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.

Volunteers Of America Inc. (NPI 1376611418)

Field	Value
Entity Type	Organization
Organization	Volunteers Of America Inc.
Address	3910 Se Stark St
City	Portland
State	OR
ZIP	97214
Taxonomy	Contractor
NPI Enumerated	November 30, 2006

Payer Source	Total Paid
Medicaid	$33.6M
Medicare	$0

Key Findings

VOLUNTEERS OF AMERICA INC. is effectively a Medicaid-focused provider: there is no Medicare billing on file and total Medicaid revenue on record is $33.6M, indicating near-exclusive reliance on Medicaid for billed services. This payer mix makes Medicaid policy, rates, and network placement primary drivers of the organization’s financial performance and contracting priorities.

Revenue is highly concentrated in a small set of behavioral-health codes: the precomputed top-3 Medicaid codes account for 87.8% of the provider’s Medicaid revenue, with H0019 alone representing $24.8M (73.9% of total Medicaid revenue). H0005 ($3M, 8.8%) and H0004 ($1.7M, 5.1%) complete that dominant trio, so changes to reimbursement or utilization for any of these codes would materially affect overall revenue.

The code mix points to a core business in residential and programmatic behavioral-health services: H0019 (long-term residential, per diem) is the single largest revenue driver, while H0005 (group counseling) and H0004 (behavioral health counseling, per 15 minutes) signal substantial outpatient and group-delivery capacity. High counts of time-based codes and per-diem residential billing suggest the organization operates sustained treatment programs and frequent short-interval counseling sessions rather than episodic acute-care visits.

Despite H0019 driving the majority of this provider’s Medicaid dollars, its statewide competitive standing on that code is modest: H0019 ranks #10 of 31 providers in-state (70th percentile; typical, unremarkable volume for this code). In other words, the provider’s reliance on H0019 is large in dollar terms for itself but not indicative of statewide dominance on the same line item.

For other high-volume behavioral-health services the provider shows above-average presence: H0005 (68.9K claims, $43 avg paid/claim, $3M; rank #14 of 184, 93th percentile) and H0004 (22.2K claims, $77 avg paid/claim, $1.7M; rank #20 of 265, 93th percentile) both sit at the 93th percentile and are characterized as typical, unremarkable volume relative to the state peer set. Additionally, several ancillary codes are notably above typical state volume—H0048 (58.3K claims, $21 avg paid/claim, $1.2M; rank #8 of 162, 96th percentile), T1016 (11K claims, $41 avg paid/claim, $449.3K; rank #10 of 206, 96th percentile), and 87811 (2.4K claims, $21 avg paid/claim, $50K; rank #3 of 57, 96th percentile)—pointing to significant specimen/testing and case-management throughput.

There are clear statistical outliers in service volume that do not necessarily correspond to major revenue share: 90853 appears as an extreme outlier with 26.2K claims, $24 avg paid/claim, $628.3K revenue (1.9% of Medicaid revenue) and ranks #2 of 140 providers in-state (99th percentile; extreme outlier). This indicates exceptionally high group-therapy utilization relative to peers, which may reflect program design emphasizing large group sessions or billing practices that favor group modalities.

The provider has an established operational tenure: the NPI was enumerated on 2006-11-30 (~20 years ago), suggesting long-term participation in Medicaid programs and likely established referral and payer relationships. Given the concentration of Medicaid dollars in a few behavioral-health codes and substantial volumes across testing and group modalities, the organization’s financial and operational health is highly sensitive to Medicaid rate changes or utilization-management efforts affecting H0019, H0005, or H0004.

Medicaid: Complete Services Breakdown

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

22 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	9,530	$2,600	$24.8M
H0005	Alcohol and/or drug services; group counseling by a clinician	68,890	$40	$3M
H0004	Behavioral health counseling and therapy, per 15 minutes	22,180	$80	$1.7M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	58,310	$20	$1.2M
H0038	Self‑help/peer services, per 15 minutes	15,700	$60	$863.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	26,180	$20	$628.3K
T1016	Case management, each 15 minutes	10,960	$40	$449.3K
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…	2,880	$90	$271K
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	110	$1,370	$149.2K
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…	1,640	$70	$117.7K

Showing 1–10 of 22

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

Volunteers Of America Inc. — 4 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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	10	30	2,560	$400	$8.9M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	7	10	5,250	$410	$4M
H0005	Alcohol and/or drug services; group counseling by a clinician	14	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	20	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	14	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…	636	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	58	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…	392	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…	527	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	8	160	2,750	$20	$205.1K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Volunteers Of America Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coda, Inc.	OR	Substance Abuse Rehabilitation Facility	$442.9K	$81M
American Medical Response Northwest Inc	OR	Ambulance	$4.4M	$62M
Native American Rehabilitation Assoc Inc	OR	Federally Qualified Health Center (FQHC)	$0	$32.5M
Crc Health Oregon, LLC	OR	Methadone Clinic	$177.6K	$24.3M
Advanced Wellness Center	OR	Multi-Specialty Clinic/Center	$0	$5M
Larsen Sanchez Psychology, LLC	OR	Clinical Psychologist	$0	$4.4M
Tiffany Kettermann, LLC	OR	Mental Health Counselor	$0	$4.2M
Center For Natural Medicine, Inc	OR	Multi-Specialty Clinic/Center	$0	$4.1M
Climb Behavioral Solutions, LLC	OR	Behavior Analyst	$0	$3.9M
Cascade Aids Project	OR	Primary Care Clinic/Center	$0	$1.8M

Volunteers Of America Inc. — Billing Profile & Reimbursement Data

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Volunteers Of America 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

Nearby Providers

Frequently Asked Questions

References