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.

Crm Physicians, LLC (NPI 1952674996)

Crm Physicians, LLC is a internal medicine physician provider located in Beaverton, Oregon. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Crm Physicians, LLC
Address	6800 Sw 105th Ave Ste 206
City	Beaverton
State	OR
ZIP	97008
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 22, 2012

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	56,230	$20	$1.3M
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	4,460	$50	$227.6K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	4,440	$50	$222.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	11,030	$20	$209.6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	6,180	$10	$74.2K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	260	$40	$10.7K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	960	$10	$8.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	280	$20	$5.8K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	80	$50	$3.7K
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…	20	$70	$1.6K

Showing 1–10 of 22

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

Crm Physicians, LLC — 5 of 17 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	50	200	$20	$53.4K
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…	123	140	120	$130	$46.4K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	5	10	160	$20	$34.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1	30	180	$30	$30.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	1	20	140	$40	$24.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	2	50	210	$10	$17.3K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	82	90	470	$10	$13.8K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1	30	210	$10	$6.4K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	5	10	140	$20	$4.6K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1	10	890	$10	$4.6K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ideal Option, PLLC	WA	Clinic/Center	$0	$259.1M
Ideal Option, PLLC	WA	Clinical Medical Laboratory	$0	$39.2M
Ideal Option, PLLC	MD	Addiction Medicine (Family Medicine) Physician	$0	$7.4M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.6M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.3M
Caitlin Trainor	PA	Family Nurse Practitioner	$1.3M	$0
Ideal Option, PLLC	MT	Multi-Specialty Clinic/Center	$0	$1.2M
Ideal Option, PLLC	MT	Clinic/Center	$0	$731.9K
Ideal Option, PLLC	MT	Clinic/Center	$0	$703.9K
Ideal Option, PLLC	MT	Clinic/Center	$0	$692.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Northwest Enteral, LLC	OR	Parenteral & Enteral Nutrition Supplies (DME)	$0	$30.1M
University Professional Services	OR	Pharmacy	$0	$8.1M
Kidscare Home Health Of Oregon LLC	OR	Home Health Agency	$0	$2.5M
West End Surgical, LLC	OR	Ambulatory Surgical Clinic/Center	$2.3M	$0
Phillips Care Services	OR	In Home Supportive Care Agency	$0	$1.9M
Centennial Medical Equipment Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$1.3M
Higher Ground Counseling Inc	OR	Professional Counselor	$0	$1.2M
180 Medical, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Hadi Nouredine Dmd	OR	General Practice Dentistry	$0	$953.3K
Jessica Spies	OR	Dermatopathology (Pathology) Physician	$642.4K	$0

Crm Physicians, LLC — Billing Profile & Reimbursement Data

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Crm Physicians, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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