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.

Hope And Healing Clinic LLC (NPI 1669258133)

Field	Value
Entity Type	Organization
Organization	Hope And Healing Clinic LLC
Address	9474 Lathrop Industrial Dr Sw
City	Tumwater
State	WA
ZIP	98512
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	August 31, 2023

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	8,990	$580	$5.2M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	7,400	$20	$162.9K
H0001	Alcohol and/or drug assessment	60	$160	$9.9K
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…	60	$120	$7.6K
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…	140	$50	$6.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	190	$30	$6.2K
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…	50	$110	$5K
H0004	Behavioral health counseling and therapy, per 15 minutes	60	$70	$4.6K
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.	230	$10	$3K
H0038	Self‑help/peer services, per 15 minutes	30	$90	$2.4K

Showing 1–10 of 14

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

Hope And Healing Clinic LLC — 0 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	246	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)	36	60	18,030	$10	$4.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	300	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…	219	220	2,880	$50	$431K
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…	1,316	1,860	610	$40	$295.5K
H0038	Self‑help/peer services, per 15 minutes	120	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…	221	230	3,070	$20	$135.6K
H0001	Alcohol and/or drug assessment	157	210	220	$150	$104K
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…	314	530	80	$90	$87.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	339	700	180	$50	$59.3K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Hope And Healing Clinic LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$9.4M
Vanbibber Haught Dds PC	WA	Pediatric Dentistry	$0	$5.4M
Terrence Hess	WA	Podiatrist	$281.3K	$0
Michael Lundborg	WA	Foot & Ankle Surgery Podiatrist	$238.7K	$0
Costco Wholesale Corporation	WA	Community/Retail Pharmacy	$192.9K	$0
Scott Duncan	WA	Physical Therapist	$131.7K	$0
Steven Robbins	WA	Orthopedic Physical Therapist	$88.5K	$0
Ben Wong	WA	Optometrist	$76.2K	$1.9K
Andrew Goodeill	WA	Podiatrist	$49.3K	$0
Jordan Agtarap	WA	Physical Therapist	$46.3K	$0

Hope And Healing Clinic LLC — Billing Profile & Reimbursement Data

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Hope And Healing Clinic 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

Nearby Providers

Frequently Asked Questions

References