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.

Reconnections A And D (NPI 1588692040)

Field	Value
Entity Type	Organization
Organization	Reconnections A And D
Address	1010 Nw Coast Hwy
City	Newport
State	OR
ZIP	97365
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	June 30, 2006

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	32,980	$120	$3.9M
H0038	Self‑help/peer services, per 15 minutes	17,820	$150	$2.7M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	17,440	$90	$1.6M
H0005	Alcohol and/or drug services; group counseling by a clinician	14,100	$80	$1.2M
H0006	Alcohol and/or drug services; case management	18,340	$60	$1.1M
T1016	Case management, each 15 minutes	3,110	$150	$475.7K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	27,640	$10	$386.9K
H0001	Alcohol and/or drug assessment	150	$170	$26.3K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	30	$30	$1.1K

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

Reconnections A And D — 2 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	5	30	1,580	$100	$815K
H0005	Alcohol and/or drug services; group counseling by a clinician	39	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	13	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	10	150	1,030	$80	$417.2K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	15	160	2,750	$20	$205.1K
T1016	Case management, each 15 minutes	36	210	410	$50	$126.4K
H0001	Alcohol and/or drug assessment	40	100	80	$140	$70.6K
H0006	Alcohol and/or drug services; case management	1	100	380	$30	$51.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	35	50	90	$20	$6.6K

Nearby Providers

Other providers in the same ZIP code as Reconnections A And D, 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
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
Ocean Mist Counseling & Wellness	OR	Mental Health Counselor	$0	$1.3M
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

Reconnections A And D — Billing Profile & Reimbursement Data

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Reconnections A And D — 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