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.

Trillium Family Services, Inc. (NPI 1093873382)

Field	Value
Entity Type	Organization
Organization	Trillium Family Services, Inc.
Address	3415 Se Powell Blvd
City	Portland
State	OR
ZIP	97202
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicaid	$154.5M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file while lifetime Medicaid revenue is $154.5M, indicating the organization’s entire documented public revenue stream in the dataset is Medicaid-driven. The absence of Medicare activity concentrates financial exposure and program relevance in the Medicaid market only.

Revenue is highly concentrated in a small set of per-diem residential and supportive codes: the top three Medicaid codes (H0017, H0019, H0037) account for 89.4% of this provider’s total Medicaid revenue, with H0017 alone representing 47.2% of Medicaid revenue and H0019 contributing 30.7%. This concentration implies the business model is centered on a few high-volume service lines and could make overall revenue sensitive to rate or utilization changes for those specific codes.

The code mix strongly signals a residential behavioral-health operator focused on longer-stay and per-diem programming: H0017 (residential, without room and board, per diem), H0019 (long-term residential, per diem), and H0037 (community psychiatric supportive treatment, per diem) together dominate revenue. These per-diem codes align with the provider taxonomy (Emotionally Disturbed Childrens' Residential Treatment Facility) and suggest the organization runs inpatient-style residential programs and day/per-diem supportive services rather than primarily outpatient episodic care.

H0017 appears to be the single in-state reporter for that service and is the primary revenue driver: H0017 generated $72.9M at an average paid/claim of $1845 and is listed as rank #1 of 1 providers in-state (no state peer volume comparison available). That combination of sole statewide reporting and large absolute revenue positions H0017 as the provider’s strategic flagship service line in Oregon.

H0037 and H0019 show different competitive footprints within the state: H0037 produced $17.8M with 27.8K claims and ranks #1 of 12 providers in-state, described as notably above typical state volume, indicating a clear leadership position for community psychiatric supportive per-diem care. By contrast, H0019 generated $47.4M with 36.2K claims and ranks #7 of 31 providers in-state (80th percentile), characterized as typical/unremarkable volume, which suggests solid but not dominant share in long-term residential among peers.

High per-diem reimbursement supports the revenue profile: inpatient/residential-related averages such as H0017 at $1845/claim, H0019 at $1309/claim, and H2013 at $2741/claim concentrate revenue more efficiently than short-session codes. Those elevated per-claim payments help explain how per-diem residential capacity (rather than large volumes of brief outpatient visits) generates the bulk of the $154.5M Medicaid revenue.

Beyond the top three, the provider shows meaningful scale in therapy and counseling volumes: H0004 accounted for 66.5K claims and $8.2M (5.3% of Medicaid revenue) and ranks #9 of 265 providers in-state (97th percentile; notably above typical state volume), indicating substantial ongoing counseling throughput supporting residential services. By contrast, standard psychotherapy CPTs (90837, 90834, 90832) and office E/M codes make up only small shares of revenue, reinforcing that the operating model prioritizes per-diem residential and programmatic care.

The provider has a long-tenured enrollment in the NPI registry (enumerated 2006-12-05, ~20 years ago), which together with its dominant position on several key Medicaid codes suggests an established operational footprint in Oregon’s children’s behavioral health continuum. That tenure plus code-concentration makes the organization a major state-level participant for the specific residential and per-diem service lines it bills.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	39,540	$1,850	$72.9M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	36,220	$1,310	$47.4M
H0037	Community psychiatric supportive treatment program, per diem	27,800	$640	$17.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	66,500	$120	$8.2M
H2013	Psychiatric health facility service, per diem	2,360	$2,740	$6.5M
H2014	Skills training and development, per 15 minutes	6,480	$80	$525K
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…	2,180	$160	$354.9K
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…	1,450	$130	$194.7K
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…	1,380	$130	$183.4K
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…	910	$170	$158.9K

Showing 1–10 of 21

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

Trillium Family Services, Inc. — 2 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	1	10	39,540	$1,840	$72.9M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	7	30	2,560	$400	$8.9M
H0037	Community psychiatric supportive treatment program, per diem	1	10	4,010	$360	$2.5M
H2013	Psychiatric health facility service, per diem	10	20	1,290	$520	$2.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	9	270	1,660	$90	$681K
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…	302	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	27	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…	566	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…	675	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…	80	400	230	$90	$153.8K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Trillium Family Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oregon Health & Science University	OR	Federally Qualified Health Center (FQHC)	$0	$9.7M
Northwest Habilitation Services, LLC	OR	Community Health Worker	$0	$8.7M
Carson Holdings, LLC	OR	In Home Supportive Care Agency	$0	$6.6M
Catholic Community Services Of Western Washington	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.3M
Brave Space, LLC	OR	Community/Behavioral Health Agency	$0	$1.8M
Full Spectrum Therapy LLC	OR	Counselor	$0	$1.7M
Linktherapy LLC	OR	Community/Behavioral Health Agency	$0	$1.4M
Pacific Northwest Behavioral Health, LLC	OR	Mental Health Counselor	$0	$1.1M
Nancy Rich	OR	Registered Nurse	$32.1K	$0
David Mcanulty	OR	Family Medicine Physician	$22.5K	$0

Trillium Family Services, Inc. — Billing Profile & Reimbursement Data

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Trillium Family Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References