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.

Credena Health LLC (NPI 1982341731)

Field	Value
Entity Type	Organization
Organization	Credena Health LLC
Address	7376 Sw Durham Rd
City	Portland
State	OR
ZIP	97224
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	May 13, 2022

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	680	$2,030	$1.4M
Q9991	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	280	$2,040	$563.9K
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	1,240	$10	$9.9K

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

Credena Health LLC — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	2	10	130	$1,860	$555.5K
Q9991	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	3	10	260	$1,780	$471.2K
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	2	10	1,240	$20	$29.4K

Nearby Providers

Other providers in the same ZIP code as Credena Health LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option Care At Legacy Health LLC	OR	Home Infusion Therapy Pharmacy	$0	$18.6M
Lincare Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$3.6M
Because It's There, LLC	OR	In Home Supportive Care Agency	$0	$2M
Cornerstone Chiropractic, LLC	OR	Chiropractor	$0	$1.6M
Robert Wood	OR	Oral and Maxillofacial Surgery (Dentist)	$0	$1.3M
Oregon Outpatient Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$374.8K	$0
Jason Gilster	OR	Surgery Physician	$222.5K	$0
Matthew Mcclelland	OR	Dermatology Physician	$211.4K	$0
Firas Khoury	OR	Nephrology Physician	$181.4K	$0
Christopher Nanson	OR	Orthopaedic Surgery Physician	$154K	$0

Credena Health LLC — Billing Profile & Reimbursement Data

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Credena Health LLC — Billing Profile & Reimbursement Data

Sign up for Credena Health LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References