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    OpenPayerNPI Medicare & MedicaidCarla Graichen
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    Carla Graichen — Billing Profile & Reimbursement Data

    NPI 1861808644 · Portland, OR · Emergency Medicine Physician

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    Carla Graichen is a emergency medicine physician provider located in Portland, Oregon. This profile covers 3 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarla Graichen
    Address3181 Sw Sam Jackson Park Rd
    CityPortland
    StateOR
    ZIP97239
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJuly 1, 2014

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

    Payer SourceTotal Paid
    Medicare$92.4K
    Medicaid$670

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.480$130$63.9K
    99291Critical 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…120$170$20.2K
    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.100$90$8.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285168090$130$13.7K
    992917374030$160$8.5K
    9928414174050$80$5.5K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.20$40$670

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.1251302,610$200$2.3M

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carla Graichen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ellis HospitalNYGeneral Acute Care Hospital$0$82.3M
    Salar HakhamCAVascular & Interventional Radiology Physician$2.6M$350
    Victor ShiCAVascular & Interventional Radiology Physician$2.2M$280
    Sunil AbrahamNCRheumatology Physician$1.1M$0
    Ramin AkhavanVADiagnostic Radiology Physician$707.1K$2.7K
    Brian TysonCAFamily Medicine Physician$709.7K$0
    Kourosh NaeiniCADiagnostic Radiology Physician$709.1K$120
    Scott DlugosCAEmergency Medicine Physician$459.8K$0
    Kok Chye TanCANeuroradiology Physician$401.1K$13.5K
    Walter FletscherCACardiovascular Disease Physician$413K$0

    Nearby Providers

    Other providers in the same ZIP code as Carla Graichen, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oregon Health & Science UniversityORGeneral Acute Care Hospital$0$70.6M
    University Professional ServicesORGeneral Practice Physician$0$55.6M
    Oregon Health & Science UniversityORClinic/Center$0$52.1M
    Shriners Hospitals For ChildrenORChildren's Hospital$0$3.9M
    Portland Dbt Institute, Inc.ORCognitive & Behavioral Psychologist$0$3.7M
    Rene ChoiOROphthalmology Physician$2.2M$0
    Housecall Providers, PCORFamily Medicine Physician$0$2M
    Pediatric Orthotic And Prosthetic Services - Northwest, LLCORProsthetic/Orthotic Supplier$0$1.2M
    Steven BaileyORRetina Specialist (Ophthalmology) Physician$1M$0
    Housecall Providers Services, LLCORCommunity Based Hospice Care Agency$0$953.5K

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    Carla Graichen — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon
    Medicaid Revenue by Year vs. Oregon Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Carla Graichen — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon