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.

Lummi Indian Business Council (NPI 1225158769)

Field	Value
Entity Type	Organization
Organization	Lummi Indian Business Council
Address	2608 Kwina Rd
City	Bellingham
State	WA
ZIP	98226
Taxonomy	Counselor
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$7.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	14,970	$490	$7.3M
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…	4,020	$70	$289.4K
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…	1,450	$50	$75.3K
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…	1,870	$40	$73.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	250	$90	$22.3K
H0038	Self‑help/peer services, per 15 minutes	380	$40	$16.5K
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…	110	$60	$7.2K
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…	40	$50	$1.6K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	180	$10	$1.6K
H2011	Crisis intervention service, per 15 minutes	30	$40	$980

Showing 1–10 of 11

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

Lummi Indian Business Council — 0 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	192	650	4,110	$250	$4.9M
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…	1,343	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…	1,560	1,860	610	$40	$295.5K
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…	158	930	680	$60	$259.2K
H0038	Self‑help/peer services, per 15 minutes	90	130	990	$30	$192.6K
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…	121	390	420	$50	$152.3K
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…	85	340	510	$30	$80K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	104	330	100	$80	$60K
H2011	Crisis intervention service, per 15 minutes	56	60	1,420	$1	$13.3K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	64	110	280	$10	$7.4K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lummi Indian Business Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lummi Indian Business Council	WA	Recovery Care Clinic/Center	$0	$26.1M
Lummi Indian Business Council	WA	Clinic/Center	$0	$23.3M
Lummi Indian Business Council	WA	Dental Clinic/Center	$0	$8.5M
Ron Battle	WA	Family Medicine Physician	$42.1K	$0

Nearby Providers

Other providers in the same ZIP code as Lummi Indian Business Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Infusion Solutions Inc	WA	Home Infusion Agency	$73.8K	$8.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$6.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$4.8M
Eric Subong	WA	Ophthalmology Physician	$4.2M	$0
Bellingham Oral Surgery And Dental Implants	WA	Specialist	$0	$4M
North Whatcom Fire & Rescue Services	WA	Land Ambulance	$204.5K	$2.8M
Piper And Piper Ps	WA	Pediatric Dentistry	$0	$2.8M
Northwest Endoscopy Center, LLC	WA	Ambulatory Surgical Clinic/Center	$1.2M	$1.3M
Amador Subong	WA	Ophthalmology Physician	$2.5M	$0

Lummi Indian Business Council — Billing Profile & Reimbursement Data

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Lummi Indian Business Council — 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