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.

Salem Psychiatric Associates PC (NPI 1912121526)

Field	Value
Entity Type	Organization
Organization	Salem Psychiatric Associates PC
Address	821 Saginaw St S
City	Salem
State	OR
ZIP	97302
Taxonomy	Clinical Social Worker
NPI Enumerated	April 13, 2007

Payer Source	Total Paid
Medicaid	$22.7M
Medicare	$0

Key Findings

SALEM PSYCHIATRIC ASSOCIATES PC shows effectively single‑payer activity on the claims available: there is no Medicare billing on file while Medicaid accounts for $22.7M in lifetime revenue, indicating the practice’s reimbursed activity is concentrated in state Medicaid programs. The provider’s NPI has been enumerated since 2007-04-13 (~19 years ago), reflecting long tenure in the market and an established billing history under Medicaid.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 codes by revenue account for 88.7% of this provider's total Medicaid revenue. In particular, 90837 alone represents $17.5M (77.2% of total Medicaid revenue), with 99214 and 90834 contributing $2.1M (9.4%) and $497.4K (2.2%) respectively, demonstrating dependence on a narrow set of high‑value psychotherapy and E/M codes.

The code mix points to a psychotherapy‑centric outpatient practice model: 90837 (91.3K claims) and 90834 (4K claims) are the largest contributors by service type, indicating the provider delivers large volumes of long and mid‑length psychotherapy sessions. The presence of E/M code 99214 (18.6K claims, $2.1M) alongside psychotherapy codes suggests combined behavioral health and evaluation/management encounters rather than primarily procedural or medication‑management services.

Operational scale and throughput are substantial for psychotherapy services: 90837 has 91.3K claims and is responsible for $17.5M in revenue, and 99214 has 18.6K claims and $2.1M in revenue. These volumes imply a high outpatient visit cadence and capacity for sustained psychotherapy delivery within the Medicaid population rather than sporadic or low‑volume specialty activity.

Competitive standing within Oregon is outsized for the practice’s core psychotherapy code: 90837 ranks #4 of 1380 providers in‑state and is labeled an "extreme outlier, far above typical state volume for this code," indicating the practice is a dominant statewide provider of long psychotherapy sessions. Other codes where the provider ranks notably high include T1016 (case management) at #9 of 206 (96th percentile), 90833 (psychotherapy add‑on) at #7 of 145 (96th percentile), and H2027 (psychoeducational service) at #1 of 11 (100th percentile), underscoring above‑typical activity in related behavioral health services.

There is evidence of a broader service mix tied to care coordination and screening: the provider bills substantial case management (T1016, 11.1K claims, $454.8K) and program screening (T1023, 2.1K claims, $155.6K), as well as add‑on intensity code 90785 (2K claims, $26.5K). This pattern supports a model that pairs psychotherapy with structured case management and program eligibility activities within Medicaid care pathways.

While the practice is concentrated and dominant for specific psychotherapy services, many other mental health codes appear at more typical or modest volumes for the state: examples include 90834 (rank #45 of 399, 89th percentile), 99214 (rank #83 of 1503, 95th percentile), and a range of assessment and group codes that are present but small contributors to total revenue. Together these data suggest a specialized, high‑volume psychotherapy operation that drives most revenue through intensive individual psychotherapy sessions funded by Medicaid.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	91,320	$190	$17.5M
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…	18,650	$110	$2.1M
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…	4,040	$120	$497.4K
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…	6,210	$80	$477.8K
T1016	Case management, each 15 minutes	11,090	$40	$454.8K
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…	4,380	$100	$437.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	5,280	$80	$433.1K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	2,130	$70	$155.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,020	$140	$147.2K
H2027	Psychoeducational service, per 15 minutes	6,910	$20	$138.1K

Showing 1–10 of 21

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

Salem Psychiatric Associates PC — 4 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	167	270	1,660	$90	$681K
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…	4	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…	83	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…	236	1,590	590	$50	$236.5K
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…	45	400	230	$90	$153.8K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	87	130	230	$110	$152K
T1016	Case management, each 15 minutes	9	210	410	$50	$126.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	77	140	310	$60	$113.6K
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…	21	310	280	$70	$82K
H0031	Mental health assessment, by non-physician	50	80	70	$120	$81.2K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Salem Psychiatric Associates PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jean Daniels	OR	Psychiatric/Mental Health Nurse Practitioner	$17.2K	$0

Nearby Providers

Other providers in the same ZIP code as Salem Psychiatric Associates PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crc Health Oregon, LLC	OR	Methadone Clinic	$485.5K	$26.1M
Shangri-la Corporation	OR	Mental Illness Community Based Residential Treatment Facility	$0	$13.5M
Cascade Infectious Diseases And Infusion LLC	OR	Infusion Therapy Clinic/Center	$0	$9.6M
Salem Pediatric Clinic	OR	Pediatrics Physician	$0	$9M
Silver Falls Dermatology, LLC	OR	Dermatology Physician	$0	$6.8M
Retina Consultants, LLP	OR	Ophthalmology Physician	$0	$6.6M
Cascade Sleep Supply, LLC.	OR	Durable Medical Equipment & Medical Supplies	$0	$6.1M
Creating Pathways	OR	Speech-Language Pathologist	$0	$5.7M
Salem Pulmonary Associates P.C.	OR	Pulmonary Disease Physician	$0	$4.8M
Hhhkc Dental LLC	OR	Oral and Maxillofacial Surgery (Dentist)	$0	$4.7M

Salem Psychiatric Associates PC — 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