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.

Because It's There, LLC (NPI 1992087183)

Field	Value
Entity Type	Organization
Organization	Because It's There, LLC
Address	10580 Sw Mcdonald St Ste 202
City	Tigard
State	OR
ZIP	97224
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	September 13, 2011

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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	2,290	$550	$1.3M
S5125	Attendant care services; per 15 minutes	2,290	$320	$732.8K
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	40	$10	$190

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

Because It's There, 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
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	13	20	3,710	$190	$2M
S5125	Attendant care services; per 15 minutes	12	20	3,430	$130	$1.3M
A0090	Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest	23	20	10,190	$1	$431.8K

Nearby Providers

Other providers in the same ZIP code as Because It's There, 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
Credena Health LLC	OR	Community/Retail Pharmacy	$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

Because It's There, LLC — Billing Profile & Reimbursement Data

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Because It's There, LLC — Billing Profile & Reimbursement Data

Sign up for Because It's There, 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