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.

Options For Southern Oregon (NPI 1558366492)

Field	Value
Entity Type	Organization
Organization	Options For Southern Oregon
Address	1215 Sw G St
City	Grants Pass
State	OR
ZIP	97526
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 16, 2005

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 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…	65,540	$30	$1.9M
T1040	Medicaid certified community behavioral health clinic services, per diem	8,340	$200	$1.6M
H2014	Skills training and development, per 15 minutes	62,450	$20	$1.5M
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…	28,670	$40	$1.1M
H2013	Psychiatric health facility service, per diem	6,860	$160	$1.1M
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…	15,470	$30	$495.1K
H0032	Mental health service plan development by non-physician	9,380	$30	$319.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	8,650	$30	$294.1K
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…	12,740	$20	$254.8K
T1016	Case management, each 15 minutes	9,640	$30	$250.7K

Showing 1–10 of 47

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

Options For Southern Oregon — 9 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2013	Psychiatric health facility service, per diem	6	20	1,290	$520	$2.4M
H2018	Psychosocial rehabilitation services, per diem	8	10	1,350	$180	$2M
H2022	Community-based wrap-around services, per diem	4	10	170	$400	$977.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	177	270	1,660	$90	$681K
T1040	Medicaid certified community behavioral health clinic services, per diem	4	10	840	$190	$608.3K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	12	10	470	$200	$535.3K
H0038	Self‑help/peer services, per 15 minutes	59	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…	7	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	3	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…	101	1,500	650	$70	$312.4K

Showing 1–10 of 47

Nearby Providers

Other providers in the same ZIP code as Options For Southern Oregon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Northwest Inc	OR	Ambulance	$1.4M	$7.7M
John Waschak	OR	Pediatric Dentistry	$0	$6.5M
Siskiyou Community Health Center, Inc	OR	Federally Qualified Health Center (FQHC)	$0	$5.4M
Axis Health, Inc.	OR	Chiropractor	$0	$3.2M
Total Performance Sports Medicine, PC	OR	Chiropractor	$0	$2.3M
Eye Care Group Of Southern Oregon, LLC	OR	Optometrist	$0	$1.6M
Grants Pass Surgery Center, LLC	OR	Ambulatory Surgical Clinic/Center	$1.1M	$113.1K
Options For Southern Oregon	OR	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.1M
Cascade Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$428.7K	$155.5K
Mid Rogue Imaging Center	OR	Radiology Clinic/Center	$140.4K	$274.1K

Options For Southern Oregon — Billing Profile & Reimbursement Data

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Options For Southern Oregon — 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