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.

Clackamas County (NPI 1720017809)

Field	Value
Entity Type	Organization
Organization	Clackamas County
Address	110 Beavercreek Rd Ste 100
City	Oregon City
State	OR
ZIP	97045
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$26M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file and all reported federal billing appears through Medicaid, with total Medicaid revenue of $26M. The absence of Medicare revenue combined with the Federally Qualified Health Center taxonomy suggests a focused Medicaid-serving safety-net operation rather than a mixed-age ambulatory system serving large Medicare populations.

Revenue is highly concentrated in a small set of services: the top three Medicaid codes (90837, 99214, 99213) together account for 47.1% of this provider's total Medicaid revenue. Individually these codes are sizeable contributors — 90837 accounts for $4.6M (19.3%), 99214 for $3.5M (14.6%), and 99213 for $3.2M (13.2%) — indicating a reliance on a few high-volume outpatient and behavioral health services.

The code mix points to an integrated behavioral health and primary care model. 90837 (psychotherapy, $4.6M; 39.7K claims) is the single largest revenue code and 90834, 90832, 90847, H0004, H0005 and 90791 also appear prominently, suggesting on-site psychotherapy, counseling, group substance-use services and psychiatric evaluation capacity rather than isolated referrals to external behavioral health providers.

90837 is an outlier in-state: it ranks #14 of 1380 providers in-state (99th percentile; extreme outlier), and other behavioral health codes also sit at high percentiles (90834 ranks #7 of 399, 98th percentile; 90791 ranks #8 of 366, 98th percentile). These placements indicate the provider is a dominant statewide provider of psychotherapy and psychiatric evaluation services within Medicaid.

Primary care / outpatient evaluation-and-management activity is also a major revenue engine. 99214 shows 41.7K claims, $84 avg paid/claim and $3.5M revenue (14.6%) and 99213 shows 50.2K claims, $63 avg paid/claim and $3.2M revenue (13.2%), both ranking in the 98th percentile statewide — consistent with high-volume, ongoing longitudinal visits typical of FQHC primary care clinics.

Dental services form a visible secondary service line within the Medicaid portfolio. Multiple dental codes (D0140, D0150, D2392, D1110, D0120, D2391, D1120, D7140, D0220, D0210) appear in the top codes with multi-thousand claim counts and many sit at very high in-state ranks (several in the 98th–99th percentiles), indicating a substantial on-site dental program generating material revenue.

Care-management and ancillary behavioral supports are present but smaller contributors: T1016 (case management) generated $369.8K (1.5%) with 5.4K claims and ranks #23 of 206 (89th percentile), while H2014 (skills training) generated $323.5K (1.3%). These entries reinforce a comprehensive outpatient model that combines direct therapy, primary medical visits, dental care, and case management for Medicaid patients.

The provider has an established operational tenure with its NPI enumerated on 2006-07-01 (~20 years). Combined with the code-level dominance in psychotherapy and high-volume E/M visits, this tenure supports the interpretation that the organization has built sustained Medicaid-facing capacity and referral networks in its service area.

Medicaid: Complete Services Breakdown

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

129 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…	39,670	$120	$4.6M
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…	41,700	$80	$3.5M
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…	50,180	$60	$3.2M
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…	20,550	$120	$2.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	17,020	$140	$2.4M
H0005	Alcohol and/or drug services; group counseling by a clinician	18,540	$60	$1.1M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,400	$260	$890.5K
D0140	Limited oral evaluation – problem focused	12,800	$50	$678.6K
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…	5,910	$110	$655.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	2,420	$190	$465.2K

Showing 1–10 of 129

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

Clackamas County — 15 of 25 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

129 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	35	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	30	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	58	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…	14	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	29	120	1,010	$40	$323.2K
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…	33	1,500	650	$70	$312.4K
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.	56	80	1,210	$40	$294.3K
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…	28	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	69	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…	7	400	230	$90	$153.8K

Showing 1–10 of 129

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clackamas County	OR	Federally Qualified Health Center (FQHC)	$0	$3.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Oregon	OR	General Acute Care Hospital	$0	$19.5M
Bryan Harvey	OR	Oral and Maxillofacial Pathology Dentistry	$0	$4.8M
New Proactive LLC	OR	Physical Therapy Clinic/Center	$0	$4.7M
Emergency Medicine Specialists LLC	OR	Emergency Medicine Physician	$0	$4.1M
Oregon City Medical Nw Inc.	OR	Family Medicine Physician	$0	$2.3M
Cascadia Health	OR	Mental Illness Community Based Residential Treatment Facility	$0	$2.3M
Uptown Providers PC	OR	Urgent Care Clinic/Center	$0	$2.2M
County Of Clackamas Office Of County Auditor	OR	Case Management Agency	$0	$1.6M
Neurotherapeutic Pediatric Therapies Inc	OR	Occupational Therapist	$0	$1.6M
Willamette Falls Pediatric Group	OR	Pediatrics Physician	$0	$1.5M

Clackamas County — 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