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.

Union County (NPI 1871830919)

Field	Value
Entity Type	Organization
Organization	Union County
Address	1106 K Ave
City	La Grande
State	OR
ZIP	97850
Taxonomy	Case Management Agency
NPI Enumerated	January 9, 2013

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	11,980	$400	$4.8M

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

Union County — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	5	40	1,240	$370	$1.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grande Ronde Hospital, Inc.	OR	Critical Access Hospital	$0	$20.1M
Grande Ronde Recovery	OR	Addiction Psychiatry Physician	$0	$3.5M
Norco, Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Assure Drug Detection LLC	OR	Clinical Medical Laboratory	$0	$1.3M
William Pettit	OR	Ophthalmology Physician	$1.1M	$94K
City Of La Grande	OR	Land Ambulance	$415.8K	$693.3K
Mountain Valley Therapy, Inc	OR	Physical Therapist	$0	$1.1M
Lincare Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$1M
Center For Human Development, Inc	OR	Public Health or Welfare Agency	$65.3K	$559K
Daniel Kirkham	OR	Diagnostic Radiology Physician	$217.9K	$0

Union County — Billing Profile & Reimbursement Data

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Union County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References