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.

Jasper Mountain (NPI 1497821680)

Field	Value
Entity Type	Organization
Organization	Jasper Mountain
Address	37875 Jasper Lowell Rd
City	Jasper
State	OR
ZIP	97438
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$24.7M
Medicare	$0

Key Findings

JASPER MOUNTAIN is effectively a Medicaid-focused provider: it reports no Medicare revenue on file and $24.7M in lifetime Medicaid revenue, indicating a single-payer concentration on state Medicaid rather than Medicare populations. This payer mix suggests operations and contracting are primarily aligned with Medicaid program rules and reimbursement structures.

Revenue is highly concentrated in a single Medicaid code: H0019 accounts for $24.6M and 99.4% of the provider's total Medicaid revenue, and the precomputed top-three codes together account for 100.0% of Medicaid revenue. This concentration shows the business is overwhelmingly driven by per-diem long-term residential behavioral-health billing rather than a diversified set of service codes.

The provider’s service-line profile matches its taxonomy: H0019 is a per-diem code for long-term residential (non-medical, non-acute) behavioral health treatment where stays are typically longer than 30 days. The dominance of H0019 implies JASPER MOUNTAIN operates primarily as a community-based residential treatment facility delivering extended residential services rather than short outpatient visits or acute medical care.

Ancillary service billing is minimal relative to the primary residential line: H0045 (respite care, per diem) generated $95.9K (0.4% of Medicaid revenue) and 90837 (individual psychotherapy 53+ minutes) generated $63.2K (0.3% of Medicaid revenue). These smaller streams indicate some complementary services are provided on-site, but they do not materially diversify the provider’s revenue base.

Competitive standing within Oregon for the dominant code is modest: H0019 revenue ranks #19 of 31 providers in-state (40th percentile) and is labeled as typical/unremarkable volume for that code. Despite controlling nearly all of this provider’s Medicaid revenue, JASPER MOUNTAIN does not appear to be a top statewide leader on H0019 by rank or percentile.

The supplemental codes show unremarkable statewide positions as well: H0045 ranks #14 of 16 providers in-state (13th percentile) and 90837 ranks #607 of 1380 providers in-state (56th percentile), both described as typical, unremarkable volumes. In plain terms, the provider is neither an outlier nor a dominant competitor on these ancillary services within Oregon.

The billing and reimbursement pattern—dominated by a long-term residential per-diem code—suggests operational emphasis on sustained stays rather than episodic outpatient treatment; this has implications for utilization management, contract negotiation, and capacity planning under Medicaid-managed care. Payor analysts should expect contract and utilization reviews to focus on lengths of stay, eligibility for long-term residential placement, and per-diem rate arrangements.

The NPI has been enumerated since 2006-11-28 (~20 years ago), indicating a long tenure in the market; combined with concentrated Medicaid reliance, this longevity may reflect an established residential program serving a stable Medicaid population rather than a recently expanded outpatient or Medicare-focused practice.

Medicaid: Complete Services Breakdown

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

3 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	1,980	$12,430	$24.6M
H0045	Respite care services, not in the home, per diem	50	$1,880	$95.9K
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…	690	$90	$63.2K

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

Jasper Mountain — 0 of 3 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

3 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	19	30	2,560	$400	$8.9M
H0045	Respite care services, not in the home, per diem	14	20	320	$280	$697.6K
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…	607	1,380	540	$140	$363.3K

Jasper Mountain — Billing Profile & Reimbursement Data

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Jasper Mountain — 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

Frequently Asked Questions

References