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.

Emily Program PC (NPI 1154696698)

Field	Value
Entity Type	Organization
Organization	Emily Program PC
Address	1700 Westlake Ave N Ste 700
City	Seattle
State	WA
ZIP	98109
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 16, 2012

Payer Source	Total Paid
Medicaid	$5.4M
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
H0035	Mental health partial hospitalization, treatment, less than 24 hours	5,270	$800	$4.2M
S9480	Intensive outpatient psychiatric services, per diem	2,950	$390	$1.1M
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…	140	$100	$14.5K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	60	$100	$5.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$130	$2.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$120	$2.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20	$80	$1.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	20	$10	$240
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	40	$1	$70
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$1	$60

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

Emily Program PC — 1 of 10 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
G0463	Hospital outpatient clinic visit for assessment and management of a patient	87	100	2,830	$80	$3.8M
S9480	Intensive outpatient psychiatric services, per diem	9	20	3,390	$220	$2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	206	230	5,440	$90	$1.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	216	230	6,220	$100	$1.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1	10	220	$730	$898.8K
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…	723	930	680	$60	$259.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	214	240	2,430	$10	$194.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	235	270	2,880	$1	$100.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	270	330	100	$80	$60K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	481	550	400	$1	$36.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emily Program PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Emily Program P C	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.7M
Nicholas Weiss	WA	Psychiatry Physician	$166.1K	$0
Kristin Mellein	WA	Family Nurse Practitioner	$32.3K	$0

Nearby Providers

Other providers in the same ZIP code as Emily Program PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fred Hutchinson Cancer Center	WA	General Acute Care Hospital	$0	$72.6M
Adaptive Biotechnologies Corporation	WA	Clinical Medical Laboratory	$21.9M	$1.1M
Zhihong Zhang	WA	Hematology & Oncology Physician	$1.1M	$0
Manh Pham	WA	Family Nurse Practitioner	$211.9K	$0
Jonathan Chen	WA	Radiation Oncology Physician	$189.1K	$0
Heather Rogers	WA	Dermatology Physician	$186.8K	$0
Lauren East	WA	Diagnostic Radiology Physician	$106K	$78.1K
Emily Weg	WA	Radiation Oncology Physician	$165.4K	$0
Mark Wagner	WA	Sports Medicine (Family Medicine) Physician	$138.4K	$0
Uma Malhotra	WA	Infectious Disease Physician	$114K	$0

Emily Program PC — Billing Profile & Reimbursement Data

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Emily Program PC — 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