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NPI 1427397074 · Salem, OR · Methadone Clinic
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Crc Health Oregon, LLC is a methadone clinic provider located in Salem, Oregon. This profile covers 4 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Crc Health Oregon, LLC |
| Address | 1160 Liberty St Se |
| City | Salem |
| State | OR |
| ZIP | 97302 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | February 1, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $26.1M |
| Medicare | $485.5K |
This provider is overwhelmingly Medicaid-focused: Total Medicaid revenue is $26.1M compared with Total Medicare revenue of $485.5K, so revenue scale is heavily concentrated in Medicaid rather than Medicare. Analysts should treat CRC HEALTH OREGON, LLC as effectively a Medicaid-centric methadone treatment operator for network and utilization review purposes.
The Medicare billing mix confirms an opioid treatment program model built around weekly medication‑assisted treatment bundles and methadone dispensing: G2067 ($303.1K, 62.5% of Medicare revenue), G2074 ($120.9K, 24.9%), and G2078 ($57K, 11.7%) are the principal Medicare codes. Top three Medicare codes account for 99.1% of this provider's total Medicare revenue, indicating Medicare activity is narrowly focused on OTP weekly bundles and take‑home dosing.
Within Medicare, CRC HEALTH OREGON shows a mixed competitive position by code: G2074 ranks #3 of 179 providers nationally (99th percentile) and is notably above typical national volume, while G2067 ranks #173 of 830 (79th percentile) and G2078 ranks #23 of 493 (96th percentile), both reflecting more typical national volumes. This pattern indicates the provider is a national outlier specifically for the non‑drug weekly bundle (G2074) but otherwise a modest/typical participant on the other OTP codes.
Medicaid billing demonstrates a large, integrated MAT and counseling operation: H0020 (methadone administration) generated $8.5M (32.8% of Medicaid revenue) from 1.2M claims, H0005 (group counseling) generated $7.6M (29.3%) from 204.8K claims, and H0004 (behavioral health counseling) generated $4.3M (16.7%) from 116.6K claims. The top three Medicaid codes account for 78.8% of this provider's total Medicaid revenue, indicating that methadone dispensing plus group and individual counseling are the dominant service lines.
CRC HEALTH OREGON is a leading in‑state player on several Medicaid measures: H0005 ranks #2 of 184 in‑state (99th percentile; labeled an extreme outlier) and H0004 ranks #2 of 265 (100th percentile; extreme outlier), while H0020 ranks #3 of 32 (94th percentile; notably above typical state volume). Those ranks place the provider among the largest statewide operators for counseling and methadone administration and signal unusually high volume relative to Oregon peers for core MAT services.
Medication dispensing and ancillary services are material revenue contributors on Medicaid and show in‑state dominance on some codes: J0571 (buprenorphine) produced $2.4M (9.3% of Medicaid revenue) and ranks #1 of 9 in‑state (100th percentile; notably above typical state volume), H0048 (drug testing) produced $1.5M (6.0%) and is an extreme outlier (rank #4 of 162, 98th percentile), and J3490 produced $482K (1.9%) and ranks #1 of 38 (100th percentile). This mix indicates substantial medication and testing throughput in addition to methadone services.
The provider has an established enrollment history, with NPI enumerated 2013-02-01 (~13 years ago), which supports interpreting these high Medicaid volumes as sustained operational scale rather than a short‑term spike. Long tenure combined with the concentrated service mix suggests the organization is a stable, specialized OTP/MAT provider in Oregon.
From a payer/analyst perspective, the business is highly concentrated by service line and payer: top three Medicare codes account for 99.1% of Medicare revenue and top three Medicaid codes account for 78.8% of Medicaid revenue. That concentration means changes to OTP bundle reimbursement, group counseling coverage, or state MAT policies could disproportionately affect this provider’s revenue, and the extreme outlier rankings on several Medicaid codes warrant closer review for network contracting, utilization patterns, and program oversight (described neutrally as unusually high volume relative to peers).
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1,300 | $230 | $303.1K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 660 | $180 | $120.9K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 1,500 | $40 | $57K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 40 | $110 | $4.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1,211,090 | $10 | $8.5M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 204,810 | $40 | $7.6M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 116,630 | $40 | $4.3M |
| J0571 | Buprenorphine, oral, 1 mg | 141,750 | $20 | $2.4M |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 128,850 | $10 | $1.5M |
| J3490 | Unclassified drugs | 60,250 | $10 | $482K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 5,710 | $80 | $427.9K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 70,700 | $10 | $424.2K |
| H0033 | Oral medication administration, direct observation | 12,630 | $10 | $138.9K |
| H0001 | Alcohol and/or drug assessment | 180 | $150 | $27.9K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 3 | 30 | 86,800 | $10 | $2.4M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 2 | 180 | 3,250 | $40 | $783.8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2 | 270 | 1,660 | $90 | $681K |
| H0033 | Oral medication administration, direct observation | 6 | 20 | 4,620 | $10 | $521.2K |
| J0571 | Buprenorphine, oral, 1 mg | 1 | 10 | 3,000 | $10 | $475.6K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 6 | 20 | 1,840 | $70 | $256.9K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 4 | 160 | 2,750 | $20 | $205.1K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 2 | 20 | 1,300 | $10 | $111.1K |
| H0001 | Alcohol and/or drug assessment | 38 | 100 | 80 | $140 | $70.6K |
| J3490 | Unclassified drugs | 1 | 40 | 460 | $10 | $45.8K |
Showing 1–10 of 13
Other providers in the same ZIP code as Crc Health Oregon, LLC, ranked by combined Medicare and Medicaid revenue.
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