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NPI 1326502865 · Auburn, WA · Methadone Clinic
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We Care Daily Clinics LLC is a methadone clinic provider located in Auburn, Washington. This profile covers 4 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | We Care Daily Clinics LLC |
| Address | 3320 Auburn Way N |
| City | Auburn |
| State | WA |
| ZIP | 98002 |
| Taxonomy | Methadone Clinic |
| NPI Enumerated | January 29, 2019 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $260.6M |
| Medicare | $166.2K |
Business profile and core services: Taxonomy identifies WE CARE DAILY CLINICS LLC as a Methadone Clinic and its billed codes align with opioid treatment program operations — Medicare activity is dominated by G2067 (Medication assisted treatment, methadone) where the provider billed 616 claims for $150.9K revenue, and Medicaid activity is dominated by T1015 (Clinic visit/encounter, all-inclusive) with 519K claims and $248.1M revenue. Additional Medicaid volumes in H0020 (402.1K claims, $7.2M) and counseling codes such as H0004 and H0038 indicate integrated medication dispensing plus psychosocial services and toxicology testing as core service lines.
Medicare revenue concentration: The top 3 Medicare codes by revenue account for 98.9% of the provider's total Medicare revenue, and that Medicare book totals only $166.2K. G2067 alone represents 90.8% of the provider's Medicare revenue ($150.9K), signaling that its Medicare footprint is narrowly focused on opioid treatment program bundle services rather than a broad range of E/M or ancillary billing.
Medicaid revenue concentration: The top 3 Medicaid codes by revenue account for 98.6% of the provider's total Medicaid revenue, and Medicaid revenue is reported as $260.6M overall. T1015 is overwhelmingly the revenue driver for Medicaid — 519K claims at $478 avg paid/claim for $248.1M, equal to 95.2% of the provider's Medicaid revenue — indicating extreme concentration in a single clinic-visit/encounter billing line.
Payer mix and scale: This provider is effectively Medicaid-dominant at scale — Medicaid revenue ($260.6M) dwarfs Medicare revenue ($166.2K), so financial exposure and operational scale are tied to state Medicaid business rather than Medicare. The asymmetry implies strategic and compliance focus should be on Medicaid program requirements, encounter documentation, and state-level contracting.
State-level competitive standing: For key Medicaid codes this provider is a clear outlier in Washington — T1015 ranks #2 of 652 providers in-state (100th percentile; extreme outlier), G2067 ranks #1 of 18 in-state (100th percentile; extreme outlier), and 99211 ranks #2 of 260 in-state (100th percentile; extreme outlier). These rankings indicate the provider is a dominant local operator for clinic visits, methadone medication bundles, and high-throughput brief encounters relative to state peers.
National competitive standing on Medicare: By contrast, the provider's Medicare volumes are modest nationally — G2067 ranks #436 of 830 providers (48th percentile; typical, unremarkable volume) and G2078 ranks #397 of 493 providers (20th percentile; typical, unremarkable volume). This pattern shows the provider is a routine, non-dominant participant in Medicare OTP billing while being a major Medicaid player in-state.
Operational throughput signals from code mix: High Medicaid claim counts in volume-driven, low-dollar-per-claim codes (e.g., T1015 519K claims, 99211 17.2K claims) combined with many direct-observation and administration codes (H0020 402.1K claims; H0033 9.7K claims) point to a high-throughput clinic model focused on frequent dispensing and short visits. The mix of group/individual therapy codes (H0004, 96165/96164) and toxicology/lab codes (82075, 86580) supports a comprehensive OTP model with integrated counseling and testing services.
Tenure and scale-up implication: The provider's NPI was enumerated on 2019-01-29 (~7 years ago), and within that timeframe it has built a substantial Medicaid footprint ($260.6M) concentrated in a small set of codes. That timeline suggests rapid scaling of state Medicaid operations since enrollment, increasing the importance of state-level payer relationships and operational controls aligned with high-volume clinic visit billing.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 620 | $250 | $150.9K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 230 | $40 | $8.7K |
| G2076 | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a… | 20 | $200 | $4.7K |
| G2077 | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and… | 20 | $120 | $1.9K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 519,020 | $480 | $248.1M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 402,090 | $20 | $7.2M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 28,670 | $50 | $1.5M |
| H0038 | Self‑help/peer services, per 15 minutes | 11,800 | $50 | $554.6K |
| 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… | 10,310 | $50 | $495K |
| 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… | 14,630 | $30 | $453.5K |
| H0001 | Alcohol and/or drug assessment | 2,800 | $140 | $384.1K |
| 96164 | 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… | 14,720 | $20 | $279.8K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 17,170 | $10 | $223.2K |
| 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… | 1,420 | $130 | $186.9K |
Showing 1–10 of 26
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
26 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 2 | 650 | 4,110 | $250 | $4.9M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 16 | 60 | 18,030 | $10 | $4.1M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 22 | 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… | 38 | 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… | 623 | 1,820 | 480 | $60 | $379.6K |
| 82075 | The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content. | 3 | 30 | 820 | $20 | $367.8K |
| 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… | 240 | 1,860 | 610 | $40 | $295.5K |
| H0038 | Self‑help/peer services, per 15 minutes | 18 | 130 | 990 | $30 | $192.6K |
| 96164 | 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… | 38 | 230 | 3,070 | $20 | $135.6K |
| 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… | 85 | 540 | 130 | $90 | $128.6K |
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Other providers in the same ZIP code as We Care Daily Clinics LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Apple Physical Therapy, LLC | WA | Physical Therapist | $0 | $31.3M |
| Healthpoint | WA | Federally Qualified Health Center (FQHC) | $0 | $14.5M |
| Healthpoint | WA | Federally Qualified Health Center (FQHC) | $0 | $3M |
| Eid, Jaber, Jassar, PLLC | WA | Dental Clinic/Center | $0 | $2.7M |
| Rahul Mandiga | WA | Retina Specialist (Ophthalmology) Physician | $1.9M | $1.3K |
| Benjamin Reiss | WA | Retina Specialist (Ophthalmology) Physician | $1.9M | $0 |
| South Sound Surgery, PLLC | WA | Ambulatory Surgical Clinic/Center | $137.6K | $457K |
| Joshua Frenkel | WA | Ophthalmology Physician | $306.8K | $0 |
| Ashish Trivedi | WA | Specialist | $295.5K | $0 |
| Richard Beller | WA | Ophthalmology Physician | $293.2K | $0 |
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