Insight Health

THE OREGON CLINIC, PC

NPI 1326314196 · Gastroenterology · PORTLAND, OR · 38900 metro

THE OREGON CLINIC ENDOSCOPY CENTER NEWBERGTHE OREGON CLINIC · OREGON CITYTHE OREGON CLINIC · PORTLANDTHE OREGON CLINIC · TUALATIN
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Weighted percent of Medicare, episode, top 20 codes

276%

Mean episode $3,285 · professional $1,389 · facility $1,896, on the 1864 rows with both

Highest payer

321% Cigna

Lowest payer

135% Aetna

Local percentile · over 75th of 107 groupsMedian 72%
CodeDescription and siteYour Medicare volumeMedicare episode (PFS + ASC)AetnaEpisode totalCignaEpisode totalUnitedHealthcareEpisode totalLocal specialty medianYour percentileNot published
45385CPT 45385THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG3,112$535110%—
99214CPT 99214Professional only1,968$143103%—
43239CPT 43239THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG1,701$096%—
45380CPT 45380THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG1,340—109%—
99213CPT 99213Professional only1,166$101111%—
99204CPT 99204Professional only798$186110%—
G0105HCPCS G0105THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG303—110%—
99215CPT 99215Professional only220$095%—
43235CPT 43235THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG177—99%—
96365CPT 96365Professional only139$73159%—
43259CPT 43259THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG122$203121%—
43248CPT 43248THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG92$543220%—
99203CPT 99203Professional only71$124—271%—
43242CPT 43242THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG54$0159%—
99205CPT 99205Professional only48$24886%—
43264CPT 43264THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG40$071%—
43262CPT 43262THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG36—71%—
43249CPT 43249THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG30—159%—
91010CPT 91010Professional only25$71—269%—
45378CPT 45378THE OREGON CLINIC ENDOSCOPY CENTER NEWBERG24—134%—
Top 20 of 695 codes by Medicare volume. Contracted rate as published by the payer, not what was paid.Rows 21 to 695 in the full report

Peer quartiles are published per site of service, not for the episode total, so an episode rank is not available. Switch to Professional or Facility for a ranked view.

Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.

Compared with 107 Gastroenterology groups in PORTLAND, OR

Percentiles are computed on the episode figure across 107 confirmed gastroenterology NPIs in PORTLAND, OR.

Named in full report

Weighted episode rate by payer

Solid line 100% of Medicare, dashed line local median 276%.

Aetna
135%
Cigna
321%
UnitedHealthcare
263%

Professional rates benchmarked to the Medicare Physician Fee Schedule; facility rates to the Medicare ASC fee schedule, wage-adjusted for your area.

Unlock all 695 codes, named peer groups and a CSV with facility and episode columns.