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.

Pioneer Human Services (NPI 1790153682)

Field	Value
Entity Type	Organization
Organization	Pioneer Human Services
Address	910 W Boone Ave Ste 201
City	Spokane
State	WA
ZIP	99201
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 9, 2015

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 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…	42,780	$80	$3.3M
H0043	Supported housing, per diem	15,400	$110	$1.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	16,090	$80	$1.2M
96153	N/A	20,690	$40	$910.4K
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…	43,230	$20	$778.1K
H2023	Supported employment, per 15 minutes	2,540	$150	$370.8K
H0038	Self‑help/peer services, per 15 minutes	7,740	$30	$201.3K
H2025	Ongoing support to maintain employment, per 15 minutes	630	$150	$95.1K
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…	580	$70	$38.4K
H0001	Alcohol and/or drug assessment	770	$50	$35.4K

Showing 1–10 of 15

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

Pioneer Human Services — 2 of 12 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0043	Supported housing, per diem	13	140	1,690	$110	$602.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	36	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…	8	220	2,880	$50	$431K
H2023	Supported employment, per 15 minutes	36	110	1,080	$100	$307.5K
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…	497	930	680	$60	$259.2K
H0038	Self‑help/peer services, per 15 minutes	25	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…	7	230	3,070	$20	$135.6K
H2025	Ongoing support to maintain employment, per 15 minutes	25	50	630	$100	$130.7K
96153	N/A	14	210	2,910	$20	$105.2K
H0001	Alcohol and/or drug assessment	49	210	220	$150	$104K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Pioneer Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Ambulance Service Inc	WA	Ambulance	$6.1M	$29.1M
Spokane Regional Health District	WA	Public Health or Welfare Agency	$315.3K	$33M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$19.2M
Aspire Human Services, LLC	WA	Intellectual Disabilities Intermediate Care Facility	$0	$17.4M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$13.5M
Ascend Network Corp	WA	Psychiatry Physician	$0	$10.2M
Stepping Stones Pediatric Therapy	WA	Pediatric Occupational Therapist	$0	$8.5M
Native Project	WA	Federally Qualified Health Center (FQHC)	$0	$7.5M
Pioneer Human Services	WA	Community/Behavioral Health Agency	$0	$7.5M
Aging And Long Term Care Of Eastern Washington	WA	Case Management Agency	$0	$5.5M

Pioneer Human Services — Billing Profile & Reimbursement Data

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Pioneer Human Services — 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