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.

Clatsop Behavioral Healthcare (NPI 1760833313)

Field	Value
Entity Type	Organization
Organization	Clatsop Behavioral Healthcare
Address	326 Se Marlin Ave
City	Warrenton
State	OR
ZIP	97146
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	June 24, 2016

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	41,040	$110	$4.4M
H2014	Skills training and development, per 15 minutes	1,650	$30	$44.4K
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…	180	$60	$10.7K
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…	30	$10	$230
H0004	Behavioral health counseling and therapy, per 15 minutes	10	$0	$0
H0006	Alcohol and/or drug services; case management	10	$0	$0
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	60	$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

Clatsop Behavioral Healthcare — 1 of 4 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	1	40	1,330	$1,170	$6.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	263	270	1,660	$90	$681K
H2014	Skills training and development, per 15 minutes	53	120	1,010	$40	$323.2K
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…	1,412	1,590	590	$50	$236.5K
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…	188	310	280	$70	$82K
H0006	Alcohol and/or drug services; case management	95	100	380	$30	$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	56	90	120	$70	$42.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medix Ambulance Service Inc	OR	Land Ambulance	$1.7M	$5.6M
Lincare Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Costco Wholesale Corporation	OR	Community/Retail Pharmacy	$270.3K	$0
Walgreen Co	OR	Pharmacy	$193.6K	$40
Brianna Stone	OR	Family Nurse Practitioner	$132.3K	$0
Fred Meyer Stores Inc	OR	Community/Retail Pharmacy	$118.7K	$0
Kerry Farmer	OR	Audiologist	$3.6K	$0

Clatsop Behavioral Healthcare — Billing Profile & Reimbursement Data

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Clatsop Behavioral Healthcare — 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