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.

Central City Concern (NPI 1881658276)

Field	Value
Entity Type	Organization
Organization	Central City Concern
Address	232 Nw 6th Ave
City	Portland
State	OR
ZIP	97209
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicaid	$94.9M
Medicare	$0

Key Findings

CENTRAL CITY CONCERN is effectively a single‑payer Medicaid provider: it has no Medicare billing on file and reports $94.9M in lifetime Medicaid revenue. This concentration means Medicaid is the dominant revenue source for the organization rather than a mixed Medicare/Medicaid practice profile. The provider’s NPI was enumerated on 2006-04-13 (~20 years ago), indicating a long-established presence in the market.

Revenue for this FQHC is highly concentrated in a small set of Medicaid codes: H0010 ($33.7M, 35.7%), H0004 ($10.5M, 11.1%), and G9006 ($9.2M, 9.7%) together account for 56.5% of the provider’s total Medicaid revenue. That top‑three concentration indicates the organization derives the majority of its Medicaid income from behavioral health/addiction services and a coordinated‑care fee. Such a split focuses financial exposure on a narrow set of service lines.

The code mix signals an operational emphasis on behavioral health and substance use disorder treatment. H0010 (sub‑acute detoxification residential) at $33.7M and H0012/H0019 (other residential/sub‑acute detox and long‑term residential) along with high volumes of H0004 (behavioral health counseling, $10.5M) and H0005 (group counseling, $8M) point to substantial investment in inpatient/outpatient addiction treatment and group therapy capacity. High counts of claims for counseling and detoxification align with an FQHC that integrates SUD services into its ambulatory and residential programs.

Several activity signals are flagged as statistical outliers versus in‑state peers, consistent with a large behavioral health footprint. H0004 (88.7K claims) ranks #4 of 265 in‑state and is labeled an “extreme outlier”; 99214 (85.3K claims) ranks #10 of 1503 and is also an “extreme outlier”; 99213 (111.8K claims) ranks #8 of 1591 at the 100th percentile and is an “extreme outlier”; 97810 ranks #1 of 168 and is an “extreme outlier”; and 80305 ranks #2 of 93 and is an “extreme outlier.” These high‑volume, high‑percentile ranks show the provider operates at volumes far above typical peers for multiple behavioral health and ancillary services.

The provider’s competitive standing varies by code: for G9006 (coordinated care fee, home monitoring) it ranks #1 of 2 providers in‑state at the 100th percentile but the population of reporting peers is small and the code is described as “typical, unremarkable volume,” so dominance should be interpreted cautiously. By contrast, H0010 ($33.7M) ranks #5 of 13 (67th percentile, characterized as “typical, unremarkable volume”), indicating solid but not monopolistic position in residential detox. For core outpatient E&M activity, 99213 and 99214 rank in the top percentiles statewide, indicating a major role in primary/outpatient visit volume relative to peers.

Claim counts and avg paid/claim figures make the revenue picture concrete: H0010 shows 10.8K claims at $3119 avg paid/claim producing $33.7M, H0004 shows 88.7K claims at $118 avg paid/claim producing $10.5M, and G9006 shows 1.7K claims at $5503 avg paid/claim producing $9.2M. The combination of high claim volumes for counseling codes (H0004, H0005) and relatively high per‑claim payments for residential and coordinated care fees (H0010, G9006) explains why a small set of codes drives more than half of Medicaid revenue. These unit economics are consistent with a mixed model that pairs high-volume outpatient counseling with higher‑value residential and care‑coordination services.

From a contracting and risk perspective, the provider’s heavy reliance on a handful of Medicaid service lines creates both leverage and exposure. The 56.5% concentration in three codes means changes in Medicaid rates, prior‑authorization policies, or program funding for detoxification, counseling, or coordinated care could have outsized budgetary impact. Payers should treat reimbursement and utilization trends for H0010, H0004, and G9006 as high‑priority metrics when assessing financial and network risk.

Operationally, the breadth of codes with high state‑percentile ranks (including T1016 at the 99th percentile and 80305 at the 99th percentile) indicates the organization delivers a broad set of adjunctive services such as case management, drug screening, peer services, and ancillary therapies (including acupuncture 97810). Together with its FQHC taxonomy and ~20 years of enumeration, this pattern is consistent with a mature, multidisciplinary behavioral health and community health provider that combines primary care E&M volume with extensive addiction treatment and care‑coordination offerings.

Medicaid: Complete Services Breakdown

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

69 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	10,800	$3,120	$33.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	88,740	$120	$10.5M
G9006	Coordinated care fee, home monitoring	1,660	$5,500	$9.2M
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…	85,270	$100	$8.1M
H0005	Alcohol and/or drug services; group counseling by a clinician	145,940	$60	$8M
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…	111,830	$70	$7.9M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1,960	$3,750	$7.3M
H0012	Behavioral health day treatment, per hour	2,210	$1,850	$4.1M
T1016	Case management, each 15 minutes	17,450	$100	$1.8M
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	25,830	$20	$619.9K

Showing 1–10 of 69

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

Central City Concern — 11 of 25 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

69 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	5	10	7,740	$1,030	$9M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	20	30	2,560	$400	$8.9M
G9006	Coordinated care fee, home monitoring	1	10	1,260	$3,990	$5M
H0012	Behavioral health day treatment, per hour	1	10	550	$940	$947K
H0005	Alcohol and/or drug services; group counseling by a clinician	5	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	4	270	1,660	$90	$681K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	7	10	130	$1,860	$555.5K
H0038	Self‑help/peer services, per 15 minutes	20	150	1,030	$80	$417.2K
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…	967	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	79	120	1,010	$40	$323.2K

Showing 1–10 of 69

Related Providers

Other providers that share a Tax Identification Number (TIN) with Central City Concern, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central City Concern	OR	Substance Abuse Rehabilitation Facility	$0	$6.9M

Nearby Providers

Other providers in the same ZIP code as Central City Concern, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mulnomah County	OR	Federally Qualified Health Center (FQHC)	$0	$65M
Crc Health Oregon, LLC	OR	Methadone Clinic	$334.7K	$27.6M
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

Central City Concern — Billing Profile & Reimbursement Data

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Central City Concern — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References