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.

South Lane Mental Health Services, Inc (NPI 1306905831)

Field	Value
Entity Type	Organization
Organization	South Lane Mental Health Services, Inc
Address	1345 Birch Ave
City	Cottage Grove
State	OR
ZIP	97424
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 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…	39,990	$120	$4.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	6,740	$40	$289.6K
H2014	Skills training and development, per 15 minutes	8,350	$30	$283.7K
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…	2,880	$60	$184.6K
T1016	Case management, each 15 minutes	1,990	$80	$151.1K
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…	3,640	$40	$145.6K
90832	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…	1,790	$50	$80.4K
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…	1,360	$50	$65.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	480	$110	$55.1K
H0005	Alcohol and/or drug services; group counseling by a clinician	340	$30	$9.9K

Showing 1–10 of 20

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

South Lane Mental Health Services, Inc — 1 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

20 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	145	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	67	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	121	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…	13	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	22	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…	341	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…	576	1,590	590	$50	$236.5K
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…	53	400	230	$90	$153.8K
T1016	Case management, each 15 minutes	54	210	410	$50	$126.4K
H0039	Assertive community treatment, face-to-face, per 15 minutes	6	30	8,260	$10	$100.2K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as South Lane Mental Health Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	OR	Critical Access Hospital	$0	$17.2M
Bridges Community Health Inc.	OR	Mental Health Counselor	$0	$3.5M
South Lane County Fire And Rescue	OR	Land Ambulance	$346.5K	$1.3M
Michele Savage	OR	Durable Medical Equipment & Medical Supplies	$0	$1.1M
Bret Gorham	OR	Emergency Medicine Physician	$43.6K	$0
Lisa Parker	OR	Nurse Practitioner	$37.1K	$0
Brandy Zerby	OR	Medical Physician Assistant	$30.8K	$0
Linda Thompson	OR	Speech-Language Pathologist	$12.5K	$0
Genevieve Murstig	OR	Registered Dietitian	$2.7K	$0
Angela Gates	OR	Family Nurse Practitioner	$1.5K	$0

South Lane Mental Health Services, Inc — Billing Profile & Reimbursement Data

Sign up for South Lane Mental Health Services, Inc — Billing Profile & Reimbursement Data policy alerts

South Lane Mental Health Services, Inc — Billing Profile & Reimbursement Data

Sign up for South Lane Mental Health Services, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References