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.

Mid-valley Healthcare, Inc. (NPI 1881950038)

Field	Value
Entity Type	Organization
Organization	Mid-valley Healthcare, Inc.
Address	425 N Santiam Hwy
City	Lebanon
State	OR
ZIP	97355
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 2, 2012

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	11,900	$90	$1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10,170	$70	$661.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,890	$130	$238.1K
S9480	Intensive outpatient psychiatric services, per diem	100	$870	$90.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,370	$50	$65.6K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	400	$130	$53.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,440	$10	$24.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	120	$160	$19.3K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	1,050	$20	$17.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	2,380	$10	$11.9K

Showing 1–10 of 24

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

Mid-valley Healthcare, Inc. — 1 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9480	Intensive outpatient psychiatric services, per diem	11	20	650	$330	$1.1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	126	1,500	650	$70	$312.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	154	1,590	590	$50	$236.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	61	310	280	$70	$82K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	51	530	150	$110	$74.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	307	530	80	$120	$68.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	46	140	710	$10	$48.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	155	190	60	$200	$45.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	134	370	60	$110	$41.7K
98928	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	17	20	30	$60	$38.5K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mid-valley Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-valley Healthcare Inc	OR	Critical Access Hospital	$0	$34.5M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$4.2M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$3M
Mid-valley Healthcare, Inc.	OR	Substance Abuse Rehabilitation Facility	$0	$2.8M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$2.5M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$1.1M
William Pierce	OR	Hematology & Oncology Physician	$282K	$0
John Strother	OR	Hematology & Oncology Physician	$209.7K	$0
Edward Elliott	IL	Orthopaedic Foot and Ankle Surgery Physician	$68.6K	$112.1K
Mark Reploeg	OR	Clinical Neurophysiology Physician	$137K	$0

Nearby Providers

Other providers in the same ZIP code as Mid-valley Healthcare, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Premier LLC	OR	Mental Illness Community Based Residential Treatment Facility	$0	$6.6M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$3.3M
Lebanon Fire District	OR	Land Ambulance	$413.3K	$2.7M
Breaking Free, LLC	OR	Community/Behavioral Health Agency	$0	$3M
Fresenius Medical Care Dialysis Services - Oregon, LLC	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Kyle Horner	OR	Dermatology Physician	$172K	$0
Amelia Servin	OR	Emergency Medicine Physician	$90K	$0
Javad Mashkuri	OR	Emergency Medicine Physician	$46.9K	$0
Karen Mallozzi	OR	Family Nurse Practitioner	$36.6K	$0
Mark Day	OR	Cardiovascular Disease Physician	$6.1K	$0

Mid-valley Healthcare, Inc. — Billing Profile & Reimbursement Data

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Mid-valley Healthcare, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References