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.

Gridworks Lab, Inc. (NPI 1982191763)

Field	Value
Entity Type	Organization
Organization	Gridworks Lab, Inc.
Address	715 Sw Morrison St Ste 400
City	Portland
State	OR
ZIP	97205
Taxonomy	Transportation Broker
NPI Enumerated	April 17, 2018

Payer Source	Total Paid
Medicaid	$71.5M
Medicare	$0

Key Findings

GRIDWORKS LAB, INC. shows effectively single-payer activity: there is no Medicare billing on file and the provider’s entire reported lifetime revenue comes from Medicaid, totaling $71.5M. The absence of Medicare activity means analysis should focus on Medicaid utilization and state-level competitive dynamics rather than cross-payer comparisons.

Revenue is highly concentrated in a narrow set of non-emergency transportation codes: the precomputed top three Medicaid codes account for 91.4% of the provider’s Medicaid revenue, indicating a tight dependence on a small number of service lines for the bulk of income. This concentration suggests business risk tied to reimbursement or policy changes affecting those specific codes.

The code mix and the provider taxonomy (Transportation Broker) are consistent with a business model focused on non-emergency medical transportation (NEMT). The three dominant codes—A0100 (taxi), A0130 (wheelchair van), and A0090 (per-mile individual vehicle)—point to a blend of taxi and wheelchair-van dispatching plus a large per-mile contracted-driver network rather than hospital-based ambulance services.

A0100 is the largest single revenue driver at $42.7M (59.7% of Medicaid revenue); GRIDWORKS ranks #2 of 16 in-state for this code and sits in the 93th percentile, which reflects a high-volume position within the state but is characterized in the data as a typical, unremarkable volume for this code. That ranking indicates strong participation in taxi-based NEMT compared with most peers while not being flagged as an extreme statistical outlier.

A0130 ($17.9M, 25.0% of Medicaid revenue) and A0090 ($4.8M, 6.7% of Medicaid revenue) further define the competitive profile: A0130 ranks #2 of 19 in-state (94th percentile; notably above typical state volume) showing notable strength in wheelchair-van transport, while A0090 ranks #1 of 24 (100th percentile; extreme outlier), signaling an unusually large volume of per-mile claims relative to peers. These rankings suggest GRIDWORKS is a dominant player for per-mile and wheelchair-van modalities in Oregon.

Beyond the top three, GRIDWORKS also bills other transportation modalities at materially smaller shares: A0120 appears with $3M (4.3% of Medicaid revenue) and ranks #1 of 11 in-state (100th percentile; notably above typical), and T2005 (stretcher van) contributes $1.9M (2.7%). A set of ambulance codes (A0428, A0434, A0433, A0426) are present but together represent only modest portions of revenue, indicating ancillary capability in stretcher/ambulance transports rather than a primary ambulance-service business.

The A0090 profile is a clear statistical outlier in volume terms: 961.5K claims at $5 avg paid/claim producing $4.8M and ranking as an extreme outlier in-state. Operationally, this pattern implies a very high claim count with low per-claim reimbursement, consistent with running or coordinating a very large cohort of per-mile individual drivers or family-member/self-arranged transports. Monitoring claim frequency policies or per-mile reimbursement changes would be particularly relevant for payers.

GRIDWORKS’ enrollment date is 2018-04-17 (~8 years ago), indicating it is a relatively recent entrant that has rapidly scaled Medicaid NEMT activity to $71.5M in lifetime revenue and achieved top statewide ranks for several codes. For payer/provider analysts, the combination of short tenure, concentrated revenue, and extreme state-level rankings for specific codes warrants attention to contracting practices, service-area footprint, and capacity in per-mile and wheelchair-van networks.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0100	Non-emergency transportation; taxi	1,256,010	$30	$42.7M
A0130	Non-emergency transportation: wheelchair van	372,050	$50	$17.9M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	961,510	$10	$4.8M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1,520,960	$1	$3M
T2005	Non-emergency transportation; stretcher van	11,150	$170	$1.9M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	3,020	$190	$579.8K
A0434	Specialty care transport (sct)	2,040	$200	$414.3K
A0433	Advanced life support, level 2 (als 2)	670	$230	$154.5K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	50	$180	$9.2K

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

Gridworks Lab, Inc. — 2 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0100	Non-emergency transportation; taxi	2	20	355,210	$10	$5.4M
A0130	Non-emergency transportation: wheelchair van	2	20	32,690	$20	$1.7M
A0434	Specialty care transport (sct)	5	20	530	$670	$850.8K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1	10	87,400	$1	$810.7K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	1	20	10,190	$1	$431.8K
A0433	Advanced life support, level 2 (als 2)	3	10	410	$240	$238.9K
T2005	Non-emergency transportation; stretcher van	2	10	3,110	$50	$221K
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	7	30	340	$70	$141.2K
A0426	Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)	16	20	270	$100	$56.5K

Nearby Providers

Other providers in the same ZIP code as Gridworks Lab, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Outside In	OR	Federally Qualified Health Center (FQHC)	$0	$3.5M
Lori Olson	OR	Psychiatric/Mental Health Nurse Practitioner	$0	$2.1M
Andrew Henning	OR	Family Nurse Practitioner	$675.9K	$0
Matthew Bookwalter	OR	Podiatrist	$181.9K	$0
Stuart Rosenblum	OR	Pain Medicine (Anesthesiology) Physician	$126.9K	$1.3K
Kalesha Jones	OR	Psychiatric/Mental Health Nurse Practitioner	$58.2K	$0
Dean Walker	OR	Anesthesiology Physician	$51.5K	$0
Eric Shields	OR	Anesthesiology Physician	$51K	$0
Jacob Light	OR	Anesthesiology Physician	$43.5K	$0
Stephen Holmes	OR	Anesthesiology Physician	$40K	$0

Gridworks Lab, Inc. — Billing Profile & Reimbursement Data

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Gridworks Lab, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References