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.

Acme Counseling, LLC (NPI 1932492212)

Field	Value
Entity Type	Organization
Organization	Acme Counseling, LLC
Address	310 Nw 5th St Ste 101
City	Corvallis
State	OR
ZIP	97330
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	May 19, 2011

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	8,430	$90	$750.4K
H0006	Alcohol and/or drug services; case management	7,590	$40	$303.7K
H0005	Alcohol and/or drug services; group counseling by a clinician	2,170	$80	$171.3K
H0038	Self‑help/peer services, per 15 minutes	2,770	$20	$63.8K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	3,330	$10	$43.3K

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

Acme Counseling, LLC — 1 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0005	Alcohol and/or drug services; group counseling by a clinician	103	180	3,250	$40	$783.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	53	270	1,660	$90	$681K
H0038	Self‑help/peer services, per 15 minutes	52	150	1,030	$80	$417.2K
H0048	Alcohol and/or other drug testing: collection and handling only, specimens other than blood	75	160	2,750	$20	$205.1K
H0006	Alcohol and/or drug services; case management	3	100	380	$30	$51.1K

Nearby Providers

Other providers in the same ZIP code as Acme Counseling, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Samaritan Hospital Corvallis	OR	General Acute Care Hospital	$0	$14.6M
The Corvallis Clinic P C	OR	Multi-Specialty Clinic/Center	$0	$8.1M
Samaritan Pacific Health Services, Inc.	OR	Oxygen Equipment & Supplies (DME)	$0	$7.2M
Mary's Peak Emergency Physicians	OR	Emergency Medicine Physician	$0	$4.7M
Samaritan Endoscopy LLC	OR	Ambulatory Surgical Clinic/Center	$474.4K	$3.8M
Corvallis Radiology PC	OR	Diagnostic Radiology Physician	$0	$4M
City Of Corvallis	OR	Ambulance	$458K	$2.6M
The Corvallis Clinic PC	OR	Clinical Medical Laboratory	$406K	$2.1M
Good Samaritan Hospital Corvallis	OR	Family Medicine Physician	$0	$2.5M
Benton County	OR	Federally Qualified Health Center (FQHC)	$0	$2.4M

Acme Counseling, LLC — Billing Profile & Reimbursement Data

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Acme Counseling, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References