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.

The Healing Lodge Of The Seven Nations (NPI 1083009492)

Field	Value
Entity Type	Organization
Organization	The Healing Lodge Of The Seven Nations
Address	5600 E 8th Ave
City	Spokane Valley
State	WA
ZIP	99212
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 2, 2015

Payer Source	Total Paid
Medicaid	$5M
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
T1015	Clinic visit/encounter, all-inclusive	10,710	$460	$4.9M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,070	$10	$77.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	270	$60	$16.5K
90832	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…	420	$30	$11.3K

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

The Healing Lodge Of The Seven Nations — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	231	650	4,110	$250	$4.9M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,141	1,860	610	$40	$295.5K
90832	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…	180	340	510	$30	$80K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	14	160	330	$20	$60.3K

Nearby Providers

Other providers in the same ZIP code as The Healing Lodge Of The Seven Nations, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geneva Woods Health Supplies Pnw, LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$23.7M
Wchs Inc	WA	Methadone Clinic	$250.9K	$15.7M
Pathways Of Washington, LLC	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.8M
Providence Health & Services - Washington	WA	Home Health Agency	$0	$3.7M
Pathways Of Washington, LLC	WA	Case Management Agency	$0	$3.5M
Parents And Children, PLLC	WA	Mental Health Counselor	$0	$2.6M
United Seating And Mobility LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$2.6M
Joseph Cvancara	WA	Procedural Dermatology Physician	$571.5K	$0
Chadd Sukut	WA	MOHS-Micrographic Surgery Physician	$558.8K	$0
Mountain West Derm - Blackhart PLLC	WA	Ambulatory Surgical Clinic/Center	$407.2K	$0

The Healing Lodge Of The Seven Nations — Billing Profile & Reimbursement Data

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The Healing Lodge Of The Seven Nations — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References