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.

Alliance Counseling Center, Inc (NPI 1255495719)

Field	Value
Entity Type	Organization
Organization	Alliance Counseling Center, Inc
Address	22018 S Central Point Rd
City	Canby
State	OR
ZIP	97013
Taxonomy	Mental Health Counselor
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicaid	$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.

12 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…	41,850	$170	$7.1M
T1016	Case management, each 15 minutes	2,790	$210	$578.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	950	$240	$228.9K
H2014	Skills training and development, per 15 minutes	1,740	$50	$88.5K
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…	250	$90	$23K
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…	190	$30	$5.2K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	220	$20	$4.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	40	$120	$4.1K
99204	The provider sees a new 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 provider…	10	$300	$3.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	110	$30	$3.4K

Showing 1–10 of 12

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

Alliance Counseling Center, Inc — 1 of 11 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	248	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…	12	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	50	120	1,010	$40	$323.2K
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…	64	130	230	$110	$152K
T1016	Case management, each 15 minutes	41	210	410	$50	$126.4K
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…	85	140	310	$60	$113.6K
99204	The provider sees a new 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 provider…	496	530	80	$120	$68.5K
H0032	Mental health service plan development by non-physician	91	190	80	$100	$52.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	10	90	120	$70	$42.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	140	370	60	$110	$41.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Alliance Counseling Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neurotherapeutic Pediatric Therapies Inc	OR	Occupational Therapist	$0	$4.3M
Providence Health & Services - Oregon	OR	Internal Medicine Physician	$0	$1.5M
Advanced Health Center, LLC	OR	Chiropractor	$0	$1.2M
Canby Healthcare Clinic LLC	OR	Rural Health Clinic/Center	$0	$1.1M
Canby Fire District 62	OR	Land Ambulance	$133.6K	$671K

Alliance Counseling Center, Inc — Billing Profile & Reimbursement Data

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Alliance Counseling Center, Inc — 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