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NPI 1801947668 · Portland, OR · Methadone Clinic
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Crc Health Oregon, LLC is a methadone clinic provider located in Portland, Oregon. This profile covers 5 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Crc Health Oregon, LLC |
| Address | 324 Nw Davis St. |
| City | Portland |
| State | OR |
| ZIP | 97209 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | January 16, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $27.6M |
| Medicare | $334.7K |
Business profile: CRC HEALTH OREGON, LLC bills primarily as a methadone clinic based on its dominant use of opioid treatment program codes — the provider's Medicare revenue is concentrated on G2067 (weekly methadone MAT bundle) and related OTP codes, while its Medicaid activity centers on H0020 (methadone administration), H0005 (group counseling), H0004 (behavioral therapy) and H0048 (drug testing). The mix of dispensing/administration codes plus high-volume counseling and testing suggests an integrated outpatient opioid treatment operation that combines medication dispensing with routine behavioral counseling and toxicology monitoring.
Medicaid scale vs Medicare: This provider is effectively Medicaid-dominant, reporting Total Medicare revenue of $334.7K versus Total Medicaid revenue of $27.6M. The Medicaid book of business is orders of magnitude larger than Medicare, indicating payer mix and operational emphasis are skewed toward state Medicaid programs rather than Medicare beneficiaries.
Revenue concentration by code sets: Medicare revenue is highly concentrated — the precomputed top 3 Medicare codes account for 98.5% of Total Medicare revenue — with G2067 alone representing $284.1K (84.7% of Medicare revenue). On the Medicaid side the top three codes account for 82.2% of Total Medicaid revenue, led by H0005 at $8.9M (32.9%), H0020 at $7.9M (29.2%), and H0004 at $5.5M (20.1%), showing that a small set of behavioral health and medication-administration services drive the bulk of payer income.
Medicaid competitive standing in-state: CRC HEALTH OREGON is a dominant statewide provider for several Medicaid codes — H0005 ranks #1 of 184 providers in-state (100th percentile, labeled an extreme outlier) and H0004 ranks #5 of 265 (98th percentile, also an extreme outlier). H0020 ranks #2 of 32 in-state (97th percentile), indicating materially above-typical in-state volume for methadone administration and underscoring the provider’s role as a major Medicaid delivery site for opioid treatment in Oregon.
Medicare competitive standing nationally: For Medicare G2067 the provider ranks #199 of 830 (76th percentile), which places it as a typical but not leading national participant for that OTP bundle; G2078 ranks higher at #59 of 493 (88th percentile), showing relatively stronger participation in take-home supply billing. Overall, Medicare activity appears modest in scale and concentrated on a small OTP code set rather than broad Medicare service lines.
Service mix implications: The high Medicaid counts for H0005 (208.1K claims), H0020 (1.3M claims), and H0048 (156.9K claims) indicate very high recurring encounter volume — frequent dosing visits, routine group counseling sessions, and regular specimen collection are integral to how this clinic operates. The presence of drug codes (J0574, J0571) and direct-observation administration codes (H0033, T1502) in the Medicaid top codes further supports a service model that combines medication-assisted treatment with in‑clinic administration and supervision.
Statistical outlier and percentile signals: Multiple Medicaid codes are labeled as extreme outliers or notably above typical state volume (H0005: extreme outlier/100th percentile; H0048: extreme outlier/99th percentile; H0020: notably above typical/97th percentile), signaling that CRC HEALTH OREGON is an unusually large provider for these specific Medicaid services in Oregon. By contrast, Medicare code percentiles are in the typical range for most top codes, indicating a much less pronounced market position with Medicare payers.
Tenure and operational continuity: The NPI was enumerated on 2007-01-16 (~19 years ago), indicating long-standing enrollment and likely operational continuity in the state. That tenure combined with the Medicaid volume profile suggests an established OTP operation with sustained payer relationships and repeated patient encounters over many years.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 1,160 | $250 | $284.1K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 900 | $40 | $34K |
| G2074 | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services… | 70 | $180 | $12.3K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 30 | $120 | $2.9K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 10 | $150 | $2.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 208,100 | $40 | $8.9M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1,322,080 | $10 | $7.9M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 76,970 | $70 | $5.5M |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 156,900 | $20 | $3.5M |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 4,580 | $80 | $375.4K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 25,350 | $10 | $304.2K |
| J0571 | Buprenorphine, oral, 1 mg | 16,680 | $10 | $200.2K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 32,290 | $10 | $161.5K |
| 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… | 1,800 | $80 | $142.4K |
| 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… | 1,050 | $100 | $100.5K |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Oregon median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 2 | 30 | 86,800 | $10 | $2.4M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 1 | 180 | 3,250 | $40 | $783.8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 5 | 270 | 1,660 | $90 | $681K |
| H0033 | Oral medication administration, direct observation | 13 | 20 | 4,620 | $10 | $521.2K |
| J0571 | Buprenorphine, oral, 1 mg | 4 | 10 | 3,000 | $10 | $475.6K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 3 | 10 | 9,110 | $10 | $454.8K |
| 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… | 627 | 1,500 | 650 | $70 | $312.4K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 5 | 10 | 4,600 | $20 | $309.8K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 8 | 20 | 1,840 | $70 | $256.9K |
| 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… | 492 | 1,590 | 590 | $50 | $236.5K |
Showing 1–10 of 18
Other providers in the same ZIP code as Crc Health Oregon, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Central City Concern | OR | Federally Qualified Health Center (FQHC) | $0 | $94.9M |
| Mulnomah County | OR | Federally Qualified Health Center (FQHC) | $0 | $65M |
| Clinicops, LLC | OR | Family Medicine Physician | $0 | $9.8M |
| Multnomah County | OR | Case Management Agency | $0 | $9.4M |
| Integrative Trauma Treatment Center, LLC | OR | Clinical Social Worker | $0 | $5.7M |
| Pearl Health Center,pc | OR | Primary Care Clinic/Center | $0 | $5.2M |
| Express Care Or PC | OR | General Practice Physician | $0 | $2.4M |
| Roxanne Mossman | OR | Clinical Social Worker | $0 | $1.7M |
| Cascade Aids Project | OR | Clinic/Center | $0 | $1.2M |
| 2bwell Group, LLC | OR | Acupuncturist | $0 | $1.2M |
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