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.

Eugene Emergency Physicians PC (NPI 1831133677)

Field	Value
Entity Type	Organization
Organization	Eugene Emergency Physicians PC
Address	1255 Hilyard St
City	Eugene
State	OR
ZIP	97401
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$16.9M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: Medicare shows none (no Medicare billing on file) while Medicaid accounts for the entirety of reported lifetime revenue at $16.9M. The absence of Medicare activity means analyses of cross‑payer mix or Medicare-driven strategy are not applicable for this entity and Medicaid performance should be treated as the primary commercial signal.

Revenue is highly concentrated in three emergency‑department evaluation-and-management codes: 99285, 99284, and 99283 together account for 99.6% of this provider's total Medicaid revenue. That concentration indicates the business is overwhelmingly driven by ED encounters rather than a mix of inpatient, procedural, or outpatient specialty billing.

The code mix (99285: 90.5K claims, $87 avg paid/claim, $7.9M revenue; 99284: 93.6K claims, $78 avg paid/claim, $7.3M revenue; 99283: 23.2K claims, $73 avg paid/claim, $1.7M revenue) signals a high-volume emergency medicine operation that handles a range of acuity from low to high complexity E/M visits. The large counts for 99285 and 99284, paired with the average paid/claim levels, are consistent with an ED group focused on high and moderate acuity emergency care rather than brief observation or non-emergent outpatient work.

On competitive standing for high‑acuity ED visits, 99285 performance is exceptional: the provider ranks #3 of 129 providers in-state at the 98th percentile and is described as an "extreme outlier." This places the group among the state’s highest-volume providers for high‑complexity emergency visits and suggests regional market dominance for those services.

For 99284 the provider also ranks very highly—#4 of 145 providers in-state at the 98th percentile and labeled "notably above typical"—supporting the conclusion that the practice is a major provider of moderate-acuity ED care in-state as well. High ranks on both 99285 and 99284 together imply the group captures substantial share of mid-to-high acuity ED volume in its market.

Lower-acuity ED work (99283) represents a much smaller share of revenue (23.2K claims, $73 avg paid/claim, $1.7M revenue; 10.0% of Medicaid revenue) and ranks #40 of 137 providers in-state at the 71th percentile, a position characterized as typical and unremarkable. This suggests the provider’s distribution skews toward more complex ED encounters rather than high volumes of low‑acuity visits.

Critical care and inpatient codes are marginal to total revenue: 99291 accounts for 377 claims and $36.9K revenue (0.2% of Medicaid revenue) and ranks #22 of 41 providers in-state at the 48th percentile, while 99223 and other inpatient codes are similarly small contributors. These patterns reinforce that the entity’s operational focus and revenue base are emergency department E/M services rather than critical care or inpatient admitting service lines.

The practice has long tenure in the registry (NPI enumerated on 2006-06-15, ~20 years ago), and the absolute claim volumes reported (for example 90.5K claims for 99285 and 93.6K claims for 99284) indicate sustained, large-scale ED throughput over time. Combined with the high in-state ranks for major ED codes, this suggests an entrenched emergency medicine presence in its local market rather than a recently established or marginal operation.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	90,470	$90	$7.9M
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.	93,590	$80	$7.3M
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.	23,200	$70	$1.7M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	380	$100	$36.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	180	$110	$19.8K
99220	N/A	110	$90	$9.5K
99217	N/A	30	$30	$1.1K
G9744	Patient not eligible due to active diagnosis of hypertension	80	$0	$0

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

Eugene Emergency Physicians PC — 2 of 7 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

8 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.	4	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.	3	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.	40	140	10,160	$130	$2.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	22	40	380	$130	$326.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	32	80	110	$100	$89.6K
99220	N/A	6	10	100	$80	$12.6K
99217	N/A	6	10	40	$40	$4.9K
G9744	Patient not eligible due to active diagnosis of hypertension	2	10	60	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eugene Emergency Physicians PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bret Gorham	OR	Emergency Medicine Physician	$43.6K	$0
Rebecca Palmer	OR	Emergency Medicine Physician	$32.1K	$0

Nearby Providers

Other providers in the same ZIP code as Eugene Emergency Physicians PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth Medical Group	OR	Family Medicine Physician	$0	$45.3M
Options Counseling Services Of Oregon	OR	Mental Health Counselor	$0	$25.9M
Center For Family Development, Inc.	OR	Mental Health Counselor	$0	$15.6M
Laurel Hill Center	OR	Eyewear Supplier	$0	$14M
Looking Glass Community Services	OR	Mental Health Counselor	$0	$13.5M
Peacehealth	OR	General Acute Care Hospital	$0	$13.3M
Addiction Counseling And Education Services Inc.	OR	Mental Health Counselor	$0	$12.8M
Oregon Eye Consultants LLC	OR	Ophthalmology Physician	$0	$9.6M
Ch Mh Services (or), LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M
Oregon Healthcare Resources, LLC	OR	Multi-Specialty Clinic/Center	$0	$8.8M

Eugene Emergency Physicians PC — Billing Profile & Reimbursement Data

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Eugene Emergency Physicians PC — 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