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.

Spokane Treatment And Recovery Services (NPI 1104957323)

Field	Value
Entity Type	Organization
Organization	Spokane Treatment And Recovery Services
Address	4324 N Jefferson St
City	Spokane
State	WA
ZIP	99205
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	26,350	$180	$4.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	16,630	$240	$3.9M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	15,330	$70	$1.1M
H0001	Alcohol and/or drug assessment	3,820	$130	$481.6K
H2036	Alcohol and/or other drug treatment program, per diem	35,060	$10	$350.6K
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…	17,100	$10	$188.1K
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…	3,660	$10	$40.2K
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	6,660	$10	$40K
H2015	Comprehensive community support services, per 15 minutes	22,880	$1	$22.9K
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…	3,690	$10	$18.4K

Showing 1–10 of 28

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

Spokane Treatment And Recovery Services — 3 of 21 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	23	60	8,670	$280	$4.9M
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	3	10	15,330	$110	$3.2M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1	20	1,460	$130	$610.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	295	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…	104	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…	777	1,820	480	$60	$379.6K
H2036	Alcohol and/or other drug treatment program, per diem	6	70	4,930	$20	$344.7K
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…	1,359	1,860	610	$40	$295.5K
H2015	Comprehensive community support services, per 15 minutes	21	140	1,820	$20	$283.8K
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…	356	930	680	$60	$259.2K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Spokane Treatment And Recovery Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$17.4M
Pioneer Human Services	WA	Substance Abuse Rehabilitation Facility	$0	$15.5M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.3M
Revive Counseling Spokane, PLLC	WA	Community/Behavioral Health Agency	$0	$8.2M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$8.1M
Osp Spokane PLLC	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$7.4M
Acceleration Physical Therapy	WA	Physical Therapist	$0	$3.1M
Ryan Stern	WA	Physical Therapist	$131.4K	$0
Mirko Zugec	WA	Family Medicine Physician	$109.1K	$0
Cory Jensen	WA	Optometrist	$88.5K	$2.9K

Spokane Treatment And Recovery Services — Billing Profile & Reimbursement Data

Sign up for Spokane Treatment And Recovery Services — Billing Profile & Reimbursement Data policy alerts

Spokane Treatment And Recovery Services — Billing Profile & Reimbursement Data

Sign up for Spokane Treatment And Recovery Services — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References