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.

Transformations Wellness Center (NPI 1407065956)

Field	Value
Entity Type	Organization
Organization	Transformations Wellness Center
Address	3647 Hwy 39
City	Klamath Falls
State	OR
ZIP	97603
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 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	21,160	$290	$6.2M
H0005	Alcohol and/or drug services; group counseling by a clinician	1,120	$200	$224.8K
H0006	Alcohol and/or drug services; case management	400	$150	$58.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	230	$70	$16K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	550	$10	$6.1K

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

Transformations Wellness Center — 0 of 5 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

5 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	9	30	2,560	$400	$8.9M
H0005	Alcohol and/or drug services; group counseling by a clinician	119	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	199	270	1,660	$90	$681K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	117	160	2,750	$20	$205.1K
H0006	Alcohol and/or drug services; case management	47	100	380	$30	$51.1K

Nearby Providers

Other providers in the same ZIP code as Transformations Wellness Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Klamath Child And Family Treatment Center	OR	Mental Illness Community Based Residential Treatment Facility	$0	$5.8M
Norco, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.9M
Lincare Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Klamath County	OR	Public Health or Welfare Agency	$0	$1.2M
Total Renal Care Inc	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
Place2heal Counseling Services	OR	Mental Health Counselor	$0	$1.1M
Med-trans Corporation	OR	Air Ambulance	$173.3K	$715.5K
Med-trans Corporation	OR	Air Ambulance	$443.9K	$70.7K
George Mills	OR	Physical Therapist	$217.6K	$0
Fred Meyer Stores Inc.	OR	Community/Retail Pharmacy	$92.6K	$220

Transformations Wellness Center — Billing Profile & Reimbursement Data

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Transformations Wellness Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References