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.

Lifeways, Inc (NPI 1568558955)

Field	Value
Entity Type	Organization
Organization	Lifeways, Inc
Address	702 Sunset Dr
City	Ontario
State	OR
ZIP	97914
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 5, 2006

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 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	1,190	$2,860	$3.4M
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…	24,070	$30	$649.9K
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…	17,320	$10	$207.9K
S9485	Crisis intervention mental health services, per diem	410	$370	$150.5K
H0005	Alcohol and/or drug services; group counseling by a clinician	8,210	$20	$123.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	4,940	$20	$103.7K
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…	8,290	$10	$91.2K
H0001	Alcohol and/or drug assessment	690	$120	$84.4K
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…	9,480	$10	$56.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,670	$30	$55.2K

Showing 1–10 of 44

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

Lifeways, Inc — 4 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

44 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	26	30	2,560	$400	$8.9M
T1017	Targeted case management, each 15 minutes	35	40	1,240	$370	$1.4M
H0005	Alcohol and/or drug services; group counseling by a clinician	60	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	84	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	15	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…	80	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	35	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…	89	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…	186	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	89	160	2,750	$20	$205.1K

Showing 1–10 of 44

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lifeways, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roberto Negron	ID	Psychiatry Physician	$16.4K	$0
Lisa Tovar	ID	Clinical Social Worker	$10.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Eye Center PA	OR	Optometrist	$0	$3.7M
Saint Alphonsus Medical Center- Ontario Inc	OR	General Acute Care Hospital	$0	$3.7M
Tvp Inc	OR	Ambulance	$462.9K	$1.8M
Norco, Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Cep America LLC	OR	Emergency Medicine Physician	$0	$1.6M
J C Pitts Enterprises Inc	OR	Ambulatory Surgical Clinic/Center	$148.4K	$3.2K
Paul Gering	OR	Family Medicine Physician	$105.1K	$0
Glenn Dodge	OR	Physical Therapist	$80.8K	$0
James Heyrend	OR	Certified Registered Nurse Anesthetist	$73.8K	$0
Daniel Chudleigh	OR	Physical Therapist	$72.1K	$0

Lifeways, Inc — Billing Profile & Reimbursement Data

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Lifeways, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References