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.

Pediatric Orthotic And Prosthetic Services - Northwest, LLC (NPI 1851669584)

Field	Value
Entity Type	Organization
Organization	Pediatric Orthotic And Prosthetic Services - Northwest, LLC
Address	3101 Sw Sam Jackson Park Rd
City	Portland
State	OR
ZIP	97239
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	December 8, 2011

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	2,580	$360	$938K
L1940	Ankle foot orthosis, plastic or other material, custom fabricated	670	$340	$225.1K
L1930	Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment	120	$160	$19.7K
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	20	$120	$2.1K

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

Pediatric Orthotic And Prosthetic Services - Northwest, LLC — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L1960	Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated	1	10	1,300	$360	$472.2K
L1940	Ankle foot orthosis, plastic or other material, custom fabricated	1	10	670	$340	$225.1K
L1930	Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment	1	10	120	$160	$19.8K
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	2	10	20	$130	$2.5K

Nearby Providers

Other providers in the same ZIP code as Pediatric Orthotic And Prosthetic Services - Northwest, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oregon Health & Science University	OR	General Acute Care Hospital	$0	$70.6M
University Professional Services	OR	General Practice Physician	$0	$55.6M
Oregon Health & Science University	OR	Clinic/Center	$0	$52.1M
Shriners Hospitals For Children	OR	Children's Hospital	$0	$3.9M
Portland Dbt Institute, Inc.	OR	Cognitive & Behavioral Psychologist	$0	$3.7M
Rene Choi	OR	Ophthalmology Physician	$2.2M	$0
Housecall Providers, PC	OR	Family Medicine Physician	$0	$2M
Steven Bailey	OR	Retina Specialist (Ophthalmology) Physician	$1M	$0
Housecall Providers Services, LLC	OR	Community Based Hospice Care Agency	$0	$953.5K
Mind Solutions LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$952.2K

Pediatric Orthotic And Prosthetic Services - Northwest, LLC — Billing Profile & Reimbursement Data

Sign up for Pediatric Orthotic And Prosthetic Services - Northwest, LLC — Billing Profile & Reimbursement Data policy alerts

Pediatric Orthotic And Prosthetic Services - Northwest, LLC — Billing Profile & Reimbursement Data

Sign up for Pediatric Orthotic And Prosthetic Services - Northwest, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References