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.

Options For Southern Oregon (NPI 1306367305)

Field	Value
Entity Type	Organization
Organization	Options For Southern Oregon
Address	1215 Sw G St
City	Grants Pass
State	OR
ZIP	97526
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	June 29, 2017

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	11,650	$40	$466K
H0005	Alcohol and/or drug services; group counseling by a clinician	20,040	$20	$460.9K
H0038	Self‑help/peer services, per 15 minutes	4,380	$30	$127K
H0001	Alcohol and/or drug assessment	120	$160	$19.8K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	2,090	$10	$18.8K
T1040	Medicaid certified community behavioral health clinic services, per diem	220	$30	$6.2K
H0006	Alcohol and/or drug services; case management	380	$20	$5.8K
H0032	Mental health service plan development by non-physician	80	$60	$4.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	100	$30	$3.3K
90849	In this procedure, the provider performs a psychotherapy session with a group of patients’ families.	50	$0	$0

Showing 1–10 of 11

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

Options For Southern Oregon — 0 of 9 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	33	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	41	270	1,660	$90	$681K
T1040	Medicaid certified community behavioral health clinic services, per diem	9	10	840	$190	$608.3K
H0038	Self‑help/peer services, per 15 minutes	39	150	1,030	$80	$417.2K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	88	160	2,750	$20	$205.1K
T1016	Case management, each 15 minutes	161	210	410	$50	$126.4K
H0001	Alcohol and/or drug assessment	44	100	80	$140	$70.6K
H0032	Mental health service plan development by non-physician	92	190	80	$100	$52.2K
H0006	Alcohol and/or drug services; case management	48	100	380	$30	$51.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	24	50	90	$20	$6.6K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Options For Southern Oregon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Options For Southern Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
American Medical Response Northwest Inc	OR	Ambulance	$1.4M	$7.7M
John Waschak	OR	Pediatric Dentistry	$0	$6.5M
Siskiyou Community Health Center, Inc	OR	Federally Qualified Health Center (FQHC)	$0	$5.4M
Axis Health, Inc.	OR	Chiropractor	$0	$3.2M
Total Performance Sports Medicine, PC	OR	Chiropractor	$0	$2.3M
Eye Care Group Of Southern Oregon, LLC	OR	Optometrist	$0	$1.6M
Grants Pass Surgery Center, LLC	OR	Ambulatory Surgical Clinic/Center	$1.1M	$113.1K
Cascade Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$428.7K	$155.5K
Mid Rogue Imaging Center	OR	Radiology Clinic/Center	$140.4K	$274.1K

Options For Southern Oregon — Billing Profile & Reimbursement Data

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Options For Southern Oregon — 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