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NPI 1093864589 · Tacoma, WA · Community/Behavioral Health Agency
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Catholic Community Services Of Western Washington is a community/behavioral health agency provider located in Tacoma, Washington. This profile covers 0 Medicare and 30 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Catholic Community Services Of Western Washington |
| Address | 1001 N J St |
| City | Tacoma |
| State | WA |
| ZIP | 98403 |
| Taxonomy | Community/Behavioral Health Agency |
| NPI Enumerated | January 10, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $60.7M |
| Medicare | $0 |
This provider is effectively single‑payer: there is no Medicare billing on file and all reported revenue is Medicaid-based, with total Medicaid revenue of $60.7M. The NPI was enumerated 2007-01-10 (~19 years ago), indicating a long-tenured presence in the market focused on public behavioral health funding.
Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 92.6% of the provider’s total Medicaid revenue. T1041 alone represents $51.9M (85.4% of Medicaid revenue), signaling extreme reliance on that single monthly community behavioral health clinic payment stream.
The code mix and volumes point to a certified community behavioral health clinic (CCBHC) operating model: T1041 (Medicaid certified community behavioral health clinic services, per month) is the dominant revenue driver at $51.9M and ranks #1 of 30 providers in-state (100th percentile; extreme outlier). High monthly per-member billing under T1041 suggests the organization is delivering a broad package of clinic-based behavioral health services bundled into that fee.
Clinical service intensity and integration appear meaningful: 99215 (10.9K claims, $211 avg paid/claim, $2.3M; 3.8% of Medicaid revenue) ranks #18 of 536 providers in-state (97th percentile; notably above typical state volume) and G9149 (9.6K claims, $214 avg paid/claim, $2.1M; 3.4% of Medicaid revenue) ranks #19 of 89 (80th percentile). The combination of high-level E/M visits and NCQA level 2 medical home billing suggests the provider documents complex outpatient encounters and participates in medical home models or care coordination at scale.
Beyond the top-3 dollars, the organization shows extreme outlier volume in peer- and family-focused services: H0038 (72K claims, $9 avg paid/claim, $647.8K) ranks #1 of 125 providers in-state (100th percentile; extreme outlier) and 90846 (3.5K claims, $7 avg paid/claim, $24.7K) ranks #1 of 62 (100th percentile; extreme outlier). These high claim counts with low per-claim payments indicate substantial reliance on brief, frequent peer support and family therapy workflows as part of front-line behavioral health operations.
Several other procedural codes reflect unusually high relative activity for specific service types: G2212 (2.7K claims, $15 avg paid/claim, $40.1K) ranks #2 of 56 providers in-state (98th percentile; extreme outlier), and H0032 (17.6K claims, $1 avg paid/claim, $17.6K) ranks #1 of 42 providers in-state (100th percentile; extreme outlier). These patterns point to frequent prolonged encounters and standardized service‑planning activity, consistent with a high-touch behavioral health care model that documents incremental time units.
Operational profile shows a mix of very high claim volumes with modest per-claim reimbursement for many behavioral codes: H0004 (39.6K claims, $27 avg paid/claim, $1.1M) and H2014 (6.1K claims, $271 avg paid/claim, $1.7M) are both sizable claim streams that together support therapy and skills training capacity. This combination of high-volume, low-unit codes and a few high-dollar monthly payments implies an operational emphasis on broad access and frequent contact rather than revenue diversification across many high-fee procedures.
From a competitive standpoint within Washington state the provider is dominant for several behavioral categories: T1041 is #1 of 30 (100th percentile; extreme outlier) and multiple other codes (H0038, 90846, H0032) are also ranked #1 in their peer groups. At the same time, a handful of codes such as 99215 and G9149 show the provider as a major but not singular player (97th and 80th percentiles respectively), indicating both market dominance in clinic-based CCBHC services and meaningful participation in higher-acuity outpatient care and medical-home arrangements.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 30,700 | $1,690 | $51.9M |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 10,930 | $210 | $2.3M |
| G9149 | National committee for quality assurance - level 2 medical home | 9,590 | $210 | $2.1M |
| H2014 | Skills training and development, per 15 minutes | 6,100 | $270 | $1.7M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 39,630 | $30 | $1.1M |
| H0038 | Self‑help/peer services, per 15 minutes | 71,980 | $10 | $647.8K |
| 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… | 4,630 | $80 | $384.1K |
| H2015 | Comprehensive community support services, per 15 minutes | 25,400 | $1 | $101.6K |
| 90887 | In this service, the provider interprets or explains the results of psychiatric exams, medical exams, other procedures, or information about the patient’s care to the patient’s family members or… | 510 | $180 | $91.5K |
| G9150 | National committee for quality assurance - level 3 medical home | 1,030 | $80 | $86.8K |
Showing 1–10 of 30
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
30 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 1 | 30 | 270 | $2,060 | $3.7M |
| G9149 | National committee for quality assurance - level 2 medical home | 19 | 90 | 1,680 | $200 | $1.5M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 16 | 320 | 2,080 | $60 | $495.5K |
| 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… | 321 | 1,820 | 480 | $60 | $379.6K |
| H2019 | Therapeutic behavioral services, per 15 minutes | 26 | 40 | 1,600 | $120 | $346.5K |
| 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… | 847 | 1,860 | 610 | $40 | $295.5K |
| H2015 | Comprehensive community support services, per 15 minutes | 18 | 140 | 1,820 | $20 | $283.8K |
| H2014 | Skills training and development, per 15 minutes | 17 | 200 | 930 | $100 | $280.7K |
| H0038 | Self‑help/peer services, per 15 minutes | 1 | 130 | 990 | $30 | $192.6K |
| G9148 | National committee for quality assurance - level 1 medical home | 34 | 50 | 140 | $370 | $150.3K |
Showing 1–10 of 30
Other providers in the same ZIP code as Catholic Community Services Of Western Washington, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jennifer Irwin | WA | Psychiatry Physician | $47.2K | $0 |
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