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.

Adapt (NPI 1720010549)

Field	Value
Entity Type	Organization
Organization	Adapt
Address	621 W Madrone St
City	Roseburg
State	OR
ZIP	97470
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	July 6, 2006

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	43,940	$100	$4.3M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	11,360	$340	$3.9M
H0005	Alcohol and/or drug services; group counseling by a clinician	45,170	$40	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	25,540	$40	$944.9K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	64,880	$10	$324.4K
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…	7,160	$40	$315K
H0038	Self‑help/peer services, per 15 minutes	4,180	$20	$87.9K
H0001	Alcohol and/or drug assessment	840	$70	$62K
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…	180	$160	$28.2K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2,220	$1	$6.7K

Showing 1–10 of 17

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

Adapt — 1 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	4	10	7,740	$1,030	$9M
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	5	30	2,560	$400	$8.9M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	25	30	86,800	$10	$2.4M
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…	8	30	1,580	$100	$815K
H0005	Alcohol and/or drug services; group counseling by a clinician	22	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	15	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	42	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…	990	1,380	540	$140	$363.3K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	7	160	2,750	$20	$205.1K
G9012	Other specified case management service not elsewhere classified	11	20	60	$330	$176.5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adapt	OR	Federally Qualified Health Center (FQHC)	$0	$13.3M
Adapt	OR	Community/Behavioral Health Agency	$0	$6.6M
Deric Ravsten	OR	Psychiatry Physician	$50.3K	$0
Susan Ellis	OR	Psychiatric/Mental Health Nurse Practitioner	$600	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Umpqua Community Health Center, Inc.	OR	Federally Qualified Health Center (FQHC)	$0	$9.9M
Advantage Home Care Of Douglas County, Inc.	OR	In Home Supportive Care Agency	$0	$7.5M
Umpqua Valley Ambulance Service Inc.	OR	Land Ambulance	$1.7M	$5.4M
Umpqua Health Newton Creek, LLC	OR	Rural Health Clinic/Center	$0	$4.7M
Lincare Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$2.9M
United Community Action Network	OR	Case Management Agency	$0	$2.4M
Juniper Tree Counseling, LLC	OR	Mental Health Counselor	$0	$2.1M
Douglas County Childrens Center, Inc	OR	Clinic/Center	$0	$1.9M
Douglas Education Service District	OR	Local Education Agency (LEA)	$0	$1M
Mohamed Abdel Khalek	OR	Internal Medicine Physician	$222.4K	$0

Adapt — Billing Profile & Reimbursement Data

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Adapt — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References