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.

Greater Lakes Mental Health Foundation Inc (NPI 1225039811)

Field	Value
Entity Type	Organization
Organization	Greater Lakes Mental Health Foundation Inc
Address	9330 59th Ave Sw
City	Lakewood
State	WA
ZIP	98499
Taxonomy	Mental Illness Community Based Residential Treatment Facility
NPI Enumerated	August 3, 2005

Payer Source	Total Paid
Medicaid	$56M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operator: total Medicaid revenue on file is $56M and there is no Medicare billing on file. The absence of Medicare activity indicates the organization’s revenue and operational footprint are concentrated in Medicaid-funded behavioral health programs rather than dual Medicare/Medicaid lines of business.

Revenue is highly concentrated in a small set of behavioral‑health codes: the top three Medicaid codes (90837, H0004, H2015) together account for 60.0% of the provider’s Medicaid revenue. Individually these codes represent $15.6M (90837, 28.0%), $12.7M (H0004, 22.7%), and $5.2M (H2015, 9.3%), showing a dependence on psychotherapy, counseling, and community support services for the majority of payments.

The code mix and volumes indicate an operation centered on high‑intensity psychotherapy and billed per‑15‑minute community supports: 90837 (114.5K claims) and 90834/90832 (21.1K and 24.3K claims) point to heavy individual psychotherapy caseloads, while H0004 (154.5K claims) and H2015 (88.9K claims) reflect large-scale, unitized counseling and comprehensive community support programs. This mix suggests the provider runs sustained outpatient and community‑based treatment programs rather than brief episodic care.

Competitive standing within Washington is dominant for multiple core services: 90837 ranks #5 of 934 providers in‑state at the 100th percentile and is labeled an "extreme outlier," H0004 ranks #2 of 317 providers (100th percentile, "extreme outlier"), and 90791 ranks #2 of 327 providers (100th percentile, "extreme outlier"). These rank/percentile positions indicate the organization is a major statewide player for psychotherapy and psychiatric evaluation activity.

The provider demonstrates strong intake and care‑coordination capacity: 90791 (22.9K claims, $4.5M, 8.1%) ranks #2 in‑state and H0038 (46.1K claims, $4.3M, 7.7%) ranks #3 in‑state, both noted as very high relative volumes. High ranking for 90847 (20.4K claims, $1.6M, 2.9%, #3 in‑state) and presence of case management and supported‑housing codes (T1016, H0043) show integrated evaluation, family therapy, peer, and housing‑support services layered on top of core psychotherapy.

Operational scale is reflected in very large claim counts for time‑based services, which points to a labor‑intensive, per‑unit reimbursement model: H0004 has 154.5K claims and H2015 has 88.9K claims, and several other per‑15‑minute codes (H0038, H0046) also appear at high volumes. That billing profile implies reliance on high throughput of counselors/peers and systematic per‑15‑minute documentation and billing workflows.

Concentration risk is material: Medicaid is the sole recorded payer and a few codes drive most revenue (top three = 60.0%), so changes in Medicaid policy, rate-setting for psychotherapy/15‑minute services, or utilization management for these specific codes could have outsized impact on total revenue. The provider’s dominant in‑state positions magnify exposure to Washington Medicaid policy changes versus diversification across payers or service types.

The organization has long tenure in the market, with an NPI enumeration date of 2005-08-03 (~21 years ago). Sustained presence combined with extreme outlier volumes and high in‑state ranks suggests an established provider with significant operational capacity in Washington’s community behavioral health landscape.

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	114,530	$140	$15.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	154,470	$80	$12.7M
H2015	Comprehensive community support services, per 15 minutes	88,930	$60	$5.2M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	22,910	$200	$4.5M
H0038	Self‑help/peer services, per 15 minutes	46,050	$90	$4.3M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	21,130	$110	$2.3M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	24,290	$70	$1.7M
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…	17,980	$100	$1.7M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	20,420	$80	$1.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	30,440	$40	$1.1M

Showing 1–10 of 52

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

Greater Lakes Mental Health Foundation Inc — 11 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	10	20	750	$50	$5.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	31	60	8,670	$280	$4.9M
T2025	Waiver services; not otherwise specified (nos)	13	20	18,710	$150	$3.5M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	18	50	4,000	$60	$1.5M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1	10	16,650	$40	$618K
H0043	Supported housing, per diem	61	140	1,690	$110	$602.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	2	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…	72	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…	107	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…	211	1,860	610	$40	$295.5K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Greater Lakes Mental Health Foundation Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanette Revay	WA	Psychiatric/Mental Health Nurse Practitioner	$88.8K	$70
Kaylee Berry-reich	WA	Clinical Social Worker	$9.9K	$0

Nearby Providers

Other providers in the same ZIP code as Greater Lakes Mental Health Foundation Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rainier Internal Medicine LLC	WA	Primary Care Clinic/Center	$164.9K	$35.1M
Saint Clare Hospital	WA	General Acute Care Hospital	$0	$30M
Pediatric Services Of America, LLC	WA	Nursing Care Agency	$0	$22.4M
Capstone Medical LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$20.7M
Chen And Su, Ps	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$6.3M
Wchs Inc	WA	Methadone Clinic	$171.3K	$6M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Thi Nguyen	WA	General Practice Dentistry	$0	$3.7M
Asian American Chemical Dependency Treatment Services	WA	Community/Behavioral Health Agency	$0	$3.5M
Neurostim Tms, Ps	WA	Psychiatry Physician	$0	$3.4M

Greater Lakes Mental Health Foundation Inc — Billing Profile & Reimbursement Data

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Greater Lakes Mental Health Foundation Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References