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.

Active Recovery Tms PLLC (NPI 1881287787)

Active Recovery Tms PLLC is a psychiatry physician provider located in Clackamas, Oregon. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Active Recovery Tms PLLC
Address	10151 Se Sunnyside Rd Ste 360
City	Clackamas
State	OR
ZIP	97015
Taxonomy	Psychiatry Physician
NPI Enumerated	February 11, 2021

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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
90868	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	14,670	$150	$2.2M
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…	670	$110	$75.7K
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…	1,060	$60	$62.3K
90867	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	120	$270	$30.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	100	$180	$17.4K
90869	The provider performs a subsequent redetermination of the minimum intensity of electrical pulses necessary to elicit the desired response in brain activity for a patient undergoing therapeutic…	230	$70	$15.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	80	$140	$11.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	50	$150	$6.9K
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…	10	$80	$1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$20	$980

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

Active Recovery Tms PLLC — 2 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
90868	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	1	10	3,250	$140	$702.9K
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…	612	1,380	540	$140	$363.3K
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…	1,455	1,500	650	$70	$312.4K
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…	630	1,590	590	$50	$236.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	328	530	150	$110	$74.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	100	140	120	$130	$46.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	66	190	60	$200	$45.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	380	570	110	$50	$37.6K
90869	The provider performs a subsequent redetermination of the minimum intensity of electrical pulses necessary to elicit the desired response in brain activity for a patient undergoing therapeutic…	1	10	230	$70	$15.7K
90867	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	1	10	70	$210	$15.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Y Pritham Raj	OR	Internal Medicine Physician	$93.3K	$0
Larissa Birndorf	OR	Psychiatric/Mental Health Nurse Practitioner	$20.3K	$0
Laura Dillard	OR	Psychiatric/Mental Health Nurse Practitioner	$19.1K	$0
Ryan Dozler	OR	Psychiatric/Mental Health Nurse Practitioner	$11.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	OR	General Acute Care Hospital	$0	$18M
Northwest Medical, LLC.	OR	Oxygen Equipment & Supplies (DME)	$0	$9.8M
First Transit, Inc.	OR	Transportation Broker	$0	$6.7M
Rupa K. Shah, Md, PC	OR	Pediatrics Physician	$0	$5.5M
Sleep Technologies Ltd	OR	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Clackamas County	OR	Federally Qualified Health Center (FQHC)	$0	$3.3M
Kaiser Foundation Hospitals	OR	Ambulatory Surgical Clinic/Center	$6.9K	$1.9M
Crossing Bridges Counseling Center	OR	Mental Health Counselor	$0	$1.9M
Kaiser Foundation Hospitals	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Elizabeth Verner-cole	OR	Retina Specialist (Ophthalmology) Physician	$1.7M	$0

Active Recovery Tms PLLC — Billing Profile & Reimbursement Data

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Active Recovery Tms PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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