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.

Pioneer Human Services (NPI 1174296768)

Field	Value
Entity Type	Organization
Organization	Pioneer Human Services
Address	1302 W Gardner Ave
City	Spokane
State	WA
ZIP	99201
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 29, 2021

Payer Source	Total Paid
Medicaid	$7.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1,120	$3,710	$4.2M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	2,820	$910	$2.6M
S9485	Crisis intervention mental health services, per diem	690	$830	$570.9K
H2036	Alcohol and/or other drug treatment program, per diem	1,790	$80	$150.6K
99205	The provider sees a new 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 provider…	10	$120	$1.4K

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

Pioneer Human Services — 0 of 5 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

5 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	50	60	8,670	$280	$4.9M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	11	20	3,670	$300	$2M
S9485	Crisis intervention mental health services, per diem	13	20	3,730	$310	$1.8M
H2036	Alcohol and/or other drug treatment program, per diem	42	70	4,930	$20	$344.7K
99205	The provider sees a new 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 provider…	170	180	90	$130	$45K

Nearby Providers

Other providers in the same ZIP code as Pioneer Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Ambulance Service Inc	WA	Ambulance	$6.1M	$29.1M
Spokane Regional Health District	WA	Public Health or Welfare Agency	$315.3K	$33M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$19.2M
Aspire Human Services, LLC	WA	Intellectual Disabilities Intermediate Care Facility	$0	$17.4M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$13.5M
Ascend Network Corp	WA	Psychiatry Physician	$0	$10.2M
Pioneer Human Services	WA	Community/Behavioral Health Agency	$0	$8.6M
Stepping Stones Pediatric Therapy	WA	Pediatric Occupational Therapist	$0	$8.5M
Native Project	WA	Federally Qualified Health Center (FQHC)	$0	$7.5M
Aging And Long Term Care Of Eastern Washington	WA	Case Management Agency	$0	$5.5M

Pioneer Human Services — Billing Profile & Reimbursement Data

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Pioneer Human Services — 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