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.

Sapphire Blue Behavioral Health Solutions (NPI 1558839068)

Field	Value
Entity Type	Organization
Organization	Sapphire Blue Behavioral Health Solutions
Address	5285 Meadows Rd Ste 170
City	Lake Oswego
State	OR
ZIP	97035
Taxonomy	Mental Health Counselor
NPI Enumerated	November 2, 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.

3 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…	7,710	$170	$1.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	110	$140	$16.3K
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…	10	$140	$1.8K

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

Sapphire Blue Behavioral Health Solutions — 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
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…	96	1,380	540	$140	$363.3K
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…	390	400	230	$90	$153.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	140	370	60	$110	$41.7K

Nearby Providers

Other providers in the same ZIP code as Sapphire Blue Behavioral Health Solutions, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sleep Metric Systems, Inc	OR	Durable Medical Equipment & Medical Supplies	$2.3K	$3.6M
Psych Nw, PC	OR	Psychologist	$0	$3.5M
Linda C Estergard, Phd, Lcsw, PC	OR	Clinical Psychologist	$0	$2.2M
National Seating & Mobility, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Betty Jiang	OR	Dermatology Physician	$250.1K	$0
Nisha Nagarkatti-gude	OR	Ophthalmology Physician	$174.5K	$0
Andrew Pitt	OR	Dermatology Physician	$148K	$0
Hyeongyu Kim	OR	Nurse Practitioner	$130.9K	$0
Jacqueline Ng	OR	Ophthalmology Physician	$128.6K	$0
Emily Nguyen	OR	Orthopaedic Surgery of the Spine Physician	$124.9K	$0

Sapphire Blue Behavioral Health Solutions — Billing Profile & Reimbursement Data

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Sapphire Blue Behavioral Health Solutions — Billing Profile & Reimbursement Data

Sign up for Sapphire Blue Behavioral Health Solutions — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References