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.

Virginia Garcia Memorial Health Center (NPI 1902067861)

Field	Value
Entity Type	Organization
Organization	Virginia Garcia Memorial Health Center
Address	2725 Sw Cedar Hills Blvd Ste 200
City	Beaverton
State	OR
ZIP	97005
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 23, 2008

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

121 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…	32,200	$10	$386.4K
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…	23,610	$20	$354.2K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	9,660	$20	$173.8K
99442	N/A	15,030	$10	$90.2K
99443	N/A	3,620	$20	$54.3K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	1,210	$40	$50.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	270	$180	$47.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	430	$110	$46.3K
0011A	N/A	1,150	$40	$40.3K
0012A	N/A	1,140	$40	$39.8K

Showing 1–10 of 121

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

Virginia Garcia Memorial Health Center — 10 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

121 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	972	1,380	540	$140	$363.3K
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…	65	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…	51	1,590	590	$50	$236.5K
90834	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…	183	400	230	$90	$153.8K
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…	68	170	300	$80	$133.1K
99392	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…	48	180	220	$90	$124.6K
99203	The provider sees a new 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 provider…	311	600	120	$80	$83.3K
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…	195	310	280	$70	$82K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	81	110	770	$10	$79.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	29	170	170	$90	$78.3K

Showing 1–10 of 121

Related Providers

Other providers that share a Tax Identification Number (TIN) with Virginia Garcia Memorial Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$4.1M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$2.9M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$1.9M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$1.2M
David Ko	CT	Family Medicine Physician	$49K	$0
Mary Denman	OR	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$45.4K	$0

Nearby Providers

Other providers in the same ZIP code as Virginia Garcia Memorial Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlantis Caregiving Corporation	OR	In Home Supportive Care Agency	$0	$11.9M
Barcelona Counseling, LLC	OR	Mental Health Counselor	$0	$3.3M
A Healing Intention, LLC	OR	Community/Behavioral Health Agency	$0	$3.1M
Uptown Providers PC	OR	General Practice Physician	$0	$2.1M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$1.9M
Caring For Portland LLC	OR	In Home Supportive Care Agency	$0	$1.4M
Norco Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$1.1M
Alicia Smith	OR	Chiropractor	$74.9K	$967.5K
Northwest Counseling Associates, LLC	OR	Adolescent and Children Mental Health Clinic/Center	$0	$974.7K
Jae Park	OR	Internal Medicine Physician	$10.3K	$345.4K

Virginia Garcia Memorial Health Center — Billing Profile & Reimbursement Data

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Virginia Garcia Memorial Health Center — 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