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.

Behavioral Health Resources (NPI 1093895203)

Field	Value
Entity Type	Organization
Organization	Behavioral Health Resources
Address	3857 Martin Way E
City	Olympia
State	WA
ZIP	98506
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicaid	$40.7M
Medicare	$0

Key Findings

BEHAVIORAL HEALTH RESOURCES is effectively a Medicaid-focused behavioral health agency: there is no Medicare billing on file while Medicaid revenue totals $40.7M, indicating the organization operates primarily within the Medicaid-funded behavioral health safety net rather than serving a Medicare population. The provider has been NPI-enumerated since 2006-10-16 (approximately 20 years), signaling long tenure in the market and sustained participation in state Medicaid programs.

Revenue concentration is highly focused: the top three Medicaid codes by revenue account for 76.2% of the provider’s total Medicaid revenue. This level of concentration indicates the organization’s economics and service model are driven by a narrow set of high-volume behavioral health service lines rather than a broad mix of ancillary services.

The largest single revenue driver is H0004 (Behavioral health counseling and therapy, per 15 minutes) with $20.5M in revenue, representing 50.4% of the provider’s Medicaid revenue and ranking the provider #4 of 317 in-state (99th percentile). This places the organization as an extreme outlier in the state for brief, frequent counseling/therapy encounters, implying a business model built around high-throughput, short-interval therapeutic contacts.

H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes) is the second major contributor with $7.6M (18.8% of Medicaid revenue) and a #3 rank of 30 providers in-state (93rd percentile). Together with H0004, these two per-15-minute service codes dominate clinical activity and suggest core programs focused on intensive community-based psychiatric support and frequent face-to-face contact.

99214 (established outpatient E/M, moderate complexity) contributes $2.9M (7.0% of Medicaid revenue) and the provider ranks #127 of 1823 in-state (93rd percentile). The presence of substantial E/M volume alongside the high-volume behavioral health codes indicates the provider delivers a mix of therapy-focused services and medical evaluation/management visits, likely supporting integrated behavioral health and primary outpatient E/M workflows.

Several additional codes show elevated state standing for specific service types: 90791 (psychiatric evaluation) yields $2.1M and ranks #8 of 327 (98th percentile), labeled an extreme outlier; H0046 (mental health services, NOS) yields $996.3K and ranks #11 of 206 (95th percentile), labeled notably above typical state volume. These rankings reinforce that the provider is not only high-volume for brief therapy units but also draws unusually large volumes for initial psychiatric evaluations and catch‑all mental health services compared with peers.

Most other billed codes are typical or unremarkable in-state: 99213, H0038, H2015 and several psychotherapy and support-service codes fall in mid-to-upper percentiles (ranging roughly from the 67th to 86th percentile) and contribute relatively modest shares of revenue. This pattern suggests reliance on a few dominant service lines with a supporting menu of routine behavioral health and supportive services, rather than a diversified specialty portfolio.

From a competitive standpoint in Washington state the provider is a dominant participant for several core community behavioral-health codes (H0004, H0036, 90791), often in the top single-digit ranks and percentiles at or above the 93rd–99th percentiles. For payers and network planners, this positions BEHAVIORAL HEALTH RESOURCES as a major Medicaid service supplier for high-frequency counseling and community psychiatric support in Olympia/region, likely a primary referral destination for those service types.

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	141,630	$150	$20.5M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	61,640	$120	$7.6M
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…	15,030	$190	$2.9M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	9,710	$220	$2.1M
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…	9,150	$170	$1.6M
H0038	Self‑help/peer services, per 15 minutes	11,130	$130	$1.5M
H2015	Comprehensive community support services, per 15 minutes	15,140	$80	$1.2M
H0046	Mental health services, not otherwise specified	25,550	$40	$996.3K
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…	2,760	$140	$388.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	890	$380	$333K

Showing 1–10 of 34

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

Behavioral Health Resources — 3 of 25 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	17	20	18,710	$150	$3.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	4	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…	117	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…	127	1,820	480	$60	$379.6K
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…	268	1,860	610	$40	$295.5K
H2015	Comprehensive community support services, per 15 minutes	27	140	1,820	$20	$283.8K
H2014	Skills training and development, per 15 minutes	147	200	930	$100	$280.7K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3	30	2,790	$10	$267.2K
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…	208	930	680	$60	$259.2K
H0038	Self‑help/peer services, per 15 minutes	20	130	990	$30	$192.6K

Showing 1–10 of 34

Nearby Providers

Other providers in the same ZIP code as Behavioral Health Resources, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$39.9M
Providence Health & Services Washington	WA	Family Medicine Physician	$0	$20M
Harbor Health Solutions LLC	WA	Home Health Agency	$0	$8.6M
Olympia Emergency Services, PLLC	WA	Emergency Medicine Physician	$0	$6.5M
South Sound Pediatrics PLLC	WA	Pediatrics Physician	$0	$6.3M
Healthy Future Pediatrics	WA	Pediatrics Physician	$0	$4.3M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.4M
Olympia Pediatrics, PLLC	WA	Specialist	$0	$2.7M
Gastroenterology Associates, LLC	WA	Ambulatory Surgical Clinic/Center	$1.2M	$1.2M

Behavioral Health Resources — Billing Profile & Reimbursement Data

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Behavioral Health Resources — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References