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.

Ocean Mist Counseling & Wellness (NPI 1518433465)

Field	Value
Entity Type	Organization
Organization	Ocean Mist Counseling & Wellness
Address	530 Nw 3rd St Ste B
City	Newport
State	OR
ZIP	97365
Taxonomy	Mental Health Counselor
NPI Enumerated	October 18, 2018

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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…	6,020	$170	$999.7K
90838	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…	1,000	$180	$181.1K
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…	1,020	$90	$93.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	80	$110	$9.4K

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

Ocean Mist Counseling & Wellness — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	119	1,380	540	$140	$363.3K
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…	632	1,500	650	$70	$312.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	163	370	60	$110	$41.7K
90838	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…	1	20	100	$150	$34.1K

Nearby Providers

Other providers in the same ZIP code as Ocean Mist Counseling & Wellness, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samaritan Pacific Health Services, Inc	OR	Critical Access Hospital	$0	$20.6M
Reconnections A And D	OR	Addiction (Substance Use Disorder) Counselor	$0	$11.5M
County Of Lincoln	OR	Case Management Agency	$0	$5.8M
Pacific West Ambulance Inc	OR	Land Ambulance	$1.3M	$4.4M
Samaritan Pacific Health Services Inc	OR	Rural Health Clinic/Center	$0	$2.7M
Phoenix Wellness Center LLC	OR	Addiction (Substance Use Disorder) Counselor	$0	$2.4M
Discovery Counseling, Inc.	OR	Community/Behavioral Health Agency	$0	$2.2M
County Of Lincoln	OR	Federally Qualified Health Center (FQHC)	$0	$2M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$1.2M
Barbara J Mantha	OR	Durable Medical Equipment & Medical Supplies	$0	$1.1M

Ocean Mist Counseling & Wellness — Billing Profile & Reimbursement Data

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Ocean Mist Counseling & Wellness — 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