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.

New Narrative (NPI 1265595664)

Field	Value
Entity Type	Organization
Organization	New Narrative
Address	8915 Sw Center St
City	Tigard
State	OR
ZIP	97223
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	December 18, 2006

Payer Source	Total Paid
Medicaid	$46.9M
Medicare	$0

Key Findings

NEW NARRATIVE is effectively a Medicaid-centric provider with no Medicare billing on file and $46.9M in lifetime Medicaid revenue reported. The absence of Medicare billing means analysts should treat this entity as a single-payer (Medicaid) operation for competitive and utilization comparisons rather than a mixed payer practice.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 93.8% of the provider's Medicaid revenue. That concentration is driven overwhelmingly by T1020, which alone accounts for $40.2M (85.7% of Medicaid revenue), indicating a single service line dominates the financial picture.

The dominance of T1020 (T1020 – Personal care services, per diem) points to an operational model focused on per-diem personal care services delivered under individualized plans of treatment rather than brief office-based encounters. Complementary codes H0004 (behavioral health counseling, per 15 minutes) and H2018 (psychosocial rehabilitation services, per diem) together provide the bulk of the remaining revenue, which suggests the organization bundles per-diem support services with ongoing behavioral health and rehab programming.

Despite the very large dollar share from T1020, the provider's in-state competitive standing for that code is not unique: T1020 ranks #8 of 44 providers in-state (84th percentile) and is described as having "typical, unremarkable volume for this code." In other words, NEW NARRATIVE’s heavy reliance on T1020 produces high absolute Medicaid revenue but its peer ranking suggests several other Oregon providers operate at comparable volumes for that service.

For other behavioral health services NEW NARRATIVE shows strong placement in state peer lists for specific codes: H0004 is $2.6M (5.6% of Medicaid revenue) and ranks #19 of 265 providers in-state (93th percentile; typical, unremarkable volume for this code), while H2018 is $1.2M (2.5% of Medicaid revenue) and ranks #2 of 13 providers in-state (92th percentile; typical, unremarkable volume for this code). These ranks indicate the provider is among the more active in Oregon for psychosocial rehabilitation and counseling, even though those services represent a much smaller share of total Medicaid revenue than T1020.

Clinical and non-physician assessment activity is visible but modest relative to the per-diem revenue stream: H0031 (mental health assessment, by non-physician) generated $497.6K (1.1% of Medicaid revenue) and ranks #6 of 78 providers in-state (94th percentile; typical, unremarkable volume for this code). E/M services also appear — 99214 produced $794.3K (1.7% of Medicaid revenue) and ranks #150 of 1503 providers in-state (90th percentile; typical, unremarkable volume for this code) — indicating regular outpatient evaluation and management activity alongside the per-diem services.

The NPI has been enumerated since 2006-12-18 (~20 years ago), so this is an established entity with a multi-year operational history. From an analytic perspective, the combination of long tenure plus extreme revenue concentration in T1020 suggests due-diligence focus should be on service capacity, payer contracts, and continuity of per-diem service delivery rather than on diversified fee-for-service outpatient volumes.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	8,260	$4,870	$40.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	22,410	$120	$2.6M
H2018	Psychosocial rehabilitation services, per diem	10,790	$110	$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…	10,050	$80	$794.3K
H0031	Mental health assessment, by non-physician	2,030	$250	$497.6K
T1016	Case management, each 15 minutes	5,880	$80	$470.1K
H2010	Comprehensive medication services, per 15 minutes	8,510	$50	$416.7K
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…	6,210	$40	$242K
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	2,560	$80	$201.8K
H2014	Skills training and development, per 15 minutes	2,310	$50	$122.4K

Showing 1–10 of 19

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

New Narrative — 0 of 19 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

19 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	16	30	2,560	$400	$8.9M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	8	40	1,330	$1,170	$6.4M
H2018	Psychosocial rehabilitation services, per diem	2	10	1,350	$180	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	19	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	112	150	1,030	$80	$417.2K
H2014	Skills training and development, per 15 minutes	44	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…	150	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…	235	1,590	590	$50	$236.5K
T1016	Case management, each 15 minutes	21	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…	39	140	310	$60	$113.6K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Nursing Specialties, Inc.	OR	Nursing Care Agency	$0	$18.9M
Crc Health Oregon, LLC	OR	Methadone Clinic	$125.2K	$14.5M
Recovery Works Nw LLC	OR	Multi-Specialty Clinic/Center	$0	$12.1M
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

New Narrative — Billing Profile & Reimbursement Data

Sign up for New Narrative — Billing Profile & Reimbursement Data policy alerts

New Narrative — Billing Profile & Reimbursement Data

Sign up for New Narrative — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References