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.

Community Counseling Solutions (NPI 1578501771)

Field	Value
Entity Type	Organization
Organization	Community Counseling Solutions
Address	120 S Main
City	Heppner
State	OR
ZIP	97836
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	June 2, 2006

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1,080	$1,120	$1.2M
H2014	Skills training and development, per 15 minutes	15,140	$50	$756.8K
H2013	Psychiatric health facility service, per diem	120	$5,920	$727.5K
H2032	Activity therapy, per 15 minutes	10,520	$20	$252.5K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	40	$2,930	$123.1K
H0039	Assertive community treatment, face-to-face, per 15 minutes	4,860	$20	$116.7K
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…	10,870	$10	$108.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	7,550	$10	$105.6K
H0038	Self‑help/peer services, per 15 minutes	16,800	$10	$100.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	12,360	$10	$98.9K

Showing 1–10 of 35

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

Community Counseling Solutions — 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	26	40	1,330	$1,170	$6.4M
H2013	Psychiatric health facility service, per diem	18	20	1,290	$520	$2.4M
H0005	Alcohol and/or drug services; group counseling by a clinician	46	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	62	270	1,660	$90	$681K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	10	10	130	$1,860	$555.5K
H0038	Self‑help/peer services, per 15 minutes	12	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…	64	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	10	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…	153	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…	260	1,590	590	$50	$236.5K

Showing 1–10 of 35

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Bates	WY	Psychiatry Physician	$29K	$13.5K
Mendy Sharpe	NC	Family Nurse Practitioner	$20K	$0

Nearby Providers

Other providers in the same ZIP code as Community Counseling Solutions, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Murray Drugs, Inc.	OR	Community/Retail Pharmacy	$62.3K	$130
Shelley Mccabe	OR	Physical Therapist	$52.2K	$0

Community Counseling Solutions — Billing Profile & Reimbursement Data

Sign up for Community Counseling Solutions — Billing Profile & Reimbursement Data policy alerts

Community Counseling Solutions — Billing Profile & Reimbursement Data

Sign up for Community Counseling Solutions — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References