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.

Columbacare Services (NPI 1992404438)

Field	Value
Entity Type	Organization
Organization	Columbacare Services
Address	524 Manzanita St
City	Central Point
State	OR
ZIP	97502
Taxonomy	Psychiatric Residential Treatment Facility
NPI Enumerated	February 23, 2023

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	240	$5,670	$1.4M
H2014	Skills training and development, per 15 minutes	120	$70	$8.4K
H0038	Self‑help/peer services, per 15 minutes	70	$110	$8.1K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	260	$30	$7K

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

Columbacare Services — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1020	Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	38	40	1,330	$1,170	$6.4M
H0038	Self‑help/peer services, per 15 minutes	126	150	1,030	$80	$417.2K
H2014	Skills training and development, per 15 minutes	98	120	1,010	$40	$323.2K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	10	20	290	$30	$59.4K

Nearby Providers

Other providers in the same ZIP code as Columbacare Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elderly And Disabled Services	OR	Mental Illness Community Based Residential Treatment Facility	$0	$5.4M
Dunlap Physicians LLC	OR	Chiropractor	$0	$2.4M
Apria Healthcare LLC	OR	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Southern Oregon Chiropractic-central Point, LLC	OR	Chiropractor	$0	$1.3M
Rogue Valley Medical Transport	OR	Non-emergency Medical Transport (VAN)	$0	$1.1M
Providence Health & Services - Oregon	OR	Internal Medicine Physician	$0	$993.4K
Costco Wholesale Corporation	OR	Community/Retail Pharmacy	$264.3K	$0
Jesse Hodson	OR	Family Nurse Practitioner	$57.8K	$0
Samuel Hirtle	OR	Family Medicine Physician	$57.7K	$0
Dean Brown	OR	Optometrist	$41.7K	$0

Columbacare Services — Billing Profile & Reimbursement Data

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Columbacare Services — Billing Profile & Reimbursement Data

Sign up for Columbacare Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References