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    OpenPayerNPI Medicare & MedicaidKaiser Foundation Hospitals
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    Kaiser Foundation Hospitals — Billing Profile & Reimbursement Data

    NPI 1891859773 · Portland, OR · Ambulatory Surgical Clinic/Center

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    Kaiser Foundation Hospitals is a ambulatory surgical clinic/center provider located in Portland, Oregon. This profile covers 1 Medicare and 8 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 TypeOrganization
    OrganizationKaiser Foundation Hospitals
    Address3500 N Interstate Ave
    CityPortland
    StateOR
    ZIP97227
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedDecember 21, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.3M
    Medicare$35.3K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…50$650$35.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698415126070$540$82.7K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…900$1,070$960.3K
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.680$1,360$924.1K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.150$1,590$243.7K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…340$580$195.3K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.30$430$10.8K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…830$0$0
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time60$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis680$0$0

    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

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    41899Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.420190$1,070$556K
    G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an…110120$1,510$283.8K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.21050$1,590$217.7K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…740120$330$175.5K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.81050$280$58.4K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis620250$1$10
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…940110$1$1
    G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time410240$0$0

    Nearby Providers

    Other providers in the same ZIP code as Kaiser Foundation Hospitals, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Legacy Emanuel Hospital & Health CenterORGeneral Acute Care Hospital$0$64.2M
    Legacy Emanuel Hospital & Health CenterORClinic/Center$0$17M
    Central City ConcernORSubstance Abuse Rehabilitation Facility$0$6.9M
    Pediatric Cardiology Center Of Oregon PCORPediatric Cardiology Physician$0$5.5M
    Northwest Surgical Specialists, P.C.OROrthopaedic Surgery Physician$0$2.4M
    Radiology Consultants, IncORDiagnostic Radiology Physician$0$1.9M
    Legacy Emanuel Hospital & Health CenterORClinic/Center$0$1.5M
    Uplifting Journey LLCORCommunity/Behavioral Health Agency$0$1.3M
    Tony HoORHematology & Oncology Physician$796.7K$0
    Gerald SegalORHematology & Oncology Physician$583.9K$0

    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
    Kaiser Foundation Hospitals — 0 of 1 code 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 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Kaiser Foundation Hospitals — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon