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.

Medicine Wheel Recovery Services, Inc. (NPI 1730553876)

Field	Value
Entity Type	Organization
Organization	Medicine Wheel Recovery Services, Inc.
Address	58147 Columbia River Hwy
City	Saint Helens
State	OR
ZIP	97051
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 29, 2015

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	61,830	$80	$4.7M
H0005	Alcohol and/or drug services; group counseling by a clinician	65,700	$20	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	4,250	$60	$242K
H0006	Alcohol and/or drug services; case management	5,800	$20	$139.3K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	14,860	$10	$118.8K
T1016	Case management, each 15 minutes	50	$160	$7.2K
H0001	Alcohol and/or drug assessment	90	$50	$4.4K
H2032	Activity therapy, per 15 minutes	40	$100	$4.2K
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…	30	$90	$2.4K
H2014	Skills training and development, per 15 minutes	230	$10	$1.6K

Showing 1–10 of 15

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

Medicine Wheel Recovery Services, Inc. — 2 of 13 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	27	30	1,580	$100	$815K
H0005	Alcohol and/or drug services; group counseling by a clinician	15	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	89	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	2	150	1,030	$80	$417.2K
H2014	Skills training and development, per 15 minutes	88	120	1,010	$40	$323.2K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	33	160	2,750	$20	$205.1K
H0023	Alcohol and/or drug outreach	8	10	110	$900	$177.1K
H2032	Activity therapy, per 15 minutes	26	30	650	$60	$151.5K
T1016	Case management, each 15 minutes	179	210	410	$50	$126.4K
H0001	Alcohol and/or drug assessment	46	100	80	$140	$70.6K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Medicine Wheel Recovery Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia Community Mental Health	OR	Mental Health Counselor	$0	$12.6M
Bridge To Pathways	OR	Substance Abuse Rehabilitation Facility	$0	$2.4M
Legacy Emanuel Hospital & Health Center	OR	Rural Health Clinic/Center	$0	$1.8M
Columbia River Fire & Rescue	OR	Land Ambulance	$266.4K	$1.4M
Heather Dryden	OR	Internal Medicine Physician	$63.2K	$0

Medicine Wheel Recovery Services, Inc. — Billing Profile & Reimbursement Data

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Medicine Wheel Recovery Services, Inc. — 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