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NPI 1932250719 · Portland, OR · Methadone Clinic
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Crc Health Oregon, LLC is a methadone clinic provider located in Portland, Oregon. This profile covers 4 Medicare and 19 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 | 6601 Ne 78th Court, Ste A3 |
| City | Portland |
| State | OR |
| ZIP | 97218 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | January 16, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $17.1M |
| Medicare | $207.2K |
This provider is effectively Medicaid-dominant by scale, with total Medicaid revenue of $17.1M compared with total Medicare revenue of $207.2K. The gap indicates the organization’s primary commercial exposure and financial dependency are on Medicaid programs rather than Medicare.
Medicare billing is highly concentrated: the top three Medicare codes account for 99.1% of the provider’s Medicare revenue, driven mainly by G2067 (72.9%), G2074 (15.0%), and G2078 (11.3%). These codes and shares indicate that nearly all Medicare receipts come from weekly medication‑assisted treatment bundles and associated take‑home supplies and add‑ons, rather than a broad mix of E/M or procedure codes.
Although G2067 is the single largest Medicare revenue source, the provider’s national standing on that code is modest — G2067 ranks #438 of 830 providers nationally (47th percentile; typical, unremarkable volume for this code). The other Medicare primary codes show somewhat higher relative volume versus peers (G2074 at the 78th percentile and G2078 at the 74th percentile), suggesting concentrated but not nationally dominant Medicare activity focused on OTP services.
Medicaid revenue is also concentrated: the top three Medicaid codes account for 89.7% of Medicaid revenue, led by H0005 (37.4%), H0020 (26.7%), and H0004 (25.6%). This mix reflects a service model concentrated on group counseling, methadone administration/dispensing, and behavioral health counseling, consistent with an opioid treatment program that pairs medication delivery with structured counseling.
On in‑state competitive standing, CRC HEALTH OREGON is a major outlier for key Medicaid counseling services: H0005 ranks #4 of 184 providers in-state (98th percentile; extreme outlier) and H0004 ranks #7 of 265 providers in-state (98th percentile; extreme outlier). By contrast, H0020 ranks #6 of 32 providers in-state (84th percentile; typical, unremarkable volume for this code), indicating exceptional strength in counseling volume and near-top performance in methadone administration within Oregon.
The code mix and revenue concentration imply an operational model built around high-volume, standardized OTP workflows: weekly medication-assisted treatment bundles (G2067/G2074), frequent group counseling sessions (H0005), and routine toxicology and medication administration services (H0048, H0020). Adjunct services such as H0048 (7.1% of Medicaid revenue; ranks #9 of 162 in-state, 95th percentile) further indicate robust toxicology/testing integration into the clinical process.
The provider’s NPI has been enumerated since 2007-01-16 (~19 years ago), indicating long tenure in the market. Combined with the large Medicaid footprint and extreme in-state rankings on core counseling codes, this tenure supports the interpretation of an established OTP with sustained operational scale in Oregon.
High revenue concentration poses payer exposure risk: Medicare revenue is nearly entirely concentrated in three OTP bundle codes (99.1%), and Medicaid revenue is similarly concentrated in three codes (89.7%). The organization’s reliance on Medicaid ($17.1M) over Medicare ($207.2K) means shifts in Medicaid policy, state contracting, or counseling reimbursement would disproportionately affect its financials compared with changes to Medicare payments.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 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… | 610 | $250 | $150.8K |
| 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… | 160 | $190 | $31.1K |
| 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 | 610 | $40 | $23.3K |
| 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… | 20 | $120 | $1.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 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.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 147,180 | $40 | $6.3M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 565,000 | $10 | $4.5M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 69,840 | $60 | $4.3M |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 54,560 | $20 | $1.2M |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 3,470 | $80 | $260.6K |
| 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… | 380 | $160 | $62.6K |
| 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… | 750 | $80 | $59.2K |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 10,100 | $1 | $40.4K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 4,890 | $10 | $29.3K |
| J0571 | Buprenorphine, oral, 1 mg | 3,000 | $10 | $21K |
Showing 1–10 of 19
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
19 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) | 6 | 30 | 86,800 | $10 | $2.4M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 4 | 180 | 3,250 | $40 | $783.8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 7 | 270 | 1,660 | $90 | $681K |
| H0033 | Oral medication administration, direct observation | 16 | 20 | 4,620 | $10 | $521.2K |
| J0571 | Buprenorphine, oral, 1 mg | 5 | 10 | 3,000 | $10 | $475.6K |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 8 | 10 | 9,110 | $10 | $454.8K |
| H0038 | Self‑help/peer services, per 15 minutes | 135 | 150 | 1,030 | $80 | $417.2K |
| 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… | 876 | 1,500 | 650 | $70 | $312.4K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 9 | 10 | 4,600 | $20 | $309.8K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 10 | 20 | 1,840 | $70 | $256.9K |
Showing 1–10 of 19
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 |
|---|---|---|---|---|
| Parklane Dental PA | KS | General Practice Dentistry | $0 | $10.3M |
| Essential Quality Care LLC | OR | In Home Supportive Care Agency | $0 | $4.6M |
| Cascadia Health | OR | Multi-Specialty Clinic/Center | $0 | $1.2M |
| Rachel Moyles | OR | Occupational Therapist | $40.6K | $0 |
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