    Legacy Emanuel Hospital & Health Center — Billing Profile & Reimbursement Data

    NPI 1831112358 · Portland, OR · General Acute Care Hospital

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    Legacy Emanuel Hospital & Health Center is a general acute care hospital provider located in Portland, Oregon. This profile covers 0 Medicare and 183 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLegacy Emanuel Hospital & Health Center
    Address2801 N Gantenbein Ave
    CityPortland
    StateOR
    ZIP97227
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJuly 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$64.2M
    Medicare$0

    Key Findings

    LEGACY EMANUEL HOSPITAL & HEALTH CENTER reports $64.2M in total Medicaid revenue and has no Medicare billing on file; its NPI was enumerated ~20 years ago (2006-07-25). In the available data this produces an effectively single‑payer (Medicaid) billing profile, which concentrates the provider’s recorded revenue exposure to state Medicaid policy and reimbursement dynamics.

    Revenue concentration is extreme and narrowly focused: the top three Medicaid codes 99283, 99284, and 99285 account for 81.0% of the provider’s total Medicaid revenue. Individually, 99283 generated $18.8M (30.0%), 99284 generated $16.1M (25.7%), and 99285 generated $15.8M (25.2%), indicating most Medicaid dollars flow from emergency department evaluation-and-management services.

    The code mix and high shares for ED E/M codes suggest the hospital operates a very large emergency department with integrated observation and infusion capacity. Supporting codes such as G0378 (hospital observation service), infusion codes 96360/96361/96365/96374, and imaging 70450 point to sustained ED-to-observation throughput and on‑site acute diagnostic and treatment capabilities.

    Claim volumes underline operational scale: 99283 logged 102.9K claims, 99284 logged 63.8K claims, and 99285 logged 47.1K claims, with average paid/claim values of $183, $253, and $336 respectively. This combination of very high claim counts and a range of paid/claim amounts reflects both heavy visit volume and a spread of patient acuity driving Medicaid revenue.

    Competitive standing in-state is dominant for several key codes: 99283 ranks #1 of 137 providers (100th percentile; extreme outlier), while 99284 is #7 of 145 (96th percentile; notably above typical state volume) and 99285 is #6 of 129 (96th percentile; notably above typical state volume). These rankings indicate Legacy Emanuel is a major statewide provider for emergency services compared with peers.

    There are additional statistical outliers that emphasize particular operational intensities: 96360 is #1 of 26 providers (100th percentile; extreme outlier) for hourly IV fluid supplementation, and G0378 is #1 of 15 providers (100th percentile; extreme outlier) for hospital observation hours. Those outlier positions point to unusually large observation- and infusion-related workflows relative to Oregon peers.

    The absence of Medicare billing on file means the provider’s documented revenue stream is heavily concentrated in Medicaid, which may increase sensitivity to state-level utilization management and rate changes. Analysts should treat Medicaid policy shifts and any changes to emergency/observation reimbursement as material risks to the provider’s reported revenue base.

    Beyond the ED and observation footprint, the provider’s top-25 Medicaid codes include a broad ancillary mix—70450 (CT head), 93306 (echocardiography), 97530 (therapeutic activities), 92507/92587 (hearing services), 71046/71045 (chest x-rays), and U0003 (SARS-CoV-2 testing)—most at typical to above-typical state percentiles. This indicates Legacy Emanuel pairs its high-volume emergency operations with a wide set of diagnostic, therapy, and outpatient services that together support its Medicaid revenue streams.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    183 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99283The 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.102,910$180$18.8M
    99284The 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.63,820$250$16.1M
    99285The 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.47,140$340$15.8M
    99282The 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.14,620$120$1.7M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.15,340$110$1.6M
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.19,060$90$1.6M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.7,100$190$1.3M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…15,390$60$908.1K
    G0463Hospital outpatient clinic visit for assessment and management of a patient19,000$40$836K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.3,800$150$551.1K

    Showing 1–10 of 183

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Oregon median

    183 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.71507,400$170$2.8M
    99285The 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.61302,610$200$2.3M
    99283The 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.114010,160$130$2.3M
    G0463Hospital outpatient clinic visit for assessment and management of a patient11403,200$60$1.5M
    S9480Intensive outpatient psychiatric services, per diem1520650$330$1.1M
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.6603,620$90$623.7K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.920190$1,070$556K
    93303The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…8101,480$130$443.3K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…1960420$60$405.1K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…9801,420$60$368.8K

    Showing 1–10 of 183

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Legacy Emanuel Hospital & Health Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Legacy Emanuel Hospital & Health CenterORGeneral Acute Care Hospital$0$50.8M
    Legacy Clinics LLCORClinic/Center$35.6K$48.7M
    Legacy Mount Hood Medical CenterORGeneral Acute Care Hospital$0$43.2M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Legacy Emanuel Hospital & Health CenterORClinic/Center$0$17M
    Legacy Salmon Creek HospitalWAClinic/Center$0$9.9M
    Legacy Emanuel Hospital & Health CenterORRural Health Clinic/Center$0$1.8M
    Legacy Emanuel Hospital & Health CenterORClinic/Center$0$1.5M
    Sandeep GargORCardiovascular Disease Physician$303.4K$0
    Randall HaradaWAInterventional Cardiology Physician$303.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Legacy Emanuel Hospital & Health Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central City ConcernORSubstance Abuse Rehabilitation Facility$0$6.9M
    Pediatric Cardiology Center Of Oregon PCORPediatric Cardiology Physician$0$5.5M
    Northwest Surgical Specialists, P.C.OROrthopaedic Surgery Physician$0$2.4M
    Kaiser Foundation HospitalsORAmbulatory Surgical Clinic/Center$35.3K$2.3M
    Radiology Consultants, IncORDiagnostic Radiology Physician$0$1.9M
    Uplifting Journey LLCORCommunity/Behavioral Health Agency$0$1.3M
    Tony HoORHematology & Oncology Physician$796.7K$0
    Gerald SegalORHematology & Oncology Physician$583.9K$0
    Julia ObadiahORMOHS-Micrographic Surgery Physician$444.5K$0
    Spencer ShaoORMedical Oncology Physician$302.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Oregon Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Legacy Emanuel Hospital & Health Center — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon