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.

Douglas County Childrens Center, Inc (NPI 1750402913)

Field	Value
Entity Type	Organization
Organization	Douglas County Childrens Center, Inc
Address	1939 Ne Diamond Lake Blvd
City	Roseburg
State	OR
ZIP	97470
Taxonomy	Clinic/Center
NPI Enumerated	April 3, 2007

Payer Source	Total Paid
Medicaid	$1.9M
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
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	1,070	$720	$763.6K
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…	3,790	$160	$587.1K
H2000	Comprehensive multidisciplinary evaluation	1,070	$240	$261.8K
H2014	Skills training and development, per 15 minutes	1,990	$70	$147K
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…	820	$110	$88.5K
T1016	Case management, each 15 minutes	640	$60	$35.2K
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…	90	$100	$9.1K
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…	50	$80	$4.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	30	$100	$3.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$110	$1.7K

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

Douglas County Childrens Center, Inc — 0 of 10 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
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	2	10	110	$910	$468.7K
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…	177	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	49	120	1,010	$40	$323.2K
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…	262	400	230	$90	$153.8K
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…	41	130	230	$110	$152K
T1016	Case management, each 15 minutes	82	210	410	$50	$126.4K
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…	252	310	280	$70	$82K
H2000	Comprehensive multidisciplinary evaluation	3	20	90	$130	$51.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	68	90	120	$70	$42.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	298	370	60	$110	$41.7K

Nearby Providers

Other providers in the same ZIP code as Douglas County Childrens Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adapt	OR	Addiction (Substance Use Disorder) Counselor	$0	$11.6M
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
Adapt	OR	Community/Behavioral Health Agency	$0	$6.6M
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 Education Service District	OR	Local Education Agency (LEA)	$0	$1M

Douglas County Childrens Center, Inc — Billing Profile & Reimbursement Data

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Douglas County Childrens Center, 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