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.

Kairos Northwest (NPI 1487782900)

Field	Value
Entity Type	Organization
Organization	Kairos Northwest
Address	1750 Nebraska Ave
City	Grants Pass
State	OR
ZIP	97527
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$20.7M
Medicare	$0

Key Findings

KAIROS NORTHWEST reports no Medicare billing on file and $20.7M in lifetime Medicaid revenue, making it effectively a Medicaid-focused community/behavioral health agency rather than a Medicare-participating provider. The absence of Medicare claims suggests its operational footprint and payer exposure are concentrated in state Medicaid programs and related community behavioral services.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 71.2% of this provider’s total Medicaid revenue. Those top codes are T1020 ($11.2M, 25.2K claims), H0004 ($2.2M, 20.4K claims) and H0019 ($1.3M, 2.4K claims), indicating a small set of services drives most of the organization’s Medicaid billing.

The code mix points to an operational focus on personal care and long-term residential behavioral supports: T1020 (personal care services, per diem) is the single largest revenue line and H0019 (long-term residential, per diem) is also a top revenue driver. This suggests KAIROS NORTHWEST operates substantial community-based personal care and residential treatment capacity rather than being primarily an office-based medical or specialty clinic.

KAIROS is a strong statewide performer on personal care services: T1020 ranks #4 of 44 providers in-state (93th percentile) and is described as notably above typical state volume for this code. That rank and volume ($11.2M) mark the provider as a leading in-state supplier of per-diem personal care services.

Beyond per-diem services, the provider maintains high-volume outpatient behavioral offerings: H0004 (behavioral health counseling and therapy, per 15 minutes) generated $2.2M and ranks #24 of 265 providers in-state (91th percentile), while H2014 (skills training and development) and H0038 (self-help/peer services) produced $1.2M each and rank in the 95th and 92th percentiles respectively. This mix—counseling, skills training, and peer support—indicates integrated behavioral health programming that complements its personal care and residential lines.

KAIROS displays specialty strength in certain assessment and family-therapy services: H2000 (comprehensive multidisciplinary evaluation) ranks #1 of 21 providers in-state (100th percentile; notably above typical state volume) and 90846 (family psychotherapy without the patient present) ranks #2 of 38 providers in-state (97th percentile; extreme outlier, far above typical state volume). These rankings suggest the organization is a primary regional provider for multidisciplinary evaluations and family-focused therapy in the Medicaid system.

Standard psychotherapy and E/M services are present but secondary to the provider’s core personal-care/residential lines: 90847 ($392K, ranks #17 of 131, 88th percentile) and 99214 ($644.5K, ranks #283 of 1503, 81th percentile) show meaningful but not dominant revenue contributions. The pattern is consistent with an agency that supplements residential and personal care programming with in-person psychotherapy and medical evaluation services rather than relying on them as primary revenue drivers.

KAIROS NORTHWEST has an established presence in the market, with an NPI enumerated on 2007-02-28 (~19 years ago), which supports the view of sustained operations and capacity to develop the sizable Medicaid revenue base it reports. Combined tenure and the concentration of Medicaid billing suggest an operational strategy centered on long-term community behavioral supports and personal care services within Oregon’s Medicaid system.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	25,190	$440	$11.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	20,350	$110	$2.2M
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	2,390	$560	$1.3M
H2014	Skills training and development, per 15 minutes	18,350	$70	$1.2M
H0038	Self‑help/peer services, per 15 minutes	16,650	$70	$1.2M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	7,660	$90	$720K
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…	5,040	$130	$644.5K
H0032	Mental health service plan development by non-physician	3,410	$130	$429.2K
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…	2,190	$180	$392K
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…	1,830	$180	$331.4K

Showing 1–10 of 23

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

Kairos Northwest — 3 of 22 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

23 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	18	30	2,560	$400	$8.9M
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	4	40	1,330	$1,170	$6.4M
H0037	Community psychiatric supportive treatment program, per diem	11	10	4,010	$360	$2.5M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	7	20	3,710	$190	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	24	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	13	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…	330	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	7	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…	283	1,500	650	$70	$312.4K
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…	743	1,590	590	$50	$236.5K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante Three Rivers Medical Center, LLC	OR	General Acute Care Hospital	$0	$27.7M
Benchmark Physical Therapy Of Oregon LLC	OR	Physical Therapist	$0	$10.1M
Asante Three Rivers Medical Center LLC	OR	General Acute Care Hospital	$0	$5.2M
Women's Health Center Of Southern Oregon PC	OR	Obstetrics & Gynecology Physician	$0	$3.7M
Star Dialysis LLC	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Asante Community Services LLC	OR	Customized Equipment (DME)	$0	$2.2M
Three Rivers Radiology Associates, PC	OR	Diagnostic Radiology Physician	$0	$1.8M
Daniel Cowley	OR	Adult Reconstructive Orthopaedic Surgery Physician	$249K	$0
Joseph Vella	OR	Foot & Ankle Surgery Podiatrist	$218.1K	$0
Henry Ssentongo	OR	Hospitalist Physician	$172.2K	$0

Kairos Northwest — Billing Profile & Reimbursement Data

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Kairos Northwest — 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