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.

Behavioral Health Northwest (NPI 1750649943)

Field	Value
Entity Type	Organization
Organization	Behavioral Health Northwest
Address	4526 Federal Ave
City	Everett
State	WA
ZIP	98203
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 25, 2012

Payer Source	Total Paid
Medicaid	$14.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9149	National committee for quality assurance - level 2 medical home	37,680	$210	$8.1M
T2025	Waiver services; not otherwise specified (nos)	37,560	$150	$5.6M
G9148	National committee for quality assurance - level 1 medical home	2,210	$370	$810.3K
G9150	National committee for quality assurance - level 3 medical home	990	$120	$118.7K
98966	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	40	$30	$1.5K
SA021	N/A	1,080	$0	$0

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

Behavioral Health Northwest — 2 of 5 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
T2025	Waiver services; not otherwise specified (nos)	3	20	18,710	$150	$3.5M
G9149	National committee for quality assurance - level 2 medical home	4	90	1,680	$200	$1.5M
G9148	National committee for quality assurance - level 1 medical home	2	50	140	$370	$150.3K
G9150	National committee for quality assurance - level 3 medical home	19	50	400	$70	$94.2K
98966	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	7	10	40	$10	$1.5K
SA021	N/A	2	10	5,230	$0	$0

Nearby Providers

Other providers in the same ZIP code as Behavioral Health Northwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Compass Health	WA	Community/Behavioral Health Agency	$0	$61.1M
Northwest Ambulance LLC	WA	Land Ambulance	$2.9M	$19.1M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$14.9M
Providence Health & Services - Washington	WA	Home Health Agency	$0	$3.9M
Providence Health & Services - Washington	WA	Community Based Hospice Care Agency	$0	$3.5M
Sunrise Services, Inc.	WA	Home Health Agency	$0	$3.5M
American Labworks LLC	WA	Clinical Medical Laboratory	$936.3K	$0
Andrew Sohn	WA	Rheumatology Physician	$176.3K	$0
Brian Fong	WA	Urology Physician	$133.1K	$0
Kimberly Warth	WA	Psychiatric/Mental Health Nurse Practitioner	$97K	$0

Behavioral Health Northwest — Billing Profile & Reimbursement Data

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Behavioral Health Northwest — 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