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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Blackall
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    Douglas Blackall — Billing Profile & Reimbursement Data

    NPI 1891885380 · Portland, OR · Clinical Pathology Physician

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    Douglas Blackall is a clinical pathology physician provider located in Portland, Oregon. This profile covers 6 Medicare and 2 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
    OrganizationDouglas Blackall
    Address4805 Ne Glisan St
    CityPortland
    StateOR
    ZIP97213
    TaxonomyClinical Pathology Physician
    NPI EnumeratedOctober 13, 2006

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

    Payer SourceTotal Paid
    Medicare$19.7K
    Medicaid$3.6K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    84165The lab analyst performs the technical lab test to separate and quantitate components of serum protein in a process called serum protein electrophoresis, SPE, or SPEP. The electrophoretic…780$10$10.2K
    86077The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…100$40$4K
    86334The lab analyst performs immunofixation electrophoresis, typically on the patient’s serum, to diagnose and or monitor monoclonal gammopathies or myeloma, a bone marrow tumor.170$10$2.2K
    84166The lab analyst performs a test to separate and evaluate the level of various protein fractions in any specimen other than serum by electrophoresis.120$20$1.8K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.50$20$930
    86335The lab analyst performs immunofixation electrophoresis to evaluate fluids other than serum, such as the patient’s urine or cerebrospinal fluid, to diagnose and or monitor monoclonal gammopathies or…40$20$680

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    84165330140$10$3.2K
    8607711080$40$3.1K
    8633462090$20$2.9K
    8633531020$20$1.1K
    8416621030$20$820
    8506052020$20$770

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    86077The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…40$50$2.1K
    83020The lab analyst records and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by electrophoresis.100$20$1.5K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    83020The lab analyst records and calculates the hemoglobin fractions in a whole blood sample demonstrated by this hemoglobin fractionation test by electrophoresis.510260$20$6.7K
    86077The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…31070$20$3.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Health & Services - OregonORGeneral Acute Care Hospital$0$49M
    Providence Health & Services - OregonORGeneral Acute Care Hospital$0$36.9M
    Providence Health & Services - OregonORGeneral Acute Care Hospital$0$20.9M
    Providence Health & Services OregonORGeneral Acute Care Hospital$0$20.5M
    Providence Health & Services - OregonORGeneral Acute Care Hospital$0$20.1M
    Providence Health & Services - OregonORGeneral Acute Care Hospital$0$19.5M
    Providence Health & Services - OregonORClinical Pathology Physician$0$13.7M
    Providence Health & Services - OregonORClinical Pathology Physician$0$11.4M
    Providence Health & Services OregonORCritical Access Hospital$0$8.8M
    Providence Health & Services - OregonORChild & Adolescent Psychiatry Physician$0$8.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Health & Services OregonORDurable Medical Equipment & Medical Supplies$0$45.5M
    Providence Health & Services OregonORHome Infusion Therapy Pharmacy$0$9.8M
    Radiology Specialists Of The Northwest, PCORDiagnostic Radiology Physician$0$5.7M
    Laboratory Corporation Of AmericaORClinical Medical Laboratory$1.4M$3.2M
    Providence Health & Services - OregonORInternal Medicine Physician$0$3.8M
    Uptown Providers IncORUrgent Care Clinic/Center$0$2.8M
    Credena Health LLCORSpecialty Pharmacy$0$2.5M
    Oregon Pediatrics Ne Portland PCORPediatrics Physician$0$2.2M
    Behavioral Learning Network - Oregon LLCORBehavior Analyst$0$1.8M
    Mdc Chiropractic LLCORChiropractor$0$1.3M

    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
    Douglas Blackall — 1 of 6 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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oregon Distribution
    Douglas Blackall — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon