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.

Cascadia Health (NPI 1336196401)

Field	Value
Entity Type	Organization
Organization	Cascadia Health
Address	847 Ne 19th
City	Portland
State	OR
ZIP	97232
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicaid	$76.8M
Medicare	$0

Key Findings

CASCADIA HEALTH records no Medicare billing on file and $76.8M in lifetime Medicaid revenue, so its visible payer footprint is effectively single-payer Medicaid rather than a balanced Medicare/Medicaid mix. This concentration means analyses and contract negotiations should treat Medicaid as the primary revenue and utilization driver for this entity.

Revenue is highly concentrated in a small set of behavioral-health codes: the top three Medicaid codes (H0004, H2018, H2013) account for 71.4% of the provider’s total Medicaid revenue. Those three codes alone — H0004 ($35.2M, 46.0%), H2018 ($14.5M, 19.0%), and H2013 ($4.9M, 6.5%) — drive the majority of cash flow reported here.

The claims and code mix point to a behavioral health operations model focused on time-based counseling and programmatic per-diem services rather than procedure-driven specialties. Heavy use of H0004 (behavioral health counseling and therapy, per 15 minutes), H2018 (psychosocial rehabilitation services, per diem), and related codes like H2014 (skills training) and T1016 (case management) indicates a combination of high-frequency outpatient counseling, structured rehabilitation programs, and case management services.

CASCADIA is a dominant statewide player for multiple behavioral-health lines: H0004 ranks #1 of 265 providers at the 100th percentile (extreme outlier) and H2018 ranks #1 of 13 providers at the 100th percentile (extreme outlier), while H2013 ranks #2 of 22 providers at the 95th percentile (notably above typical state volume). These rank/percentile patterns identify the provider as a market leader in Oregon for several core behavioral-health services.

Operational patterns show very high-volume, time-based service delivery: H0004 appears in 214.5K claims and H2014 in 81.1K claims, while per-diem programs are also substantial with H2018 at 113.4K claims and H2013 at 17.5K claims. This blend of large per-15-minute claim counts and high per-diem utilization suggests a longitudinal, program-oriented service model (frequent sessions and multi-day/per-diem care) rather than episodic specialty visits.

The presence and standing of programmatic and intake codes support a clinic-based behavioral health model: T1040 (Medicaid certified community behavioral health clinic services, per diem) shows 9.7K claims, $1.7M revenue and ranks #1 of 12 providers (100th percentile), and H0031 (mental health assessment by non-physician) shows 12.7K claims, $2.6M revenue and ranks #1 of 78 providers (100th percentile). Together these items indicate certified clinic services with substantial assessment and program throughput.

Medical evaluation-and-management activity is material and appears integrated with behavioral services: 99214 accounts for 37.6K claims and $3.4M revenue (4.4%) and ranks #38 of 1503 providers (98th percentile, notably above typical), whereas 99213 (20.9K claims, $1.2M revenue, 1.5%) ranks #76 of 1591 providers (95th percentile, more typical). This suggests CASCADIA provides significant on-site E/M encounters at a level that supports active medical management alongside behavioral-health programming.

CASCADIA’s NPI was enumerated on 2006-05-27 (~20 years ago), indicating long tenure in the market; combined with sustained high volumes and frequent top-state rankings across behavioral-health codes, this points to an established, large-scale behavioral health operation rather than a new or niche entrant. Analysts should treat its historical data as reflective of enduring capacity and program scale when modeling future Medicaid utilization or contracting strategy.

Medicaid: Complete Services Breakdown

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	214,500	$160	$35.2M
H2018	Psychosocial rehabilitation services, per diem	113,390	$130	$14.5M
H2013	Psychiatric health facility service, per diem	17,530	$280	$4.9M
H2014	Skills training and development, per 15 minutes	81,150	$50	$4.2M
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…	37,650	$90	$3.4M
T1016	Case management, each 15 minutes	33,960	$80	$2.6M
H0031	Mental health assessment, by non-physician	12,740	$210	$2.6M
T1040	Medicaid certified community behavioral health clinic services, per diem	9,700	$170	$1.7M
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…	20,930	$60	$1.2M
H2010	Comprehensive medication services, per 15 minutes	18,150	$60	$1.1M

Showing 1–10 of 49

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

Cascadia Health — 15 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

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2013	Psychiatric health facility service, per diem	2	20	1,290	$520	$2.4M
H2018	Psychosocial rehabilitation services, per diem	1	10	1,350	$180	$2M
H0005	Alcohol and/or drug services; group counseling by a clinician	52	180	3,250	$40	$783.8K
H0045	Respite care services, not in the home, per diem	1	20	320	$280	$697.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	1	270	1,660	$90	$681K
T1040	Medicaid certified community behavioral health clinic services, per diem	1	10	840	$190	$608.3K
H0038	Self‑help/peer services, per 15 minutes	19	150	1,030	$80	$417.2K
H2014	Skills training and development, per 15 minutes	2	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…	38	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…	76	1,590	590	$50	$236.5K

Showing 1–10 of 49

Related Providers

Other providers that share a Tax Identification Number (TIN) with Cascadia Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cascadia Health	OR	Multi-Specialty Clinic/Center	$0	$14.2M
Cascadia Health	OR	Multi-Specialty Clinic/Center	$0	$12.2M
Cascadia Health	OR	Multi-Specialty Clinic/Center	$0	$8.2M
Cascadia Health	OR	Multi-Specialty Clinic/Center	$0	$7.8M
Cascadia Health	OR	Mental Illness Community Based Residential Treatment Facility	$0	$2.3M
Cascadia Health	OR	Primary Care Clinic/Center	$0	$1.5M
Cascadia Health	OR	Multi-Specialty Clinic/Center	$0	$1.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Health Plan Of The Northwest	OR	General Practice Physician	$0	$116.3M
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$50.8M
Legacy Laboratory Services, LLC	OR	Clinical Medical Laboratory	$2.8M	$24.8M
The Oregon Clinic PC	OR	Specialist	$0	$7.4M
Kaiser Foundation Health Plan Of The Northwest	OR	General Practice Dentistry	$0	$6.9M
Laboratory Corporation Of America	OR	Clinical Medical Laboratory	$348.3K	$2.7M
Restore Therapy LLC	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M
Cascade Pathology Services, Corp	OR	Anatomic Pathology & Clinical Pathology Physician	$0	$2.5M
Pacific Northwest Renal Services, L.L.C.	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M
Cascade Cytology Reference	OR	Anatomic Pathology & Clinical Pathology Physician	$0	$1.1M

Cascadia Health — 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