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.

Klamath Child And Family Treatment Center (NPI 1902830524)

Field	Value
Entity Type	Organization
Organization	Klamath Child And Family Treatment Center
Address	2210 N Eldorado Ave
City	Klamath Falls
State	OR
ZIP	97601
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$16.2M
Medicare	$0

Key Findings

KLAMATH CHILD AND FAMILY TREATMENT CENTER reports no Medicare billing on file and $16.2M in lifetime Medicaid revenue, making its financial footprint effectively single‑payer (Medicaid) at present. The provider’s NPI was enumerated on 2006-07-10 (~20 years ago), indicating an established presence in the market over multiple Medicaid policy cycles.

Revenue is concentrated in a small set of behavioral‑health services: the precomputed top three Medicaid codes account for 36.2% of total Medicaid revenue. The leading codes are H2014 ($2.3M, 14.4%), 90837 ($1.9M, 11.7%), and H0038 ($1.6M, 10.0%), showing significant share generation from skills training, long psychotherapy sessions, and peer/self‑help services.

The code mix indicates a community‑behavioral health and outpatient psychotherapy operation rather than traditional medical specialty care: high volumes for psychotherapy codes (90837, 90834, 90853), skills training (H2014), peer services (H0038), assertive community treatment (H0039), and per‑diem community psychiatric support (H0037) point to integrated outpatient and community support programs, including group and substance‑use counseling (H0005) and specimen testing (H0048). This mix suggests the organization delivers both clinical psychotherapy and community support/case management services.

On competitive standing within Oregon, the provider is a strong statewide participant for multiple codes: H2014 ranks #4 of 115 (97th percentile) which signals a dominant position in skills training, 90837 ranks #54 of 1380 (96th percentile) indicating unusually high psychotherapy volume relative to most peers, and H0038 ranks #9 of 146 (94th percentile) showing market strength in peer/self‑help services. Several other psychotherapy and behavioral‑health codes (e.g., 90834, 90853, 90791) also sit in high percentiles, reinforcing that the provider is a major service supplier in these lines rather than a marginal operator.

The provider is an extreme outlier on screening activity and unusually high in crisis psychotherapy: T1023 is ranked #1 of 91 (100th percentile; extreme outlier), and 90839 is ranked #1 of 19 (100th percentile; notably above typical state volume). These rankings indicate programmatic emphasis or specialized capacity around screening workflows and crisis intervention that far exceed typical state volumes.

Operationally the organization handles very large encounter volumes across several codes, consistent with high throughput community care: examples include 39.5K claims for H2014, 22.9K claims for H0005, and 13.3K claims for 90837. Those claim counts combined with substantial dollar revenue for several mid‑range paid/claim services (e.g., 99214 at $1.1M, H0037 at $1.5M) point to sustained clinic throughput and capacity for ongoing outpatient case management and therapy.

Although revenue is concentrated in behavioral‑health codes, the provider shows a diversified service mix within that sector—ranging from high‑volume skills training and peer services to E&M visits (99214) and per‑diem community programs (H0037, T1040). This spread reduces dependence on a single CPT/HCPCS line within Medicaid even as overall payer concentration remains focused on the state Medicaid program.

The absence of a Medicare billing footprint combined with $16.2M in Medicaid revenue implies material exposure to state Medicaid policy and rate changes; any changes in Oregon Medicaid program rules or reimbursement levels could meaningfully affect revenue. From a contracting and network strategy perspective, the provider’s strengths in screening (T1023), crisis care (90839), and high‑volume psychotherapy make it a key Medicaid behavioral‑health partner but a limited candidate for Medicare‑driven diversification unless billing patterns change.

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	39,510	$60	$2.3M
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…	13,270	$140	$1.9M
H0038	Self‑help/peer services, per 15 minutes	18,290	$90	$1.6M
H0037	Community psychiatric supportive treatment program, per diem	5,760	$260	$1.5M
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…	10,040	$120	$1.2M
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…	15,190	$70	$1.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	16,900	$60	$997.2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	10,030	$90	$922.9K
H0005	Alcohol and/or drug services; group counseling by a clinician	22,940	$40	$917.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	12,090	$70	$858K

Showing 1–10 of 30

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

Klamath Child And Family Treatment Center — 7 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0037	Community psychiatric supportive treatment program, per diem	4	10	4,010	$360	$2.5M
H0005	Alcohol and/or drug services; group counseling by a clinician	31	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	40	270	1,660	$90	$681K
T1040	Medicaid certified community behavioral health clinic services, per diem	6	10	840	$190	$608.3K
H0038	Self‑help/peer services, per 15 minutes	9	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…	54	1,380	540	$140	$363.3K
H2014	Skills training and development, per 15 minutes	4	120	1,010	$40	$323.2K
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…	102	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…	301	1,590	590	$50	$236.5K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	49	160	2,750	$20	$205.1K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as Klamath Child And Family Treatment Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sky Lakes Medical Center Inc	OR	General Acute Care Hospital	$0	$30.3M
Klamath County Fire District No 1	OR	Ambulance	$880.4K	$2.8M
Best Care Treatment Services	OR	Substance Abuse Rehabilitation Facility	$0	$2.3M
Lutheran Community Services Northwest	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Klamath Counseling Services	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
David H Panossian Md PC	OR	Sleep Specialist (PhD)	$0	$1.6M
Klamath Ophthalmology PC	OR	Ophthalmology Physician	$0	$1.6M
Klamath Health Partnership Inc	OR	Federally Qualified Health Center (FQHC)	$0	$1.2M
Full Circle Healing	OR	Community/Behavioral Health Agency	$0	$1.1M
Scott Stevens	OR	Ophthalmology Physician	$758.7K	$0

Klamath Child And Family Treatment Center — Billing Profile & Reimbursement Data

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Klamath Child And Family Treatment Center — 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

Nearby Providers

Frequently Asked Questions

References