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.

Asante Physician Partners (NPI 1922381326)

Key Findings

Field	Value
Entity Type	Organization
Organization	Asante Physician Partners
Address	2620 E Barnett Rd
City	Medford
State	OR
ZIP	97504
Taxonomy	Family Medicine Physician
NPI Enumerated	September 21, 2011

Payer Source	Total Paid
Medicaid	$27.2M
Medicare	$0

ASANTE PHYSICIAN PARTNERS reports no Medicare billing on file and is effectively a single-payer Medicaid billing entity with Total Medicaid revenue of $27.2M. The absence of Medicare claims means all utilization and revenue signals in this profile reflect Medicaid activity only, so assessments of payer mix should treat this provider as concentrated in Medicaid patients rather than evenly balanced across public payers.

Revenue concentration is highly focused: the precomputed top three Medicaid codes by revenue account for 73.0% of the provider’s total Medicaid revenue. The single largest code, 99214, generates $12.1M (47.4% of total Medicaid revenue), indicating that nearly half of Medicaid dollars come from established outpatient E/M visits billed at the 99214 level.

The code mix (dominance of 99214 and 99213, plus substantial inpatient E/M codes 99232/99233 and 99223) shows a primary operational emphasis on front-line primary care and hospital-based evaluation and management. High volumes of 99214 (established patient visits) and 99213 (lower-complexity established visits) together suggest the organization functions as a high-volume primary care practice or clinic system that also provides inpatient follow-up and admission-level hospital care.

Competitive standing within Oregon Medicaid is exceptionally strong for several codes: 99214 ranks #2 of 1503 providers in-state (100th percentile, labeled an extreme outlier) and 99213 ranks #11 of 1591 providers (99th percentile, extreme outlier). Multiple other codes also sit at or near top statewide positions (e.g., 76819 and 76805 at #1 of their peer sets, G0108 at #1), indicating the group is a dominant statewide performer for numerous ambulatory and obstetric imaging services.

Several service lines beyond core primary care appear significant based on code-level revenue: obstetric and prenatal ultrasound series (76811, 76816, 76819, 76805, 76813, 76801) together represent notable revenue and top-state ranks, signaling a robust maternal/fetal imaging service line. Additionally, procedure and specialty services such as onabotulinumtoxina injections (J0585), critical care (99291), and diabetes self-management education (G0108) contribute meaningfully to Medicaid revenue, reflecting diversified clinical offerings within the Medicaid population.

This provider is a long-tenured NPI in Oregon, with enumeration dated 2011-09-21 (~15 years ago). That tenure, combined with the very large Medicaid volumes and top-state rankings, is consistent with an established regional clinical organization rather than a new or small independent practice.

Several codes are described as extreme outliers or notably above typical state volume, which supports their characterization as statistically exceptional in-state activity rather than routine participation: e.g., 99214 (extreme outlier), 99213 (extreme outlier), and 76805 (extreme outlier) are all far above typical state volumes. Other codes are described as notably above or at the top percentile (e.g., 76819, G0108, 76813), reinforcing that this provider disproportionately captures Medicaid visits and imaging compared with peers.

Although the practice bills many inpatient E/M codes (99222, 99223, 99232, 99233, 99238/99239) and some critical care (99291), these inpatient services are smaller revenue contributors relative to the dominant office visit codes. This suggests its business model centers on ambulatory primary care throughput with hospital service lines present but secondary in revenue significance.

Unit-level paid amounts vary across services, with higher average paid-per-claim for certain procedure codes (J0585 at $466/claim, 97802 at $111/claim) and lower averages for many E/M or ultrasound codes (e.g., 99232 $34/claim, 76816 $33/claim). These differences indicate that while high-volume E/M encounters drive most dollars through sheer claim volume, targeted procedures and education services supply meaningful supplemental revenue per encounter.

Medicaid: Complete Services Breakdown

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

145 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	163,420	$70	$12.1M
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…	93,260	$60	$5.2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	38,530	$30	$1.3M
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…	16,100	$80	$1.3M
J0585	Injection, onabotulinumtoxina, 1 unit	2,200	$470	$1M
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…	6,710	$110	$738.4K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	5,840	$70	$426.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	11,830	$30	$390.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3,440	$110	$374.6K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	9,710	$30	$301K

Showing 1–10 of 145

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

Asante Physician Partners — 16 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

145 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	3	20	470	$460	$398.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	8	40	380	$130	$326.9K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	20	40	310	$420	$325.7K
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…	2	1,500	650	$70	$312.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	42	60	350	$260	$251.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	44	50	200	$370	$238.2K
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…	11	1,590	590	$50	$236.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	2	20	310	$140	$234.4K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	11	20	280	$370	$197.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	17	90	320	$50	$187.6K

Showing 1–10 of 145

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Carmeci	OR	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$288.4K	$0
Hammad Qadir	OR	Nephrology Physician	$277.5K	$8K
Lina Dorfmeister	OR	Pain Medicine Physician	$211K	$0
Gheorghe Cazan	OR	Specialist	$171K	$0
Sushanta Goswami	TX	Internal Medicine Physician	$170.8K	$0
Paul Digiorgi	FL	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$159.1K	$0
Alex Nelson	UT	Interventional Pain Medicine Physician	$123K	$28.5K
Jordan Brady	NC	Urology Physician	$144.4K	$0
Adam Mougey	OR	Gastroenterology Physician	$141.9K	$0
Christina Godwin	MN	Urology Physician	$122.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante	OR	General Acute Care Hospital	$0	$29.7M
Addictions Recovery Center, Inc.	OR	Substance Abuse Rehabilitation Facility	$0	$29.2M
Mercy Flights Incorporated	OR	Ambulance	$3.6M	$19.4M
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$20.9M
Crc Health Oregon, LLC	OR	Methadone Clinic	$193K	$13M
James Kolby Robinson, Dmd	OR	Pediatric Dentistry	$0	$11.6M
Valley Immediate Care, LLC	OR	Urgent Care Clinic/Center	$0	$9.4M
Lincare Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Southern Oregon Pediatrics, LLP	OR	Pediatric Hospice and Palliative Medicine Physician	$0	$6.5M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$6.1M

Asante Physician Partners — Billing Profile & Reimbursement Data

Sign up for Asante Physician Partners — Billing Profile & Reimbursement Data policy alerts

Asante Physician Partners — Billing Profile & Reimbursement Data

Sign up for Asante Physician Partners — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References