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.

Phoenix Wellness Center LLC (NPI 1023654019)

Field	Value
Entity Type	Organization
Organization	Phoenix Wellness Center LLC
Address	145 N Coast Hwy
City	Newport
State	OR
ZIP	97365
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	November 25, 2019

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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
H0004	Behavioral health counseling and therapy, per 15 minutes	7,750	$120	$906.4K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6,150	$100	$590.5K
H0038	Self‑help/peer services, per 15 minutes	5,620	$90	$516.7K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	13,790	$20	$206.9K
H0006	Alcohol and/or drug services; case management	2,310	$50	$106.4K
T1016	Case management, each 15 minutes	1,110	$60	$63K
H2014	Skills training and development, per 15 minutes	210	$60	$12.8K
H0001	Alcohol and/or drug assessment	50	$160	$8.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	60	$30	$2.2K

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

Phoenix Wellness Center LLC — 0 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
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	10	30	1,580	$100	$815K
H0004	Behavioral health counseling and therapy, per 15 minutes	58	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	34	150	1,030	$80	$417.2K
H2014	Skills training and development, per 15 minutes	93	120	1,010	$40	$323.2K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	35	160	2,750	$20	$205.1K
T1016	Case management, each 15 minutes	70	210	410	$50	$126.4K
H0001	Alcohol and/or drug assessment	55	100	80	$140	$70.6K
H0006	Alcohol and/or drug services; case management	23	100	380	$30	$51.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	29	50	90	$20	$6.6K

Nearby Providers

Other providers in the same ZIP code as Phoenix Wellness Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samaritan Pacific Health Services, Inc	OR	Critical Access Hospital	$0	$20.6M
Reconnections A And D	OR	Addiction (Substance Use Disorder) Counselor	$0	$11.5M
County Of Lincoln	OR	Case Management Agency	$0	$5.8M
Pacific West Ambulance Inc	OR	Land Ambulance	$1.3M	$4.4M
Samaritan Pacific Health Services Inc	OR	Rural Health Clinic/Center	$0	$2.7M
Discovery Counseling, Inc.	OR	Community/Behavioral Health Agency	$0	$2.2M
County Of Lincoln	OR	Federally Qualified Health Center (FQHC)	$0	$2M
Ocean Mist Counseling & Wellness	OR	Mental Health Counselor	$0	$1.3M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$1.2M
Barbara J Mantha	OR	Durable Medical Equipment & Medical Supplies	$0	$1.1M

Phoenix Wellness Center LLC — Billing Profile & Reimbursement Data

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Phoenix Wellness Center LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References