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.

Recovery Works Nw LLC (NPI 1083010094)

Field	Value
Entity Type	Organization
Organization	Recovery Works Nw LLC
Address	12540 Sw Main St Ste 202
City	Tigard
State	OR
ZIP	97223
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	November 18, 2014

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	38,670	$120	$4.7M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	730	$3,150	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	18,980	$70	$1.3M
H0038	Self‑help/peer services, per 15 minutes	10,420	$110	$1.1M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	32,250	$20	$741.7K
H0005	Alcohol and/or drug services; group counseling by a clinician	9,920	$50	$486K
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…	5,670	$70	$391K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	150	$1,890	$285.1K
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…	1,610	$150	$237.1K
T1016	Case management, each 15 minutes	770	$150	$118.4K

Showing 1–10 of 24

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

Recovery Works Nw LLC — 2 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	5	10	1,250	$1,640	$9M
H0005	Alcohol and/or drug services; group counseling by a clinician	55	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	27	270	1,660	$90	$681K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	6	10	130	$1,860	$555.5K
H0038	Self‑help/peer services, per 15 minutes	21	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…	357	1,380	540	$140	$363.3K
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…	37	1,500	650	$70	$312.4K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	18	20	1,840	$70	$256.9K
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…	244	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	13	160	2,750	$20	$205.1K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Recovery Works Nw LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Katie Nicosia	OR	Family Nurse Practitioner	$0	$1.5M

Nearby Providers

Other providers in the same ZIP code as Recovery Works Nw LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Narrative	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46.9M
Children's Nursing Specialties, Inc.	OR	Nursing Care Agency	$0	$18.9M
Crc Health Oregon, LLC	OR	Methadone Clinic	$125.2K	$14.5M
Neighborhood Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$11.3M
Maxim Healthcare Services, Inc.	OR	Home Health Agency	$0	$10.8M
Sound Health Medical Supply	OR	Durable Medical Equipment & Medical Supplies	$0	$9.5M
Aiden Healthcare LLC	OR	Community Based Hospice Care Agency	$0	$5.9M
Women's Healthcare Associates, LLC	OR	Specialist	$0	$5.6M
Pacific Footwear Company, Inc.	OR	Customized Equipment (DME)	$0	$4.3M
Cynthia Gulick, PC	OR	Family Medicine Physician	$0	$3.9M

Recovery Works Nw LLC — Billing Profile & Reimbursement Data

Sign up for Recovery Works Nw LLC — Billing Profile & Reimbursement Data policy alerts

Recovery Works Nw LLC — Billing Profile & Reimbursement Data

Sign up for Recovery Works Nw LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References