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.

County Of Polk (NPI 1427081470)

Field	Value
Entity Type	Organization
Organization	County Of Polk
Address	182 Sw Academy
City	Dallas
State	OR
ZIP	97338
Taxonomy	Psychiatry Physician
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$13.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	60,750	$120	$7.2M
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…	30,990	$70	$2.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,520	$110	$736.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,170	$90	$710.4K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	5,350	$80	$417.2K
H0032	Mental health service plan development by non-physician	3,050	$110	$323.2K
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…	5,060	$60	$318.6K
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…	5,340	$50	$245.6K
H2014	Skills training and development, per 15 minutes	9,820	$30	$245.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	6,750	$30	$216.1K

Showing 1–10 of 42

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

County Of Polk — 6 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2018	Psychosocial rehabilitation services, per diem	4	10	1,350	$180	$2M
H0005	Alcohol and/or drug services; group counseling by a clinician	113	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	158	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	26	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…	8	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	17	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…	49	1,500	650	$70	$312.4K
T2022	Case management, per month	3	10	2,270	$100	$305.9K
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…	265	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	116	160	2,750	$20	$205.1K

Showing 1–10 of 42

Nearby Providers

Other providers in the same ZIP code as County Of Polk, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salem Health West Valley	OR	Critical Access Hospital	$0	$16.2M
Polk County Alcohol And Drug	OR	Addiction (Substance Use Disorder) Counselor	$0	$3.6M
Fir Hill Group Home LLC	OR	Mental Illness Community Based Residential Treatment Facility	$0	$2.4M
Polk Adolescent Day Treatment Center Inc	OR	Community/Behavioral Health Agency	$0	$2.3M
Dallas Oregon Emergency Physicians LLC	OR	Emergency Medicine Physician	$0	$1.9M
City Of Dallas	OR	Land Ambulance	$277.6K	$1.2M
Therese Pham	OR	Pediatric Dentistry	$0	$1.5M
Clear Paths Inc	OR	Addiction (Substance Use Disorder) Counselor	$0	$1.4M

County Of Polk — Billing Profile & Reimbursement Data

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County Of Polk — 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