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 Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Real Life Counseling PLLC (NPI 1053782078)

Field	Value
Entity Type	Organization
Organization	Real Life Counseling PLLC
Address	1498 Se Tech Center Pl Ste 300
City	Vancouver
State	WA
ZIP	98683
Taxonomy	Clinical Social Worker
NPI Enumerated	October 16, 2015

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

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
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	34,610	$80	$2.8M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	940	$80	$77.8K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	290	$40	$12.3K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

Claims Volume vs. Washington Distribution

Real Life Counseling PLLC — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	20	930	680	$60	$259.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	220	390	420	$50	$152.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	38	330	100	$80	$60K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Real Life Counseling PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Casey Claypool	WA	Optometrist	$223.3K	$0

Nearby Providers

Other providers in the same ZIP code as Real Life Counseling PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Center	WA	Adolescent and Children Mental Health Clinic/Center	$0	$9.8M
Gagneja, Bds, PLLC	WA	Pediatric Dentistry	$0	$7.6M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$7.4M
Allergy & Asthma Center Of Sw Washington LLC	WA	Allergy & Immunology Physician	$0	$3.3M
Vancouver Eye Care Ps	WA	Ambulatory Surgical Clinic/Center	$361.5K	$64.8K
Ravinder Shergill	WA	Critical Care Medicine (Internal Medicine) Physician	$332K	$0
Teresa Hildebrand	WA	Family Medicine Physician	$110K	$0
Hillary Stiefel	WA	Ophthalmology Physician	$80.2K	$0
Virginia King	WA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$77.4K	$0
Yolanda Vea	WA	Vascular Surgery Physician	$74.6K	$0

Real Life Counseling PLLC — Billing Profile & Reimbursement Data

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Real Life Counseling PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References