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.

Albany General Hospital (NPI 1912053687)

Field	Value
Entity Type	Organization
Organization	Albany General Hospital
Address	940 6th Ave Sw
City	Albany
State	OR
ZIP	97321
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9280	Alert or alarm device, not otherwise classified	12,510	$50	$562.7K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	13,360	$30	$414.1K
S5185	Medication reminder service, non-face-to-face; per month	730	$60	$40.9K
S5160	Emergency response system; installation and testing	10	$40	$600

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

Albany General Hospital — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5161	Emergency response system; service fee, per month (excludes installation and testing)	5	10	13,360	$40	$817.1K
A9280	Alert or alarm device, not otherwise classified	1	10	10,140	$30	$279.4K
S5185	Medication reminder service, non-face-to-face; per month	3	10	2,620	$50	$117.6K
S5160	Emergency response system; installation and testing	5	10	490	$50	$64.6K

Nearby Providers

Other providers in the same ZIP code as Albany General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Albany General Hospital	OR	General Acute Care Hospital	$0	$25.5M
Albany General Hospital	OR	Pediatrics Physician	$0	$4.9M
County Of Linn	OR	Community/Behavioral Health Agency	$0	$4.8M
City Of Albany	OR	Ambulance	$541.6K	$3.6M
Albany Emergency Physicians Services, PC	OR	Emergency Medicine Physician	$0	$3M
Eyecare Associates PC	OR	Ophthalmology Physician	$0	$2.7M
Sarah Soric Therapy LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Qualicenters Albany, Ltd.	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.2M
Crc Health Oregon, LLC	OR	Methadone Clinic	$161.7K	$2M
Albany General Hospital	OR	Family Medicine Physician	$0	$2M

Albany General Hospital — Billing Profile & Reimbursement Data

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Albany General Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References