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.

Brightways Counseling Group LLC (NPI 1689191165)

Key Findings

Field	Value
Entity Type	Organization
Organization	Brightways Counseling Group LLC
Address	7515 Falcon Crest Dr # 200
City	Redmond
State	OR
ZIP	97756
Taxonomy	Group Psychotherapy Psychologist
NPI Enumerated	August 25, 2017

Payer Source	Total Paid
Medicaid	$32.6M
Medicare	$0

This entity is effectively a single‑payer Medicaid provider: Total Medicare revenue is none (no Medicare billing on file), while total Medicaid revenue is $32.6M, indicating the practice’s entire reported public-payer footprint is driven by Medicaid. Analysts should treat comparisons or risk adjustments against Medicare-based benchmarks with caution because there is no Medicare activity to inform cross-payer behavior.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 90.8% of the provider’s Medicaid revenue, with 90837 alone representing $22.9M (70.1% of total Medicaid revenue). This concentration means the firm’s financial performance is tightly coupled to reimbursement and utilization patterns for long psychotherapy sessions.

The provider’s service mix is overwhelmingly psychotherapy-focused: 90837 (53+ minute psychotherapy) is the dominant code, supported by additional psychotherapy add‑ons and duration codes such as 90833, 90834, and 90832, and by psychiatric evaluation codes 90791 and 90792. The presence of H0032 (mental health service plan development by non-physician) as one of the top three revenue codes further indicates an operational model that pairs high-volume therapy delivery with care planning and non‑physician care coordination.

This group pairs high psychotherapy volume with substantial office-based evaluation/management work: 99214 accounts for $4.6M (14.0% of Medicaid revenue) and ranks #46 of 1503 providers in-state (97th percentile; notably above typical state volume for this code). The mix of high-volume psychotherapy (90837) with elevated 99214 volume suggests frequent combined E/M + psychotherapy workflows or co-occurring documentation of medical decision‑making in outpatient behavioral health encounters.

The provider is a state-level outlier on multiple specific services: 90837 ranks #1 of 1380 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), H0032 ranks #1 of 188 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and 90882 ranks #1 of 34 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). These rank and percentile signals identify the organization as a dominant player in Oregon for several behavioral-health activities rather than a typical community practice.

Several ancillary or specialized behavioral-health services appear at above-typical state volumes and support a broader programmatic offering: G0176 (activity therapy) shows 4K claims and ranks #1 of 21 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and Q3014 (telehealth originating site facility fee) appears with 1.5K claims and a middle-state ranking (7 of 39; 84th percentile). Together these data indicate the provider offers both high-volume on-site therapy modalities and some telehealth/site-fee activity.

The provider’s reported volumes include multiple entries described as notable or extreme outliers beyond the top three codes—90792 ranks #4 of 135 providers (98th percentile; extreme outlier, far above typical state volume for this code), and 90791 ranks #16 of 366 providers (96th percentile; notably above typical state volume for this code). These additional high-percentile rankings reinforce that the establishment operates at unusually large scale across evaluation and psychotherapy services in-state.

Operationally, the concentration of $32.6M in Medicaid with 90.8% of revenue tied to three codes creates exposure to policy, reimbursement, or utilization changes affecting long psychotherapy sessions and non‑physician care planning. Given the NPI was enumerated on 2017-08-25 (~9 years ago), the organization has achieved this concentrated scale relatively quickly, suggesting deliberate capacity for high-volume outpatient behavioral-health delivery rather than a long‑standing, broadly diversified multiservice clinic.

Medicaid: Complete Services Breakdown

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

18 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…	119,860	$190	$22.9M
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…	32,080	$140	$4.6M
H0032	Mental health service plan development by non-physician	12,660	$170	$2.2M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	2,690	$240	$642.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	3,940	$110	$437.5K
90882	In this service, the provider works with outside agencies, employers, or other healthcare providers regarding the patient’s physical environment to help manage a psychiatric patient’s medical care.	4,510	$90	$415.3K
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…	3,670	$80	$307.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,580	$190	$300.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,020	$130	$256.8K
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…	1,130	$150	$172.4K

Showing 1–10 of 18

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

Brightways Counseling Group LLC — 8 of 18 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

18 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…	1	1,380	540	$140	$363.3K
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…	46	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…	316	1,590	590	$50	$236.5K
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…	92	400	230	$90	$153.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	88	140	310	$60	$113.6K
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…	49	310	280	$70	$82K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	67	530	150	$110	$74.9K
90887	In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or…	7	30	340	$80	$65.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	10	150	350	$70	$64.6K
H0032	Mental health service plan development by non-physician	1	190	80	$100	$52.2K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bestcare Treatment Services Inc	OR	Community/Behavioral Health Agency	$0	$33.4M
Norco, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$5M
Treehouse Therapies	OR	Mental Health Counselor	$0	$3.2M
New Priorities Family Services	OR	Adolescent and Children Mental Health Clinic/Center	$0	$2.9M
Redmond Speech & Language Total Communication Services, LLC	OR	Speech-Language Pathologist	$0	$2.8M
Redmond Fire & Rescue	OR	Land Ambulance	$486.5K	$1.9M
Best Care Treatment Services	OR	Mental Illness Community Based Residential Treatment Facility	$0	$2.2M
Kristine Traustason	OR	Ophthalmology Physician	$1.5M	$0
Deschutes Eye Clinic Inc	OR	Ambulatory Surgical Clinic/Center	$1.1M	$84.5K
Anne Killingbeck	OR	Internal Medicine Physician	$183.4K	$0

Brightways Counseling Group LLC — Billing Profile & Reimbursement Data

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Brightways Counseling Group LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References