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.

Excelsior Wellness (NPI 1326267055)

Field	Value
Entity Type	Organization
Organization	Excelsior Wellness
Address	3754 W Indian Trail Rd
City	Spokane
State	WA
ZIP	99208
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 24, 2007

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	3,090	$3,600	$11.1M
H2012	Behavioral health day treatment, per hour	1,220	$170	$202.7K
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…	4,950	$40	$173.1K
99215	The provider sees an established 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…	1,180	$60	$68.3K
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…	940	$60	$54.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	620	$60	$38.9K
99443	N/A	640	$50	$34.6K
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…	2,580	$10	$33.6K
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…	1,570	$10	$18.9K
H2015	Comprehensive community support services, per 15 minutes	1,520	$10	$12.2K

Showing 1–10 of 29

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

Excelsior Wellness — 1 of 17 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	2	30	270	$2,060	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	215	320	2,080	$60	$495.5K
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…	726	1,820	480	$60	$379.6K
H2012	Behavioral health day treatment, per hour	20	30	3,580	$40	$360.5K
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…	1,500	1,860	610	$40	$295.5K
H2015	Comprehensive community support services, per 15 minutes	74	140	1,820	$20	$283.8K
H2014	Skills training and development, per 15 minutes	157	200	930	$100	$280.7K
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…	137	930	680	$60	$259.2K
H0038	Self‑help/peer services, per 15 minutes	16	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…	80	390	420	$50	$152.3K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Excelsior Wellness, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Behavioral Health Systems, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$60.5M
Providence Health & Services - Washington	WA	General Acute Care Hospital	$0	$43.2M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$22.5M
Center For Pediatric Therapy	WA	Physical Therapy Clinic/Center	$0	$9M
Emergency Physician Services Ps Holy Emergency Center	WA	Emergency Medicine Physician	$0	$8.2M
Patrick Bradley, Dds, PLLC	WA	Dental Clinic/Center	$0	$5.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$5.5M
Ortc, LLC	WA	Methadone Clinic	$0	$3.4M
Arvind Chaudhry	WA	Hematology & Oncology Physician	$2.9M	$0
Mirela Andrei	WA	Medical Oncology Physician	$1M	$0

Excelsior Wellness — Billing Profile & Reimbursement Data

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Excelsior Wellness — 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