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.

Polk County Alcohol And Drug (NPI 1720013071)

Field	Value
Entity Type	Organization
Organization	Polk County Alcohol And Drug
Address	182 Sw Academy
City	Dallas
State	OR
ZIP	97338
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	30,860	$60	$1.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	16,900	$90	$1.5M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	10,850	$10	$141.1K
H0006	Alcohol and/or drug services; case management	2,510	$30	$65.3K
H0038	Self‑help/peer services, per 15 minutes	3,710	$20	$59.3K
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…	160	$190	$30.9K
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…	120	$140	$16.7K
H0032	Mental health service plan development by non-physician	50	$120	$6.4K
H0039	Assertive community treatment, face-to-face, per 15 minutes	2,200	$0	$0
H2023	Supported employment, per 15 minutes	1,010	$0	$0

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

Polk County Alcohol And Drug — 0 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	26	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	32	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	43	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…	1,007	1,380	540	$140	$363.3K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	40	160	2,750	$20	$205.1K
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…	237	400	230	$90	$153.8K
H0039	Assertive community treatment, face-to-face, per 15 minutes	22	30	8,260	$10	$100.2K
H0032	Mental health service plan development by non-physician	110	190	80	$100	$52.2K
H0006	Alcohol and/or drug services; case management	22	100	380	$30	$51.1K
H2023	Supported employment, per 15 minutes	22	40	1,020	$10	$15.4K

Nearby Providers

Other providers in the same ZIP code as Polk County Alcohol And Drug, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salem Health West Valley	OR	Critical Access Hospital	$0	$16.2M
County Of Polk	OR	Psychiatry Physician	$0	$13.7M
Fir Hill Group Home LLC	OR	Mental Illness Community Based Residential Treatment Facility	$0	$2.4M
Polk Adolescent Day Treatment Center Inc	OR	Community/Behavioral Health Agency	$0	$2.3M
Dallas Oregon Emergency Physicians LLC	OR	Emergency Medicine Physician	$0	$1.9M
City Of Dallas	OR	Land Ambulance	$277.6K	$1.2M
Therese Pham	OR	Pediatric Dentistry	$0	$1.5M
Clear Paths Inc	OR	Addiction (Substance Use Disorder) Counselor	$0	$1.4M

Polk County Alcohol And Drug — Billing Profile & Reimbursement Data

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Polk County Alcohol And Drug — 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