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.

Options For Southern Oregon (NPI 1043751597)

Field	Value
Entity Type	Organization
Organization	Options For Southern Oregon
Address	200 Beatty St
City	Medford
State	OR
ZIP	97501
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	March 16, 2017

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	14,730	$90	$1.3M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	9,840	$80	$757.8K
H2014	Skills training and development, per 15 minutes	10,410	$60	$614.3K
T1016	Case management, each 15 minutes	4,850	$100	$490.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,860	$50	$247.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	4,280	$30	$115.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	1,290	$50	$69.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	750	$80	$60.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	730	$70	$47.7K
H0032	Mental health service plan development by non-physician	900	$40	$39.4K

Showing 1–10 of 27

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

Options For Southern Oregon — 2 of 19 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2013	Psychiatric health facility service, per diem	17	20	1,290	$520	$2.4M
H2022	Community-based wrap-around services, per diem	5	10	170	$400	$977.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	207	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	79	150	1,030	$80	$417.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	46	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	14	120	1,010	$40	$323.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	296	1,500	650	$70	$312.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	294	1,590	590	$50	$236.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20	400	230	$90	$153.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	30	130	230	$110	$152K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Options For Southern Oregon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Clinica Del Valle Family Health Care Center Inc.	OR	Federally Qualified Health Center (FQHC)	$0	$16.5M
Options For Southern Oregon	OR	Mental Illness Community Based Residential Treatment Facility	$0	$11.5M
Ontrack, Inc.	OR	Community/Behavioral Health Agency	$0	$9.6M
Soundview Medical Supply, LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$9.2M
Rogue Valley Transportation District	OR	Transportation Broker	$0	$5.7M
County Of Jackson	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Columbiacare Services Inc	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Rogue Pediatric Therapies, LLC	OR	Speech-Language Pathologist	$0	$3M
Providence Health & Services - Oregon	OR	Family Medicine Physician	$0	$2.7M
Family Solutions	OR	Adolescent and Children Mental Health Clinic/Center	$0	$1.9M

Options For Southern Oregon — Billing Profile & Reimbursement Data

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Options For Southern Oregon — 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