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.

Clackamas County (NPI 1891042487)

Field	Value
Entity Type	Organization
Organization	Clackamas County
Address	9775 Se Sunnyside Rd Ste 200
City	Clackamas
State	OR
ZIP	97015
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 14, 2012

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

68 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,580	$70	$964.2K
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…	7,650	$100	$749.3K
D2392	Post 2 surface resin‑based composite	2,820	$70	$194.2K
D0150	Comprehensive oral evaluation – new or established patient	2,620	$60	$154.6K
D0140	Limited oral evaluation – problem focused	3,010	$50	$153.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	2,220	$60	$135.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	5,890	$20	$123.6K
D0120	Periodic oral evaluation - established patient	2,750	$40	$107.1K
D2391	Resin‑based composite – one surface, posterior	1,760	$60	$96.6K
D0210	Intraoral - complete series of radiographic images	1,470	$50	$67.4K

Showing 1–10 of 68

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

Clackamas County — 0 of 25 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

68 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	205	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…	123	1,590	590	$50	$236.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	152	170	300	$80	$133.1K
T1016	Case management, each 15 minutes	180	210	410	$50	$126.4K
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…	108	310	280	$70	$82K
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…	438	530	80	$120	$68.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	157	270	200	$40	$60.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	160	210	150	$60	$59.2K
D1120	Prophylaxis–child	135	480	350	$30	$55.5K
D2392	Post 2 surface resin‑based composite	25	360	260	$50	$47.6K

Showing 1–10 of 68

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clackamas County	OR	Federally Qualified Health Center (FQHC)	$0	$26M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	OR	General Acute Care Hospital	$0	$18M
Northwest Medical, LLC.	OR	Oxygen Equipment & Supplies (DME)	$0	$9.8M
First Transit, Inc.	OR	Transportation Broker	$0	$6.7M
Rupa K. Shah, Md, PC	OR	Pediatrics Physician	$0	$5.5M
Sleep Technologies Ltd	OR	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Active Recovery Tms PLLC	OR	Psychiatry Physician	$0	$2.4M
Kaiser Foundation Hospitals	OR	Ambulatory Surgical Clinic/Center	$6.9K	$1.9M
Crossing Bridges Counseling Center	OR	Mental Health Counselor	$0	$1.9M
Kaiser Foundation Hospitals	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Elizabeth Verner-cole	OR	Retina Specialist (Ophthalmology) Physician	$1.7M	$0

Clackamas County — Billing Profile & Reimbursement Data

Sign up for Clackamas County — Billing Profile & Reimbursement Data policy alerts

Clackamas County — Billing Profile & Reimbursement Data

Sign up for Clackamas County — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References