Loading...
NPI 1669411377 · Vancouver, WA · Mental Health Clinic/Center (Including Community Mental Health Center)
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Columbia River Mental Health Services is a mental health clinic/center (including community mental health center) provider located in Vancouver, Washington. This profile covers 2 Medicare and 49 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Columbia River Mental Health Services |
| Address | 6926 Ne Fourth Plain Blvd |
| City | Vancouver |
| State | WA |
| ZIP | 98661 |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| NPI Enumerated | June 6, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $54.4M |
| Medicare | $207.8K |
Payer mix is heavily skewed toward Medicaid: the provider reports $54.4M in lifetime Medicaid revenue versus $207.8K in lifetime Medicare revenue, indicating that Medicaid is the overwhelmingly dominant payer for this organization’s billed services. Medicare receipts are nearly immaterial by comparison, so operational and growth dynamics are likely driven by Medicaid contracts and patient flow.
Medicare revenue is extremely concentrated: the top 3 Medicare codes account for 100.0% of this provider’s Medicare revenue, driven almost entirely by G2067 (90.5% of Medicare revenue) with a secondary contribution from G2078 (9.5%). This pattern shows the provider’s Medicare activity is focused on opioid treatment program (OTP) services rather than a broader set of outpatient medical or psychotherapy E/M services.
Medicaid revenue is also concentrated but across a mixed set of service types: the top 3 Medicaid codes account for 63.0% of Medicaid revenue, led by H0020 (methadone administration, $18.3M, 33.9% of Medicaid revenue), 90837 (long psychotherapy, $10.3M, 19.1%), and H0004 (behavioral health counseling per 15 minutes, $5.4M, 10.1%). This combination indicates a dual focus on high-volume medication-assisted treatment and billable psychotherapy/counseling time under Medicaid.
The code mix implies an integrated behavioral health and substance-use treatment operation: strong billing for H0020, G2067, and medication codes (J0575, J0573) points to a robust OTP and medication-assisted treatment program, while large volumes of psychotherapy codes (90837, 90834, 90832) and community support codes (H2015, H2025, H0043) indicate substantial outpatient therapy, case management, supported housing, and employment-support services. Together these suggest a full-spectrum community mental health model rather than a narrow office-based practice.
Competitive standing differs by payer and service line. On Medicare OTP codes the provider is a modest national participant—G2067 ranks #324 of 830 (61st percentile) and G2078 ranks #168 of 493 (66th percentile), characterizing typical, unremarkable national volume. By contrast, the provider is a major in-state player under Medicaid for several lines: H0020 ranks #6 of 60 (92nd percentile) and 90837 ranks #8 of 934 (99th percentile, labeled an extreme outlier), signaling a dominant statewide footprint in methadone administration and especially high-volume long psychotherapy.
Several codes are flagged as statistical outliers or unusually high-volume in-state and support the provider’s area dominance: 90837 is an extreme outlier in-state (99th percentile), H2025 is also described as an extreme outlier (98th percentile), and multiple psychotherapy codes (90834, 90832) are noted as notably above typical state volume. These call out unusually large caseloads for psychotherapy and community support compared with Washington peers.
The medication-related billing pattern shows breadth in medication-assisted treatment beyond methadone: large H0020 volume and presence of buprenorphine product billing (J0575 and J0573) appear in the Medicaid claims mix, with J0575 and J0573 each listed as #1 of 1 providers in-state (no peer comparison available). Combined with Medicare OTP billing (G2067/G2078), this indicates the organization dispenses and bills for both methadone and buprenorphine-based treatments across payers.
Longevity of enrollment supports an established operation: the NPI was enumerated 2006-06-06 (~20 years ago), suggesting the organization has had time to develop the multi-component service lines reflected in billing (OTP, psychotherapy, community supports) and to build significant Medicaid volumes and state-level market presence.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 790 | $240 | $188.2K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 520 | $40 | $19.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
49 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 916,280 | $20 | $18.3M |
| 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… | 82,360 | $130 | $10.3M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 41,190 | $130 | $5.4M |
| H2015 | Comprehensive community support services, per 15 minutes | 44,790 | $120 | $5.4M |
| 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… | 30,250 | $110 | $3.3M |
| 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… | 25,120 | $100 | $2.5M |
| H0038 | Self‑help/peer services, per 15 minutes | 10,530 | $120 | $1.3M |
| 90791 | In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. | 4,790 | $190 | $924.5K |
| 90832 | 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… | 14,460 | $60 | $910.9K |
| 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… | 10,840 | $70 | $726.5K |
Showing 1–10 of 49
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
49 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 6 | 60 | 18,030 | $10 | $4.1M |
| G9149 | National committee for quality assurance - level 2 medical home | 56 | 90 | 1,680 | $200 | $1.5M |
| 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 | 53 | 50 | 4,000 | $60 | $1.5M |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | 1 | 10 | 54,400 | $10 | $697.5K |
| H0043 | Supported housing, per diem | 79 | 140 | 1,690 | $110 | $602.5K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 15 | 320 | 2,080 | $60 | $495.5K |
| 96165 | The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health… | 128 | 220 | 2,880 | $50 | $431K |
| 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… | 71 | 1,820 | 480 | $60 | $379.6K |
| H2023 | Supported employment, per 15 minutes | 68 | 110 | 1,080 | $100 | $307.5K |
| 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… | 232 | 1,860 | 610 | $40 | $295.5K |
Showing 1–10 of 49
Other providers in the same ZIP code as Columbia River Mental Health Services, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.