Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

CASCADIA HEALTH

Clinic/Center, Multi-Specialty·PORTLAND, OR·NPI: 1336196401Share

Compared to Clinic/Center, Multi-Specialty Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $76.8M is at the 25th percentile among 12 Clinic/Center, Multi-Specialty providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$76.8M

$76,788,620

Total Claims

699K

Beneficiaries

326K

2.1 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018
$14.2M
-11%
2019
$12.6M
-11%
2020
$11.2M
-3%
2021
$10.9M
-1%
2022
$10.9M
+6%
2023
$11.5M
-53%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 49 distinct procedure codes. The top code (H0004 (Behavioral health counseling & therapy, per 15 min)) accounts for 46% of total spending.

H0004Top 10%

Behavioral health counseling & therapy, per 15 min

$35.2M

214K claims · 45.8%

Your Cost: $163.88/claim|Median: $74.63
2.2× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$14.5M

113K claims · 18.9%

Your Cost: $127.77/claim|Median: $392.63
0.3× median
H2013Normal range

Psychiatric health facility service, per diem

$4.9M

18K claims · 6.4%

Your Cost: $282.02/claim|Median: $841.93
0.3× median
H2014Normal range

Skills training & development, per 15 min

$4.2M

81K claims · 5.5%

Your Cost: $51.98/claim|Median: $83.88
0.6× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$3.4M

38K claims · 4.4%

Your Cost: $89.51/claim|Median: $53.41
1.7× median
T1016Normal range

Case management, each 15 min

$2.6M

34K claims · 3.4%

Your Cost: $77.43/claim|Median: $49.62
1.6× median
H0031Top 25%

Mental health assessment by non-physician

$2.6M

13K claims · 3.4%

Your Cost: $204.66/claim|Median: $96.18
2.1× median
T1040Normal range

Medicaid certified CCBHC services

$1.7M

9,700 claims · 2.2%

Your Cost: $172.36/claim|Median: $130.29
1.3× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$1.2M

21K claims · 1.5%

Your Cost: $55.77/claim|Median: $37.81
1.5× median
H2010Normal range

Comprehensive medication services, per 15 min

$1.1M

18K claims · 1.5%

Your Cost: $63.08/claim|Median: $62.69
1.0× median
H0032Normal range

Mental health service plan development

$808K

9,598 claims · 1.1%

Your Cost: $84.15/claim|Median: $80.64
1.0× median
H0038Normal range

Self-help/peer services, per 15 minutes

$723K

11K claims · 0.9%

Your Cost: $64.17/claim|Median: $55.04
1.2× median
H2032Normal range

Activity therapy, per 15 minutes

$676K

23K claims · 0.9%

Your Cost: $29.38/claim|Median: $108.23
0.3× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$598K

16K claims · 0.8%

Your Cost: $36.77/claim|Median: $76.05
0.5× median
H0005Normal range

Alcohol and/or drug services, group counseling

$525K

10K claims · 0.7%

Your Cost: $51.49/claim|Median: $47.35
1.1× median
H0048Top 5%

$274K

10K claims · 0.4%

Your Cost: $26.35/claim|Median: $13.25
2.0× median
90853Top 25%

Group psychotherapy

$218K

4,213 claims · 0.3%

Your Cost: $51.82/claim|Median: $25.02
2.1× median
90847Top 10%

Family psychotherapy with patient, 50 min

$203K

1,093 claims · 0.3%

Your Cost: $185.42/claim|Median: $77.33
2.4× median
90882Top 10%

Environmental intervention

$186K

2,279 claims · 0.2%

Your Cost: $81.63/claim|Median: $45.05
1.8× median
H0045Normal range

Respite care services, not in the home, per diem

$185K

17K claims · 0.2%

Your Cost: $10.93/claim|Median: $119.19
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$170K

1,607 claims · 0.2%

Your Cost: $105.84/claim|Median: $74.09
1.4× median
90833Top 5%

Psychotherapy, 30 min, add-on to E/M service

$147K

1,241 claims · 0.2%

Your Cost: $118.37/claim|Median: $38.83
3.0× median
90899Top 25%

Unlisted psychiatric service/procedure

$131K

1,323 claims · 0.2%

Your Cost: $98.98/claim|Median: $30.72
3.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$120K

1,606 claims · 0.2%

Your Cost: $75.02/claim|Median: $108.91
0.7× median
H0006Normal range

Alcohol and/or drug services, case management

$87K

2,015 claims · 0.1%

Your Cost: $43.13/claim|Median: $43.10
1.0× median
90887Top 10%

Interpretation/explanation of results

$71K

446 claims · 0.1%

Your Cost: $158.26/claim|Median: $47.55
3.3× median
99443Top 25%

Telephone E/M by physician, 21-30 min

$40K

512 claims · 0.1%

Your Cost: $77.17/claim|Median: $32.55
2.4× median
99212Normal range

Office/outpatient visit, low complexity

$39K

1,436 claims · 0.1%

Your Cost: $27.07/claim|Median: $25.06
1.1× median
90836Top 5%

Psychotherapy, 45 min, add-on to E/M

$34K

261 claims · 0.0%

Your Cost: $132.09/claim|Median: $56.18
2.4× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$34K

448 claims · 0.0%

Your Cost: $75.07/claim|Median: $106.70
0.7× median
H0001Top 10%

Alcohol and/or drug assessment

$28K

139 claims · 0.0%

Your Cost: $200.79/claim|Median: $94.22
2.1× median
H2027Normal range

Psychoeducational service, per 15 minutes

$24K

296 claims · 0.0%

Your Cost: $82.35/claim|Median: $82.72
1.0× median
H0034Normal range

Medication training and management, per 15 min

$19K

178 claims · 0.0%

Your Cost: $105.37/claim|Median: $56.90
1.9× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$12K

257 claims · 0.0%

Your Cost: $46.99/claim|Median: $22.44
2.1× median
90839Normal range

Psychotherapy for crisis, first 60 min

$12K

1,663 claims · 0.0%

Your Cost: $7.07/claim|Median: $83.98
0.1× median
T1007Normal range

Alcohol/drug services, treatment plan review

$9K

78 claims · 0.0%

Your Cost: $119.70/claim|Median: $64.10
1.9× median
H2011Normal range

Crisis intervention service, per 15 minutes

$5K

145 claims · 0.0%

Your Cost: $37.46/claim|Median: $215.80
0.2× median
97110Normal range

Therapeutic exercises, each 15 min

$5K

184 claims · 0.0%

Your Cost: $26.15/claim|Median: $24.49
1.1× median
98940Top 25%

$4K

197 claims · 0.0%

Your Cost: $20.92/claim|Median: $14.55
1.4× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

54 claims · 0.0%

Your Cost: $45.55/claim|Median: $99.21
0.5× median
99204Top 10%

Office/outpatient visit, new patient, mod-high complexity

$2K

14 claims · 0.0%

Your Cost: $143.71/claim|Median: $84.03
1.7× median
H2023Normal range

Supported employment, per 15 min

$2K

7,122 claims · 0.0%

Your Cost: $0.24/claim|Median: $103.94
0.0× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$2K

44 claims · 0.0%

Your Cost: $34.18/claim|Median: $13.30
2.6× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$1K

12 claims · 0.0%

Your Cost: $103.92/claim|Median: $57.85
1.8× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$584

14 claims · 0.0%

Your Cost: $41.74/claim|Median: $27.38
1.5× median
97810Normal range

$413

36 claims · 0.0%

Your Cost: $11.46/claim|Median: $23.92
0.5× median
97811Normal range

$206

36 claims · 0.0%

Your Cost: $5.74/claim|Median: $19.71
0.3× median
99348Normal range

$9

13 claims · 0.0%

Your Cost: $0.69/claim|Median: $17.17
0.0× median
H0039Normal range

Assertive community treatment, per diem

$0

13K claims · 0.0%

Your Cost: $0.00/claim|Median: $132.62

Other Top Providers in Oregon

View all →

Trillium Family Services Inc.

Residential Treatment Facility Emotionally Distur

$154.5M

Byram Healthcare Centers, Inc.

Durable Medical Equipment & Medical Supplies

$123.9M

Similar Providers

Other top providers in Clinic/Center, Multi-Specialty

Group Health Plan, Inc.

Minneapolis, MN

$204.3M

Banner - University Medical Center Tucson Campus LLC

Tucson, AZ

$194.4M

Wake Forest University Health Sciences

Winston Salem, NC

$188.0M

Barrio Comprehensive Family Health Care Center, Inc.

San Antonio, TX

$148.0M

← All providersAll providers in Oregon →How we detect fraud →