Behavioral
Coda, INC.
Coda, INC. was paid $81.03M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 34% of everything it billed.
33Billing provider infoCODA, INC.
PORTLAND, OR 97214
PORTLAND, OR 97214
33aNPI1437213865assigned 12/20/2006
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$81.03M
24GClaims2,935,265
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Oregon
Rank by total paid#1 of 99
Median peer was paid$85K
This provider vs. median949×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 569,516 | $12.50M | |
| 2019 | 595,294 | $14.40M | |
| 2020 | 486,693 | $11.86M | |
| 2021 | 408,720 | $9.81M | |
| 2022 | 405,361 | $13.29M | |
| 2023 | 324,311 | $13.21M | |
| 2024incomplete | 145,370 | $5.96M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 34% | 116,836 | 7,865 | $27.60M |
| H0033 | Oral medication administration, direct observation | 11% | 856,009 | 79,111 | $8.94M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 8.9% | 863,132 | 73,800 | $7.19M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 8.2% | 143,202 | 53,363 | $6.65M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 7.1% | 104,506 | 65,884 | $5.75M |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 6.3% | 220,424 | 98,870 | $5.11M |
| J0574 | Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine | 4.0% | 232,321 | 11,087 | $3.20M |
| T1020 | Help at home with daily living, billed per dayPersonal 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 services provided by home health aide or certified nurse assistant) | 4.0% | 834 | 467 | $3.20M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 3.1% | 2,518 | 832 | $2.53M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.9% | 12,382 | 9,197 | $1.52M |
| H0001 | Alcohol and/or drug assessment | 1.8% | 9,495 | 9,231 | $1.44M |
| J2315 | Injection, naltrexone, depot form, 1 mg | 1.4% | 776 | 701 | $1.16M |
28 more codes
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit | 1.1% | 161,936 | $899K |
| J0572 | Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine | 1.1% | 106,035 | $865K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 1.0% | 8,053 | $824K |
| 90887 | <1% | 9,994 | $786K | |
| 99205 | Prolong outpt/office vis | <1% | 2,893 | $669K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 7,959 | $590K |
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | <1% | 4,196 | $406K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 4,214 | $266K |
| H0006 | Alcohol and/or drug services; case management | <1% | 4,620 | $241K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 10,347 | $237K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,242 | $223K |
| 97810 | <1% | 10,977 | $139K | |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 11,952 | $139K |
| J0575 | Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine | <1% | 5,765 | $101K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,060 | $90K |
| J3490 | Unclassified drugs | <1% | 11,288 | $85K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 254 | $56K |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | <1% | 981 | $32K |
| 97811 | <1% | 2,877 | $32K | |
| T1016 | Case management, each 15 minutes | <1% | 221 | $17K |
| G2215 | Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 140 | $12K |
| H2014 | Skills training and development, per 15 minutes | <1% | 267 | $9K |
| H0034 | Medication training and support, per 15 minutes | <1% | 198 | $5K |
| 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 | <1% | 3,172 | $3K |
| J0573 | Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine | <1% | 1,063 | $2K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 26 | $600.71 |
| 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 patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code | <1% | 72 | $145.00 |
| G2172 | All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project | 0% | 28 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHARTNETT, TIMOTHY (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Shine a Light Counseling Center, INC | Santa Cruz, CA | $5.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.