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 1972879518)

Albany General Hospital is a family medicine physician provider located in Albany, Oregon. This profile covers 0 Medicare and 30 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	Albany General Hospital
Address	1700 Geary St Se Suite 200 300a
City	Albany
State	OR
ZIP	97322
Taxonomy	Family Medicine Physician
NPI Enumerated	March 28, 2012

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

30 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…	25,530	$100	$2.6M
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…	16,040	$70	$1.1M
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…	4,660	$70	$307.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,640	$160	$257K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	660	$130	$82.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	570	$150	$81.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	2,780	$20	$47.2K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…	2,060	$20	$41.3K
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…	2,110	$10	$27.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	60	$110	$7K

Showing 1–10 of 30

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 — 2 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	59	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…	103	1,590	590	$50	$236.5K
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…	19	310	280	$70	$82K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	61	530	150	$110	$74.9K
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…	405	530	80	$120	$68.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	46	370	60	$110	$41.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	452	570	110	$50	$37.6K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	14	40	60	$130	$32.3K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	1	10	60	$120	$20.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	68	70	90	$20	$19.1K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid-valley Healthcare Inc	OR	Critical Access Hospital	$0	$34.5M
Albany General Hospital	OR	General Acute Care Hospital	$0	$25.5M
Samaritan Pacific Health Services, Inc	OR	Critical Access Hospital	$0	$20.6M
Good Samaritan Hospital Corvallis	OR	General Acute Care Hospital	$0	$14.6M
Samaritan North Lincoln Hospital	OR	Critical Access Hospital	$0	$12.3M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$7.2M
Albany General Hospital	OR	Pediatrics Physician	$0	$4.9M
Samaritan Endoscopy LLC	OR	Ambulatory Surgical Clinic/Center	$474.4K	$3.8M
Mid-valley Healthcare, Inc.	OR	Rural Health Clinic/Center	$0	$4.2M
Samaritan Pacific Health Services Inc	OR	Rural Health Clinic/Center	$0	$2.7M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Albany General Hospital	OR	Family Medicine Physician	$0	$2.4M
Mighty Oaks Children's Therapy Center	OR	Pediatric Occupational Therapist	$0	$2M
Leah Barshinger	OR	Pediatric Dentistry	$0	$1.7M
Oregon Cascades West Council Of Governments	OR	Case Management Agency	$0	$1.1M
Complete Dental Health LLC	OR	General Practice Dentistry	$0	$973.1K
Capitol Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$384.6K	$5.5K
Todd Knapp	OR	MOHS-Micrographic Surgery Physician	$369.3K	$0
Chiniko LLC	OR	Ambulatory Surgical Clinic/Center	$214.5K	$0
Darrell Genstler	OR	Ophthalmology Physician	$139.1K	$0
Kent Reynolds	OR	Optometrist	$45K	$0

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

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