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.

Tulalip Tribes Of Washington (NPI 1063502946)

Field	Value
Entity Type	Organization
Organization	Tulalip Tribes Of Washington
Address	2821 Mission Hill Rd
City	Tulalip
State	WA
ZIP	98271
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$15.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	30,160	$460	$14M
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	14,220	$40	$582.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	8,400	$60	$537.7K
96153	N/A	5,020	$60	$280.9K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	14,840	$20	$252.3K
H0001	Alcohol and/or drug assessment	470	$90	$43.6K
96167	The provider, typically a psychologist, interviews the patient’s family in the presence of the patient and counsels them on strategies to change family dynamics and behaviors that adversely affect…	330	$40	$14.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	190	$60	$11.3K
96168	The provider, typically a psychologist, interviews the patient’s family in the presence of the patient and counsels them on strategies to change family dynamics and behaviors that adversely affect…	210	$40	$7.5K
97810	The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute…	250	$0	$0

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

Tulalip Tribes Of Washington — 1 of 9 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	116	650	4,110	$250	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	66	320	2,080	$60	$495.5K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	41	220	2,880	$50	$431K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,193	1,820	480	$60	$379.6K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	37	230	3,070	$20	$135.6K
96153	N/A	71	210	2,910	$20	$105.2K
H0001	Alcohol and/or drug assessment	67	210	220	$150	$104K
96168	The provider, typically a psychologist, interviews the patient’s family in the presence of the patient and counsels them on strategies to change family dynamics and behaviors that adversely affect…	2	10	200	$60	$10.8K
97810	The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute…	5	10	90	$30	$8K
96167	The provider, typically a psychologist, interviews the patient’s family in the presence of the patient and counsels them on strategies to change family dynamics and behaviors that adversely affect…	1	10	250	$40	$7.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tulalip Tribes Of Washington, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tulalip Tribes Of Washington	WA	General Practice Physician	$0	$21.6M
Optum Care Washington PLLC	WA	Multi-Specialty Clinic/Center	$0	$19.5M
Tulalip Tribes Of Washington	WA	Dentist	$0	$7.8M
Tulalip Tribes Of Washington	WA	Public Health & General Preventive Medicine Physician	$0	$4M
Tulalip Tribes Of Washington	WA	Public Health & General Preventive Medicine Physician	$0	$3.8M
Optum Care Washington PLLC	WA	Ambulatory Surgical Clinic/Center	$288.5K	$0
Ka Rose	MT	Family Nurse Practitioner	$78.9K	$0
Khoa Truong	WA	Family Medicine Physician	$17.8K	$0

Nearby Providers

Other providers in the same ZIP code as Tulalip Tribes Of Washington, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tulalip Tribes Of Washington Quil Ceda Creek Counseling	WA	Methadone Clinic	$0	$22.3M
Snohomish County Fire Protection District 15	WA	Land Ambulance	$36.4K	$4.2M
Vest Seattle, LLC	WA	Psychiatry Physician	$0	$3.8M
Hoang H Dang, Md, Ps	WA	Internal Medicine Physician	$0	$3.7M
Vest Seattle, LLC	WA	Psychiatric Hospital	$0	$2.5M
Brett Buchmiller	WA	Allergy & Immunology Physician	$728.6K	$0
Eugene Chang	WA	Cardiovascular Disease Physician	$309.7K	$0
Amy Cheng	WA	Clinical & Laboratory Dermatological Immunology Physician	$203.5K	$0
Erin Mallery	WA	Physician Assistant	$119.7K	$0
James Barlow	WA	Pulmonary Disease Physician	$116.9K	$0

Tulalip Tribes Of Washington — Billing Profile & Reimbursement Data

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Tulalip Tribes Of Washington — 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