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.

Native American Rehabilitation Assoc Inc (NPI 1134343213)

Field	Value
Entity Type	Organization
Organization	Native American Rehabilitation Assoc Inc
Address	211 Se Caruthers St
City	Portland
State	OR
ZIP	97214
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 12, 2007

Payer Source	Total Paid
Medicaid	$32.5M
Medicare	$0

Key Findings

NATIVE AMERICAN REHABILITATION ASSOC INC is an FQHC based in PORTLAND, OR with $32.5M in lifetime Medicaid revenue and no Medicare billing on file. This profile makes the organization effectively Medicaid-focused for payer exposure and positions its Medicaid programs as the primary driver of organizational revenue. The provider’s NPI was enumerated 2007-04-12 (~19 years ago), indicating a long-established operation.

Revenue is highly concentrated: the top 3 Medicaid codes by revenue (H0019, H0005, H0038) account for 72.3% of this provider's total Medicaid revenue. In particular H0019 generates $15.3M (47.5% of Medicaid revenue), making it the single largest revenue stream for the organization and indicating heavy reliance on that service line.

The code mix points to a behavioral health and substance-use treatment focus: H0019 is long-term residential behavioral health, H0005 is group counseling for alcohol/drug services, and H0038 is self-help/peer services. The presence of substantial claims for 90853 (group psychotherapy, $1.2M) and multiple psychotherapy CPTs (90834, 90837, 90832) further supports that the operation emphasizes residential and group-based behavioral health interventions.

Competitive standing across the state is mixed by service. H0038 is ranked #6 of 146 providers in-state and is reported as notably above typical state volume (97th percentile), indicating a strong statewide presence in peer services; H0019 ranks #4 of 31 providers in-state (90th percentile; typical, unremarkable volume) and H0005 ranks #21 of 184 providers in-state (89th percentile; typical, unremarkable volume), showing meaningful but not exclusive leadership in residential and group counseling services.

Operational breadth includes outpatient medical evaluation-and-management activity in addition to behavioral services: 99213 accounts for $2.1M (6.4% of Medicaid revenue) with 14K claims, and 99214 and 99212 together add material E&M volume. High percentile ranks for these E&M codes (e.g., 99213 at the 93th percentile and 99212 at the 97th percentile) indicate the provider also functions as an active outpatient clinic alongside its residential and peer-service lines.

Ancillary services appear within the Medicaid mix but are smaller contributors to revenue: dental codes like D0150, D0140 and D7140 together contribute modest sums, and diagnostic/testing codes such as 87811 (SARS–CoV–2 immunoassay) appear with $25.6K revenue and a 93th-percentile rank. The provider also reports 0403T diabetes-prevention education ($58.6K) and is the sole in-state reporter for that code (rank #1 of 1), suggesting a limited but distinct set of ancillary programs.

Being effectively single-payer (Medicaid-only billing on file) creates concentration risk if Medicaid policy or rates change, but it also signals deep alignment with Medicaid-covered behavioral health benefit structures. Given the $32.5M Medicaid footprint and the dominance of residential and peer-service codes, the organization’s financial and clinical model appears specialized around long-term behavioral health and addiction-recovery services.

Medicaid: Complete Services Breakdown

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

87 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	78,330	$200	$15.3M
H0005	Alcohol and/or drug services; group counseling by a clinician	46,480	$100	$4.5M
H0038	Self‑help/peer services, per 15 minutes	28,990	$120	$3.5M
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…	13,960	$150	$2.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	16,980	$120	$2M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	9,050	$130	$1.2M
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…	7,190	$160	$1.2M
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…	6,830	$110	$731.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	3,760	$170	$650.3K
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…	2,700	$90	$240.1K

Showing 1–10 of 87

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

Native American Rehabilitation Assoc Inc — 3 of 25 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

87 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	4	30	2,560	$400	$8.9M
H0005	Alcohol and/or drug services; group counseling by a clinician	21	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	31	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	6	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…	251	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	88	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…	214	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…	118	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	52	160	2,750	$20	$205.1K
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…	27	400	230	$90	$153.8K

Showing 1–10 of 87

Related Providers

Other providers that share a Tax Identification Number (TIN) with Native American Rehabilitation Assoc Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Seuferling	OR	Podiatrist	$88.5K	$0

Nearby Providers

Other providers in the same ZIP code as Native American Rehabilitation Assoc Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coda, Inc.	OR	Substance Abuse Rehabilitation Facility	$442.9K	$81M
American Medical Response Northwest Inc	OR	Ambulance	$4.4M	$62M
Volunteers Of America Inc.	OR	Contractor	$0	$33.6M
Crc Health Oregon, LLC	OR	Methadone Clinic	$177.6K	$24.3M
Advanced Wellness Center	OR	Multi-Specialty Clinic/Center	$0	$5M
Larsen Sanchez Psychology, LLC	OR	Clinical Psychologist	$0	$4.4M
Tiffany Kettermann, LLC	OR	Mental Health Counselor	$0	$4.2M
Center For Natural Medicine, Inc	OR	Multi-Specialty Clinic/Center	$0	$4.1M
Climb Behavioral Solutions, LLC	OR	Behavior Analyst	$0	$3.9M
Cascade Aids Project	OR	Primary Care Clinic/Center	$0	$1.8M

Native American Rehabilitation Assoc Inc — Billing Profile & Reimbursement Data

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Native American Rehabilitation Assoc 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

Related Providers

Nearby Providers

Frequently Asked Questions

References