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.

Addictions Recovery Center, Inc. (NPI 1346282035)

Field	Value
Entity Type	Organization
Organization	Addictions Recovery Center, Inc.
Address	1003 East Main Street
City	Medford
State	OR
ZIP	97504
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	June 10, 2006

Payer Source	Total Paid
Medicaid	$29.2M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operator: there is no Medicare billing on file and lifetime Medicaid revenue is reported as $29.2M. The practice has an established presence in the market, with an NPI enumerated 2006-06-10 (~20 years ago), indicating long tenure in the community.

Revenue is highly concentrated in a small set of outpatient/residential substance-use codes: the top three Medicaid codes (H0010, H0005, H0038) account for 73.8% of this provider's total Medicaid revenue. Those top codes individually appear as H0010 $10.9M (37.1%), H0005 $5.6M (19.0%), and H0038 $5.2M (17.7%), showing that a few service lines drive the bulk of billed Medicaid dollars.

The code mix aligns with a substance abuse rehabilitation operation that combines residential detox and high-volume counseling/peer support: H0010 (sub-acute detoxification, residential) is the largest single code by revenue and H0005 (group counseling) and H0038 (self-help/peer services) together represent substantial counseling and recovery-support capacity. Additional billed services such as H0015 (intensive outpatient), H0018 (short-term residential), and multiple E/M codes indicate parallel outpatient care and care coordination pathways.

H0038 (self-help/peer services) is a clear statewide outlier: it ranks #1 of 146 providers in-state (100th percentile; labeled an "extreme outlier") and contributes $5.2M (17.7%) of Medicaid revenue, signaling dominance in peer-support volume relative to other Oregon providers. That elevated peer-service throughput is a distinguishing competitive strength compared with peers.

H0005 (group counseling) is also a high-volume service for this provider, with 105.1K claims producing $5.6M (19.0%) and a state rank of #11 of 184 (95th percentile; "notably above typical"). This places the provider among the state’s heavier deliverers of clinician-led group counseling, reinforcing a behavioral-health–centric operating model.

By contrast, H0010 (sub-acute residential detox) produces the largest single revenue line at $10.9M (37.1%) but ranks #3 of just 13 in-state (83th percentile; described as "typical, unremarkable volume"). That ranking suggests the provider is a significant but not singularly dominant residential detox capacity in Oregon; the service is a core offering but faces meaningful in-state competition.

The practice provides medication-assisted treatment (MAT) modalities on-site but not as dominant revenue drivers: Q9992 (buprenorphine extended-release >100 mg) shows 351 claims and $627.6K (2.1%) revenue, ranking #5 of 12 (64th percentile), and Q9991 shows 111 claims and $147.7K (0.5%), ranking #6 of 7. These entries indicate available MAT services (including injectable buprenorphine) that complement counseling and residential offerings without comprising a large share of Medicaid revenue.

Several ancillary behavioral-health functions show above-typical state standing and suggest strong intake and care-planning throughput: H0001 (assessment) reports 6K claims and $1.1M (3.7%) at rank #3 of 97 (98th percentile; "extreme outlier"), and H0032 (service plan development) reports $517.4K (1.8%) at rank #5 of 188 (98th percentile; "notably above typical"). Together these data points indicate disproportionately high volumes of assessment and care-planning activity relative to most in-state peers.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	12,390	$880	$10.9M
H0005	Alcohol and/or drug services; group counseling by a clinician	105,090	$50	$5.6M
H0038	Self‑help/peer services, per 15 minutes	67,050	$80	$5.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	14,970	$110	$1.7M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	15,190	$80	$1.2M
H0001	Alcohol and/or drug assessment	6,020	$180	$1.1M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	5,910	$160	$969.9K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	350	$1,790	$627.6K
H0032	Mental health service plan development by non-physician	4,240	$120	$517.4K
T1016	Case management, each 15 minutes	4,560	$90	$405.8K

Showing 1–10 of 26

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

Addictions Recovery Center, Inc. — 3 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	3	10	7,740	$1,030	$9M
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	28	30	2,560	$400	$8.9M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3	10	5,250	$410	$4M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6	30	1,580	$100	$815K
H0005	Alcohol and/or drug services; group counseling by a clinician	11	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	36	270	1,660	$90	$681K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	5	10	130	$1,860	$555.5K
Q9991	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	6	10	260	$1,780	$471.2K
H0038	Self‑help/peer services, per 15 minutes	1	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…	1,167	1,380	540	$140	$363.3K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Addictions Recovery Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shawn Sills	OR	Interventional Pain Medicine Physician	$142.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante	OR	General Acute Care Hospital	$0	$29.7M
Asante Physician Partners	OR	Family Medicine Physician	$0	$27.2M
Mercy Flights Incorporated	OR	Ambulance	$3.6M	$19.4M
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$20.9M
Crc Health Oregon, LLC	OR	Methadone Clinic	$193K	$13M
James Kolby Robinson, Dmd	OR	Pediatric Dentistry	$0	$11.6M
Valley Immediate Care, LLC	OR	Urgent Care Clinic/Center	$0	$9.4M
Lincare Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Southern Oregon Pediatrics, LLP	OR	Pediatric Hospice and Palliative Medicine Physician	$0	$6.5M
Providence Health & Services - Oregon	OR	Clinical Pathology Physician	$0	$6.1M

Addictions Recovery Center, Inc. — Billing Profile & Reimbursement Data

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Addictions Recovery Center, Inc. — 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