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.

Pierce County Alliance (NPI 1588869093)

Field	Value
Entity Type	Organization
Organization	Pierce County Alliance
Address	510 Tacoma Ave S
City	Tacoma
State	WA
ZIP	98402
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 15, 2007

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	87,430	$70	$6.3M
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…	87,000	$20	$1.7M
96153	N/A	53,810	$30	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	17,350	$80	$1.3M
H0001	Alcohol and/or drug assessment	3,830	$200	$762.4K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	24,290	$10	$340.1K
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…	2,120	$130	$275.9K
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…	2,060	$70	$144.2K
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.	8,250	$10	$115.6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	4,960	$10	$69.4K

Showing 1–10 of 18

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

Pierce County Alliance — 5 of 15 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	47	170	2,120	$40	$779.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	32	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…	1	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…	251	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…	379	390	420	$50	$152.3K
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…	1	230	3,070	$20	$135.6K
96153	N/A	2	210	2,910	$20	$105.2K
H0001	Alcohol and/or drug assessment	7	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…	190	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…	37	160	330	$20	$60.3K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Pierce County Alliance, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Care	WA	Federally Qualified Health Center (FQHC)	$0	$128.6M
City Of Tacoma	WA	Land Ambulance	$1.8M	$79.8M
Comprehensive Mental Health Center Of Tacoma-pierce County	WA	Community/Behavioral Health Agency	$0	$37.8M
Tacoma Detoxification Center	WA	Substance Abuse Rehabilitation Facility	$0	$6.5M
County Of Pierce	WA	Case Management Agency	$0	$5.1M
Grand Park, LLC	WA	Adult Day Care Clinic/Center	$0	$3.2M
Maxim Healthcare Services, Inc.	WA	Home Health Agency	$0	$2.8M
C W Charron Inc Ps	WA	General Practice Dentistry	$0	$2.7M
Multicare Health System	WA	Community Based Hospice Care Agency	$0	$2.7M
Joseph Sam	WA	Diagnostic Radiology Physician	$1.2M	$0

Pierce County Alliance — Billing Profile & Reimbursement Data

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Pierce County Alliance — 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