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.

Springfield Treatment Center (NPI 1710498001)

Field	Value
Entity Type	Organization
Organization	Springfield Treatment Center
Address	1485 Market St
City	Springfield
State	OR
ZIP	97477
Taxonomy	Methadone Clinic
NPI Enumerated	October 13, 2017

Payer Source	Total Paid
Medicaid	$20.5M
Medicare	$0

Key Findings

SPRINGFIELD TREATMENT CENTER is operating as a methadone clinic in Springfield, OR with an NPI enumerated on 2017-10-13 (~9 years ago). It reports no Medicare billing on file and $20.5M in lifetime Medicaid revenue, indicating the practice’s entire documented federal payer activity is concentrated in Medicaid rather than Medicare.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three codes account for 88.6% of the provider’s Medicaid revenue. Those top drivers are S0109 ($15.3M, 74.7% of Medicaid revenue), H0020 ($1.6M, 7.9%), and H0016 ($1.2M, 6.0%).

The code mix and dollar concentration indicate a medication‑assisted treatment model centered on methadone dispensing and on-site administration: S0109 (Methadone, oral, 5 mg) is the dominant revenue line, complemented by H0020 (methadone administration/service) and H0016 (medical/somatic interventions in ambulatory setting). Together these codes suggest the operation focuses on high-volume methadone maintenance with accompanying medical monitoring rather than primarily office‑based E/M visits or specialty procedures.

Competitive standing is mixed across service lines: the provider ranks #1 of 5 in-state for S0109 (100th percentile; typical, unremarkable volume for this code), indicating it is the top listed methadone dispenser among a small set of peers for that specific code. For medical/somatic services H0016 the provider ranks #2 of 24 in-state (96th percentile; notably above typical state volume), signaling stronger-than-peer delivery of ambulatory medical interventions. By contrast, H0020 administration services rank #17 of 32 (48th percentile; typical, unremarkable volume), placing the clinic around mid‑pack for routine administration claims.

Operational scale is reflected in high claim counts: S0109 shows 72.9K claims and H0020 shows 85K claims, while counseling and testing codes such as H0004 (20.3K claims) and H0048 (22.4K claims) also display substantial utilization. Those volumes are consistent with a high-throughput opioid treatment program where frequent dosing, periodic counseling, and routine drug testing are core daily activities.

Ancillary services and risk management activity are visible in the ancillary code mix: drug testing appears across several codes (80305, 80307, G0480, H0048) and counseling/assessment codes (H0004, H0001, H0005) are regularly billed, indicating integrated behavioral health and monitoring alongside medication dispensing. The presence of J0572 (buprenorphine/naloxone) at more modest volumes and G1028 (take‑home naloxone, 28 claims, $0 paid) suggests limited buprenorphine dispensing and some provision of naloxone supplies without recorded Medicaid payment.

Because the provider has no Medicare billing on file and $20.5M in Medicaid revenue, its payer exposure is effectively single‑payer (Medicaid), concentrating reimbursement and policy risk on state Medicaid rules and fee schedules rather than a mixed Medicare/Medicaid risk profile. Analysts should therefore prioritize state Medicaid policy and in‑state competitive dynamics when assessing revenue sustainability and growth opportunities.

Medicaid: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0109	Methadone, oral, 5 mg	72,890	$210	$15.3M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	84,980	$20	$1.6M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	14,390	$90	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	20,320	$50	$934.8K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	22,440	$10	$314.2K
H0001	Alcohol and/or drug assessment	1,540	$170	$255.8K
J0572	Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine	2,630	$70	$186.8K
H0005	Alcohol and/or drug services; group counseling by a clinician	3,470	$50	$166.4K
H0006	Alcohol and/or drug services; case management	5,730	$20	$108.9K
H0032	Mental health service plan development by non-physician	760	$120	$89.8K

Showing 1–10 of 23

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

Springfield Treatment Center — 4 of 22 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0109	Methadone, oral, 5 mg	1	10	47,840	$130	$5.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	17	30	86,800	$10	$2.4M
H0005	Alcohol and/or drug services; group counseling by a clinician	90	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	25	270	1,660	$90	$681K
H0033	Oral medication administration, direct observation	11	20	4,620	$10	$521.2K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	48	60	420	$60	$405.1K
J0572	Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine	8	10	4,600	$20	$309.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	30	80	1,210	$40	$294.3K
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	2	20	1,840	$70	$256.9K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	23	160	2,750	$20	$205.1K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Springfield Treatment Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mckenzie-willamette Regional Medical Center Associates LLC	OR	General Acute Care Hospital	$0	$44.6M
Peacehealth	OR	General Acute Care Hospital	$0	$30.7M
Lane County Oregon	OR	Federally Qualified Health Center (FQHC)	$0	$20.6M
Mental Health For Children, Inc	OR	Mental Health Counselor	$0	$12.7M
G Street Integrated Health	OR	Clinic/Center	$0	$9.3M
Radiology Associates PC	OR	Diagnostic Radiology Physician	$0	$7.8M
Oregon Endoscopy Center, LLC	OR	Ambulatory Surgical Clinic/Center	$919.2K	$5.6M
Pathology Consultants, PC	OR	Anatomic Pathology & Clinical Pathology Physician	$0	$5.5M
Peacehealth	OR	Hospitalist Physician	$0	$5.5M
Womens Care, PC	OR	Obstetrics & Gynecology Physician	$0	$5.3M

Springfield Treatment Center — Billing Profile & Reimbursement Data

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Springfield Treatment Center — 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

Nearby Providers

Frequently Asked Questions

References