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.

Willamette Family, Inc (NPI 1376546291)

Field	Value
Entity Type	Organization
Organization	Willamette Family, Inc
Address	687 Cheshire Ave
City	Eugene
State	OR
ZIP	97402
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 24, 2005

Payer Source	Total Paid
Medicaid	$66M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused operation: Total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $66M, indicating Medicaid accounts for the entirety of reported fee-for-service billing. Analysts should treat WILLAMETTE FAMILY, INC as a single-payer (Medicaid) billing entity for the period on file.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 84.1% of this provider's total Medicaid revenue, driven by H0019 ($25.8M, 39.2%), H0010 ($24.5M, 37.2%), and H0005 ($5M, 7.6%). This concentration means a large share of the provider’s revenue is tied to a narrow set of behavioral health/residential addiction services.

The code mix maps to a residential and detox-centered service model: H0019 (long-term residential per diem) and H0010 (sub-acute residential detox) together represent the majority of revenue, while H0005 (group counseling) and H0015 (intensive outpatient) show supporting outpatient and group therapy capacity. This combination suggests the provider operates a continuum from residential treatment and detoxification through group and intensive outpatient programming rather than primarily offering standard office-based care.

State-level competitive standing is strong in key service lines: WILLAMETTE FAMILY ranks #1 of 31 providers for H0019 (100th percentile) and #1 of 13 providers for H0010 (100th percentile), and also ranks #1 of 8 for H2036 (100th percentile), marking it as a dominant in-state supplier of residential and per-diem addiction treatment services. By contrast, for codes reflecting routine behavioral-health office visits (for example 99213, 99214, and psychotherapy codes), the provider generally ranks in middle-to-upper percentiles but not as dominant, indicating its competitive edge is concentrated in residential/detox lines.

Several codes are statistical outliers or unusually large relative to peers: H0001 (alcohol/drug assessment) is described as an "extreme outlier, far above typical state volume for this code" (rank #2 of 97, 99th percentile), and H0005 and H0015 are described as "notably above typical state volume for this code" (H0005 rank #12 of 184, 94th percentile; H0015 rank #3 of 28, 93rd percentile). These labels indicate the provider’s utilization pattern for assessment, group counseling, and intensive outpatient services is substantially above typical in-state levels.

Scale and utilization metrics show operational volume: the provider reported 132.2K claims for H0019 (average paid $195/claim) and 30.7K claims for H0010 (average paid $798/claim), alongside 103.9K claims for H0005 (average paid $48/claim). The combination of very high claim counts on per-diem residential codes and materially higher per-claim payments for detox (H0010) signals both high throughput and mix-driven revenue intensity, with per-diem services generating the largest dollar flows.

From a payer contracting and network-capacity perspective, WILLAMETTE FAMILY’s dominant position in high-revenue residential and detox codes (H0019, H0010, and H2036) means payers seeking to secure inpatient/sub-acute addiction treatment capacity in Oregon will need to engage this provider as a major in-network source. Given that the top three Medicaid codes account for 84.1% of Medicaid revenue, changes in contract terms or coverage for those specific codes would disproportionately affect the provider’s financials and payer networks.

The provider has an established NPI tenure, enumerated on 2005-05-24 (~21 years ago), which, combined with its top-state rankings on several residential and detox codes, indicates a long-standing and specialized presence in Oregon’s substance abuse treatment market. For analysts assessing market structure, this tenure plus dominant code-level rankings supports treating the entity as an experienced, high-capacity specialist in residential addiction services rather than a new or marginal outpatient clinic.

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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	132,250	$200	$25.8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	30,660	$800	$24.5M
H0005	Alcohol and/or drug services; group counseling by a clinician	103,930	$50	$5M
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…	33,260	$100	$3.2M
H2036	Alcohol and/or other drug treatment program, per diem	9,610	$200	$1.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	16,570	$70	$1.1M
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…	8,500	$110	$935.1K
H0001	Alcohol and/or drug assessment	6,320	$150	$923K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	27,200	$20	$462.5K
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…	4,590	$60	$293.8K

Showing 1–10 of 59

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

Willamette Family, Inc — 4 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

59 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)	1	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	1	30	2,560	$400	$8.9M
H2036	Alcohol and/or other drug treatment program, per diem	1	10	1,920	$460	$1.5M
H0012	Behavioral health day treatment, per hour	3	10	550	$940	$947K
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…	3	30	1,580	$100	$815K
H0005	Alcohol and/or drug services; group counseling by a clinician	12	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	33	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	30	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…	89	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	40	120	1,010	$40	$323.2K

Showing 1–10 of 59

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Willamette Family Medical Center Inc	OR	Family Medicine Physician	$0	$1.9M

Nearby Providers

Other providers in the same ZIP code as Willamette Family, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nepenthe Laboratory Services LLC	OR	Clinical Medical Laboratory	$421.4K	$16.6M
Icco, LLC	OR	Urgent Care Clinic/Center	$0	$11.3M
City Of Eugene	OR	Land Ambulance	$1.2M	$9.9M
City Of Springfield	OR	Land Ambulance	$575.8K	$5M
Eugene Kids' Dentist, LLC	OR	Pediatric Dentistry	$0	$4.2M
Advanced Health Chiropractic PC	OR	Chiropractor	$0	$3.8M
Bhs Eugene Inc.	OR	Long Term Care Pharmacy	$40.1K	$2.3M
Mid Valley Ambulance Service Inc.	OR	Land Ambulance	$298.4K	$2M
Centennial Medical Equipment Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$2M
Timothy Richardson	OR	Pediatric Dentistry	$0	$1.5M

Willamette Family, Inc — Billing Profile & Reimbursement Data

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Willamette Family, 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