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.

Kalispel Tribe-camas Institute (NPI 1518019272)

Field	Value
Entity Type	Organization
Organization	Kalispel Tribe-camas Institute
Address	934 S Garfield Rd
City	Airway Heights
State	WA
ZIP	99001
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	13,610	$410	$5.6M
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…	4,000	$50	$187.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,490	$40	$107K
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…	4,000	$20	$59.9K
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…	510	$60	$32.8K
96153	N/A	2,650	$10	$26.5K
H0001	Alcohol and/or drug assessment	190	$90	$17.3K
96154	N/A	220	$20	$4.8K
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…	90	$20	$2.1K

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

Kalispel Tribe-camas Institute — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	206	650	4,110	$250	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	146	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…	100	220	2,880	$50	$431K
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…	515	930	680	$60	$259.2K
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…	103	230	3,070	$20	$135.6K
96153	N/A	108	210	2,910	$20	$105.2K
H0001	Alcohol and/or drug assessment	112	210	220	$150	$104K
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…	264	340	510	$30	$80K
96154	N/A	11	20	240	$30	$28.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kalispel Tribe-camas Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kalispel Indian Community Of The Kalispel Reservation Washington	WA	General Practice Physician	$0	$6.4M
Thomasin Hammer	WA	Podiatrist	$112.8K	$0
Clayton Kersting	WA	Family Medicine Physician	$19.6K	$0

Nearby Providers

Other providers in the same ZIP code as Kalispel Tribe-camas Institute, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Correctional Industries - Doc	WA	Eyewear Supplier	$0	$21.9M

Kalispel Tribe-camas Institute — Billing Profile & Reimbursement Data

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Kalispel Tribe-camas Institute — 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