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.

Power House Detox (NPI 1982197182)

Field	Value
Entity Type	Organization
Organization	Power House Detox
Address	3955 Salmon River Hwy
City	Otis
State	OR
ZIP	97368
Taxonomy	Substance Use Disorder Rehabilitation Hospital Unit
NPI Enumerated	June 12, 2018

Payer Source	Total Paid
Medicaid	$16.7M
Medicare	$0

Key Findings

POWER HOUSE DETOX is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue reported is $16.7M, indicating the facility’s entire documented public-payor activity is concentrated in Medicaid-funded substance use disorder services. This suggests the organization primarily serves Medicaid-covered populations rather than Medicare beneficiaries.

The provider’s service mix is overwhelmingly focused on inpatient/residential detoxification care: H0011 (acute detoxification in a residential addiction program) accounts for $16.6M in revenue and represents 99.5% of the provider’s total Medicaid revenue. This concentration indicates the facility operates principally as a residential detox unit rather than offering a broad array of outpatient or long-term behavioral health services.

Revenue concentration risk is high because the top three Medicaid codes together account for 100.0% of Medicaid revenue, with H0011 alone comprising nearly the entire revenue base. With such a narrow set of billable services driving all reported Medicaid income, changes to coverage, utilization, or reimbursement for H0011 would materially affect the provider’s financials.

Competitive standing on the state level is modest for the facility’s core service: for H0011 the provider ranks #3 of 8 in-state and sits in the 71st percentile, which the data labels as a typical, unremarkable volume for this code. That placement indicates it is a visible but not dominant residential detox provider in Oregon; there are at least two peers with higher Medicaid H0011 revenue.

Secondary code activity is minimal and operationally adjunct: G9012 (other specified case management) contributes $87K (0.5% of Medicaid revenue) and ranks #2 of 15 in-state at the 93rd percentile, indicating relatively strong placement among peers for case management despite the small absolute revenue. H0002 (behavioral health screening) is negligible at $2.6K and ranks midpack (#26 of 51, 50th percentile), suggesting screening services are billed only sporadically or are not a major revenue focus.

The provider’s NPI was enumerated on 2018-06-12 (~8 years ago), which establishes a multi-year presence in the market; the tenure is consistent with an established local facility but not indicative of long legacy incumbency compared with much older institutions. This tenure should be considered when assessing market relationships or referral networks.

Given the concentration in a single high-revenue code and the lack of Medicare billing, the provider’s payer mix is heavily skewed toward Medicaid and therefore sensitive to state-level policy, Medicaid utilization management, and contract negotiations. Analysts should prioritize monitoring Medicaid rule changes and peer reimbursement trends for H0011 when evaluating financial or utilization risk for this entity.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	5,220	$3,180	$16.6M
G9012	Other specified case management service not elsewhere classified	1,640	$50	$87K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	90	$30	$2.6K

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

Power House Detox — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	3	10	1,250	$1,640	$9M
G9012	Other specified case management service not elsewhere classified	2	20	60	$330	$176.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	26	50	90	$20	$6.6K

Power House Detox — Billing Profile & Reimbursement Data

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Power House Detox — 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

Frequently Asked Questions

References