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.

Lifeworks Nw (NPI 1467408013)

Field	Value
Entity Type	Organization
Organization	Lifeworks Nw
Address	5415 Sw Westgate Drive
City	Portland
State	OR
ZIP	97221
Taxonomy	Mental Health Counselor
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$57.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and lifetime Medicaid revenue totals $57.6M, indicating that Medicaid is the sole recorded source of fee‑for‑service revenue for this NPI. Analysts should treat Medicare activity as absent when modeling payer mix or network impact for LIFEWORKS NW.

Medicaid revenue is highly concentrated: the top three Medicaid codes — 90837 ($16.2M, 28.5%), H0019 ($7.8M, 13.8%), and 90847 ($5.3M, 9.3%) — together account for 51.5% of this provider’s total Medicaid revenue. This concentration suggests that a small set of service lines drives the majority of billing and financial performance.

The code mix points to a hybrid operating model combining high‑volume psychotherapy and family therapy with residential and community‑based programming. High dollar volumes in 90837, 90847, 90834, and 90832 reflect heavy outpatient psychotherapy and family therapy throughput, while H0019 (long‑term residential per diem), T1040/H0037 (community clinic or per‑diem programs), and T1016 (case management) indicate substantial investment in residential and care‑coordination capacity.

Competitive standing within Oregon is strong on several core services: 90837 ranks #3 of 1380 providers in‑state (100th percentile; extreme outlier), 90847 ranks #1 of 131 (100th percentile; extreme outlier), and T1016 ranks #1 of 206 (100th percentile; extreme outlier). These high ranks and the “extreme outlier” labels signal that LIFEWORKS NW is a dominant statewide provider for intensive psychotherapy, family therapy, and case‑management services.

Beyond the top three, other codes contribute meaningful revenue and corroborate the service mix: T1016 ($4M, 7.0%), 90834 ($3.5M, 6.2%), 90832 ($3.2M, 5.7%), and H2014 ($3.2M, 5.6%). Several of these codes also sit at very high state percentiles (for example 90832 is #2 of 311, 100th percentile; 90834 is #8 of 399, 98th percentile), indicating consistently above‑typical volumes across multiple psychotherapy time bands and skills‑training services.

Some Medicaid codes show more typical or mixed statewide standing despite material revenue contributions: H0019 ($7.8M) ranks #6 of 31 (83th percentile; characterized in the data as typical, unremarkable volume) and several per‑diem behavioral health codes (H0037, T1040, H2018) are described as typical or unremarkable in volume. This suggests that while the provider is dominant on several therapy and case‑management codes, it operates in more standard competitive ranges for a subset of residential and per‑diem programs.

The NPI tenure (enumerated 2006-05-25, ~20 years ago) combined with $57.6M Medicaid lifetime revenue underscores a long‑standing, sizable presence in Oregon’s behavioral health market. Given the high concentration in a few therapy and case‑management codes and multiple state‑level top ranks, payers and competitors should view LIFEWORKS NW as an established, Medicaid‑focused operator with specialized scale in psychotherapy, family therapy, residential care, and community‑based case management.

Medicaid: Complete Services Breakdown

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

41 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…	91,480	$180	$16.2M
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	39,450	$200	$7.8M
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…	26,650	$200	$5.3M
T1016	Case management, each 15 minutes	40,910	$100	$4M
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…	19,160	$190	$3.5M
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…	20,310	$160	$3.2M
H2014	Skills training and development, per 15 minutes	37,320	$90	$3.2M
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…	26,880	$80	$2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	5,820	$300	$1.7M
H0037	Community psychiatric supportive treatment program, per diem	4,740	$340	$1.6M

Showing 1–10 of 41

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

Lifeworks Nw — 11 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

41 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	6	30	2,560	$400	$8.9M
H0037	Community psychiatric supportive treatment program, per diem	5	10	4,010	$360	$2.5M
H2013	Psychiatric health facility service, per diem	20	20	1,290	$520	$2.4M
H2018	Psychosocial rehabilitation services, per diem	5	10	1,350	$180	$2M
H0005	Alcohol and/or drug services; group counseling by a clinician	100	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	59	270	1,660	$90	$681K
T1040	Medicaid certified community behavioral health clinic services, per diem	3	10	840	$190	$608.3K
H0038	Self‑help/peer services, per 15 minutes	17	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…	3	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	5	120	1,010	$40	$323.2K

Showing 1–10 of 41

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lifeworks Nw, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeworks Northwest	OR	Addiction (Substance Use Disorder) Counselor	$0	$14.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Northwest P.C.	OR	Ophthalmology Physician	$0	$1.8M
Michael Lee	OR	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Wenlan Zhang	OR	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Harpal Sandhu	OR	Retina Specialist (Ophthalmology) Physician	$1.4M	$4.5K
Paul Tlucek	OR	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Apurva Patel	OR	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Janani Singaravelu	OR	Ophthalmology Physician	$35.1K	$0

Lifeworks Nw — Billing Profile & Reimbursement Data

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Lifeworks Nw — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References