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.

Nooksack Central Management System (NPI 1578778189)

Field	Value
Entity Type	Organization
Organization	Nooksack Central Management System
Address	6760 Mission Rd
City	Everson
State	WA
ZIP	98247
Taxonomy	Mental Health Counselor
NPI Enumerated	May 14, 2007

Payer Source	Total Paid
Medicaid	$33.2M
Medicare	$0

Key Findings

NOOKSACK CENTRAL MANAGEMENT SYSTEM is effectively a single-payer Medicaid billing entity: total Medicaid revenue is $33.2M and there is none (no Medicare billing on file), indicating operations and reimbursement exposure are concentrated in the Medicaid program rather than split across Medicare/Medicaid. This payer concentration shapes both revenue risk and contracting leverage within state Medicaid networks.

Revenue is extremely concentrated in three procedure codes: the precomputed top 3 Medicaid codes (T1015, 90832, 90853) account for 99.8% of this provider's total Medicaid revenue. In particular, T1015 alone generates $32M (96.4% of this provider's total Medicaid revenue), making it the dominant revenue driver for the organization.

The code mix points to a clinic-focused, high-volume behavioral health operation: T1015 (Clinic visit/encounter, all-inclusive) appears to be the primary billing vehicle with 64.2K claims and a $498 avg paid/claim yielding $32M revenue, consistent with bundled or facility-level encounters rather than exclusively discrete individual psychotherapy sessions. The provider’s taxonomy as Mental Health Counselor combined with this heavy T1015 use suggests services are organized around clinic encounters and integrated visit billing.

Service-line detail shows a strong emphasis on group and brief psychotherapy alongside the clinic visit code: 90853 (Group psychotherapy) has 39.5K claims and $552.3K revenue (1.7% of total Medicaid revenue) and 90832 (short psychotherapy) has 15.8K claims and $583.7K revenue (1.8% of total Medicaid revenue). 90853 is an extreme outlier in the state (ranks #2 of 159 providers, 99th percentile; extreme outlier, far above typical state volume) while 90832 ranks #9 of 335 providers (98th percentile; notably above typical state volume), indicating this provider is a major local supplier of group therapy and high-volume brief sessions.

Competitive standing is mixed by code: for the high-volume clinic visit T1015 the provider ranks #46 of 652 in-state (93th percentile; typical, unremarkable volume for this code), so while T1015 revenue is large in absolute terms it does not make the provider a statewide outlier on that billing line. By contrast, the provider is a dominant outlier for 90853 (group psychotherapy), where it ranks near the top statewide (99th percentile), signaling a specialized competitive strength in group-based services.

Lower-volume individual services and evaluations are present but marginal to overall revenue: 90837 (long psychotherapy) shows 466 claims and $33.6K revenue (0.1% of total Medicaid revenue) and ranks #545 of 934 (42th percentile; typical, unremarkable volume), while 90791 (psychiatric evaluation) has 177 claims and $12.2K revenue (0.0% of total Medicaid revenue) and ranks #126 of 327 (62th percentile; typical, unremarkable volume). These figures indicate limited reliance on long individual psychotherapy and intake evaluations relative to clinic and group visits.

The provider’s NPI tenure—enumerated 2007-05-14 (~19 years ago)—signals a long-standing presence in the market. Combined with the high absolute Medicaid revenue ($33.2M) and the extreme state-level volumes on 90853 and 90832, this tenure suggests established referral pathways and operational scale in its service lines.

From a business perspective, the operational profile shows both scale and concentration: heavy dependence on T1015 (96.4% of Medicaid revenue) plus marked outlier volumes in group psychotherapy (90853) and above-typical volumes in short psychotherapy (90832) indicate operational efficiency in high-throughput clinic and group models, but also limited revenue diversification if Medicaid reimbursement rules or utilization patterns change.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	64,220	$500	$32M
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…	15,780	$40	$583.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	39,450	$10	$552.3K
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…	470	$70	$33.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	180	$70	$12.2K
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…	220	$40	$9.1K

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

Nooksack Central Management System — 2 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	46	650	4,110	$250	$4.9M
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…	545	930	680	$60	$259.2K
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…	231	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…	9	340	510	$30	$80K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	2	160	330	$20	$60.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	126	330	100	$80	$60K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nooksack Central Management System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nooksack Central Management System	WA	Family Medicine Physician	$0	$6.4M

Nearby Providers

Other providers in the same ZIP code as Nooksack Central Management System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nooksack Central Management System	WA	Substance Abuse Rehabilitation Facility	$0	$2.6M

Nooksack Central Management System — Billing Profile & Reimbursement Data

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Nooksack Central Management System — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References