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.

Serenity Lane (NPI 1104934892)

Field	Value
Entity Type	Organization
Organization	Serenity Lane
Address	1 Serenity Lane
City	Coburg
State	OR
ZIP	97408
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	August 25, 2006

Payer Source	Total Paid
Medicaid	$27.9M
Medicare	$0

Key Findings

SERENITY LANE (Substance Abuse Rehabilitation Facility) in COBURG, OR has been enumerated with an NPI since 2006-08-25 (~20 years ago) and reports $27.9M in lifetime Medicaid revenue while having none (no Medicare billing on file), making its commercial footprint effectively single-payer Medicaid for the claims observed. This profile indicates a long-tenured, Medicaid-focused specialty provider rather than a mixed Medicare/Medicaid outpatient or hospital-based practice.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 92.8% of this provider's total Medicaid revenue, driven by H0018 ($15.6M, 55.7%), H0010 ($6M, 21.6%), and H0015 ($4.3M, 15.5%). Those three codes together dominate the revenue mix and explain the vast majority of the $27.9M Medicaid total.

The code mix and descriptions show a service model centered on residential and intensive substance-use treatment: H0018 is short-term residential (per diem), H0010 is sub-acute detoxification (residential inpatient), and H0015 is intensive outpatient. This combination signals an operator whose core business lines are residential treatment and structured outpatient programs rather than primary care or broad behavioral-health ambulatory services.

SERENITY LANE is a dominant in-state provider for short-term residential services: H0018 ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume) and represents 55.7% of the provider's Medicaid revenue. That ranking and revenue share indicate state-level leadership in billing for this specific short-term residential modality.

The provider also shows a strong position in intensive outpatient services: H0015 ranks #2 of 28 in-state (96th percentile; notably above typical state volume), while its detoxification coding H0010 is more modest at #6 of 13 (58th percentile; typical, unremarkable volume). In practice this means SERENITY LANE combines a top-tier IOP volume with an average-position detox inpatient program.

Claim-level and payment patterns amplify the operational emphasis on residential care: H0018 and H0015 have similar claim counts (H0018: 41.2K claims; H0015: 41.7K claims) but very different average payments per claim ($378 vs $104), producing $15.6M versus $4.3M in revenue respectively. Those numbers show that per-diem residential reimbursement drives revenue disproportionately compared with high-volume outpatient claim counts.

Secondary services and ancillary billing are present but represent small shares of revenue: H0005 group counseling (26.3K claims, $1.3M, 4.5%) and H0001 assessment (1.7K claims, $263.5K, 0.9%) are meaningful in volume but together are minor contributors to total Medicaid revenue. Typical E/M and psychotherapy codes (for example 99213: 1.2K claims, $90.7K; 90837: 466 claims, $69.9K) account for only token portions of Medicaid revenue, underscoring a treatment model organized around structured addiction programs rather than office-based primary behavioral-health visits.

The heavy concentration on three codes (92.8% of Medicaid revenue) creates a concentrated revenue exposure to changes in Medicaid policy, rates, or utilization patterns for residential and IOP services, while the absence of Medicare billing on file means any payer mix shifts would have to come from non-Medicare sources. Stakeholders should view SERENITY LANE as a Medicaid-dependent, specialty residential/IOP operator whose financial and operational performance will track closely with state Medicaid reimbursements and utilization for H0018, H0010, and H0015.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	41,160	$380	$15.6M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	7,740	$780	$6M
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…	41,680	$100	$4.3M
H0005	Alcohol and/or drug services; group counseling by a clinician	26,330	$50	$1.3M
H0001	Alcohol and/or drug assessment	1,690	$160	$263.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,450	$50	$175.7K
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…	1,180	$80	$90.7K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	6,260	$10	$87.6K
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…	470	$150	$69.9K
G9012	Other specified case management service not elsewhere classified	260	$110	$28.9K

Showing 1–10 of 16

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

Serenity Lane — 2 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	6	10	7,740	$1,030	$9M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	5,250	$410	$4M
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…	2	30	1,580	$100	$815K
H0005	Alcohol and/or drug services; group counseling by a clinician	28	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	94	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…	742	1,380	540	$140	$363.3K
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…	605	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	57	160	2,750	$20	$205.1K
G9012	Other specified case management service not elsewhere classified	5	20	60	$330	$176.5K
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…	326	400	230	$90	$153.8K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Serenity Lane, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rhonda Woodside	OR	Adult Health Nurse Practitioner	$19.5K	$0

Nearby Providers

Other providers in the same ZIP code as Serenity Lane, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Emergency Room Corp PC	OR	Emergency Medicine Physician	$0	$7.6M
Thomas Jacks	OR	Oral and Maxillofacial Surgery (Dentist)	$0	$2.7M
Zachery Marker	OR	Medical Physician Assistant	$152.7K	$0
Karthik Mahadevan	OR	Pulmonary Disease Physician	$93.7K	$0
Matthew Walter	OR	Pulmonary Disease Physician	$61.3K	$540
Nazir Memon	OR	Pulmonary Disease Physician	$61K	$0
James Christon	OR	Pulmonary Disease Physician	$58.2K	$0
Indulal Rughani	OR	Pulmonary Disease Physician	$53.7K	$0
Martin Hurtado	OR	Family Medicine Physician	$15.4K	$0
Katelyn Pedersen	OR	Family Medicine Physician	$13.6K	$0

Serenity Lane — Billing Profile & Reimbursement Data

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Serenity Lane — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References