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 Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont 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. Vermont (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.

Oas, LLC (NPI 1396808499)

Field	Value
Entity Type	Organization
Organization	Oas, LLC
Address	23 Upper Pln
City	Bradford
State	VT
ZIP	05033
Taxonomy	Children's Substance Abuse Rehabilitation Facility
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$30.6M
Medicare	$0

Key Findings

OAS, LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $30.6M in lifetime Medicaid revenue. This concentration of revenue under Medicaid indicates its business is centered on publicly funded behavioral-health services rather than dual Medicare/Medicaid operations.

Revenue is highly concentrated in a very narrow code mix: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with H0018 representing $23.4M (76.4%) and H0011 representing $7.2M (23.6%). These two codes alone explain the entirety of recorded Medicaid revenue, signaling dependence on residential substance-abuse service lines.

The code mix (H0018 and H0011) and their descriptions identify the operation as a children’s substance-abuse residential treatment provider offering short-term residential behavioral health services and acute residential detoxification. The claims volumes and payment levels — H0018 with 9.7K claims at $2406 avg paid/claim and H0011 with 2.7K claims at $2629 avg paid/claim — are consistent with per-diem or per-stay payment models typical for residential and inpatient detox programs.

In-state competitive standing is strong for the two revenue-driving codes: H0018 ranks #1 of 3 providers in-state at the 100th percentile, and H0011 ranks #1 of 2 providers in-state at the 100th percentile. Those rank positions indicate OAS, LLC is the largest in-state biller for these specific service codes, making it a dominant local provider for children’s residential substance-abuse care.

Despite top ranking among peers, both H0018 and H0011 are described as having "typical, unremarkable volume," which signals that while OAS, LLC is the largest in-state provider for these codes, its activity levels align with normal expectations for facilities offering these services rather than representing extreme statistical outliers. From an analytic standpoint this reduces concerns about anomalous utilization patterns but reinforces that revenue risk is concentrated in routine residential detox and short-term residential services.

The payment characteristics reflect relatively high per-claim payments for residential care: $2406 avg paid/claim for H0018 and $2629 avg paid/claim for H0011, paired with substantial claim counts (9.7K and 2.7K respectively). This combination yields large absolute Medicaid revenue figures ($23.4M and $7.2M) and suggests the provider’s financial performance is sensitive to occupancy and per-diem rate changes in these service lines.

OAS, LLC’s NPI was enumerated on 2006-12-19 (~20 years ago), indicating long tenure in the market. That duration, combined with top in-state ranks for its principal codes, supports an interpretation of an established provider with sustained specialization in children’s residential substance-abuse treatment rather than a recent entrant or transient operator.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	9,730	$2,410	$23.4M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	2,740	$2,630	$7.2M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Vermont providers billing the same CPT/HCPCS codes.

Claims Volume vs. Vermont Distribution

Oas, LLC — 2 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	3,330	$2,480	$11.2M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	1	10	1,490	$2,490	$3.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Little Rivers Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$12.1M
Upper Valley Pediatrics, PLLC	VT	Pediatric Adolescent Medicine Physician	$0	$1.8M
Heidi Nostrant	VT	Clinical Psychologist	$0	$215.1K
Robert Munson	VT	General Practice Dentistry	$0	$189.9K
Little Rivers Health Care, Inc.	VT	Primary Care Clinic/Center	$0	$114.7K
Sinclair Chiropractic Clinic PC	VT	Chiropractor	$0	$96.1K
Barry Waterson	VT	Clinical Psychologist	$71.3K	$0
Kph Healthcare Services, Inc.	VT	Community/Retail Pharmacy	$68.1K	$0
Visionary Eye Associates LLC	VT	Optometrist	$0	$61.7K
Martins Foods Of South Burlington LLC	VT	Community/Retail Pharmacy	$56.9K	$0

Oas, LLC — Billing Profile & Reimbursement Data

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Oas, LLC — 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