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.

Sound Integrated Health LLC (NPI 1558885210)

Field	Value
Entity Type	Organization
Organization	Sound Integrated Health LLC
Address	3640 S Cedar St Ste M
City	Tacoma
State	WA
ZIP	98409
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	August 2, 2017

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	37,800	$70	$2.6M
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…	25,350	$90	$2.4M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	48,840	$50	$2.2M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	14,640	$120	$1.7M
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…	17,130	$40	$633.8K
Q3014	Telehealth originating site facility fee	25,390	$20	$533.3K
99204	The provider sees a new 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 provider…	2,910	$130	$387.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	3,770	$90	$346.7K
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…	17,410	$20	$313.3K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2,900	$110	$307.7K

Showing 1–10 of 28

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

Sound Integrated Health LLC — 4 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6	20	1,010	$140	$3M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6	30	660	$100	$1.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	10	170	2,120	$40	$779.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	76	90	1,760	$50	$601.4K
H0004	Behavioral health counseling and therapy, per 15 minutes	120	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…	29	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…	86	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…	79	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…	203	930	680	$60	$259.2K
H0038	Self‑help/peer services, per 15 minutes	109	130	990	$30	$192.6K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sound Integrated Health LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vest Thurston LLC	WA	Psychiatric Hospital	$0	$2.6M
Vest Seattle, LLC	WA	Psychiatric Hospital	$0	$2.5M
Atif Mian	WA	Internal Medicine Physician	$269.7K	$0
Manh Pham	WA	Family Nurse Practitioner	$211.9K	$0
Wassan Singh	WA	Psychiatric/Mental Health Nurse Practitioner	$107.4K	$20.6K
Ramandeep Kaur	WA	Psychiatric/Mental Health Nurse Practitioner	$23.7K	$0
Stephanie Brooks	WA	Psychiatric/Mental Health Nurse Practitioner	$20.3K	$0
Craig Headley	NY	Psychiatric/Mental Health Nurse Practitioner	$18.4K	$1.2K
Batis Akaya	WA	Psychiatric/Mental Health Nurse Practitioner	$19.1K	$0
Sandra Canaday	WA	Nurse Practitioner	$14.8K	$0

Nearby Providers

Other providers in the same ZIP code as Sound Integrated Health LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arris Health Services LLC	WA	Oxygen Equipment & Supplies (DME)	$0	$41.5M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$5.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$4.1M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.3M
Pacific Cataract And Laser Institute, Inc., P.C.	WA	Ambulatory Surgical Clinic/Center	$1.5M	$655.1K
Patrick Hogan	WA	Neurology Physician	$814K	$0
Eden Yoon	WA	Ophthalmology Physician	$597.7K	$0
Barry Huse	WA	Optometrist	$29.7K	$426.8K
Jay Haynie	WA	Optometrist	$394.5K	$0
Michael Seward	WA	Ophthalmology Physician	$146K	$0

Sound Integrated Health LLC — Billing Profile & Reimbursement Data

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Sound Integrated Health LLC — 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