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.

Lower Elwha Klallam Tribe (NPI 1841316916)

Field	Value
Entity Type	Organization
Organization	Lower Elwha Klallam Tribe
Address	933 E 1st St
City	Port Angeles
State	WA
ZIP	98362
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	March 21, 2007

Payer Source	Total Paid
Medicaid	$10.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	23,810	$380	$9M
H0004	Behavioral health counseling and therapy, per 15 minutes	7,140	$80	$556.6K
96153	N/A	6,200	$80	$477.2K
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…	8,980	$50	$466.8K
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…	9,010	$10	$108.2K
H0001	Alcohol and/or drug assessment	220	$120	$25.1K
99214	The provider sees an established 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…	140	$60	$8.6K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	60	$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

Lower Elwha Klallam Tribe — 0 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	137	650	4,110	$250	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	82	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…	58	220	2,880	$50	$431K
99214	The provider sees an established 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…	1,291	1,820	480	$60	$379.6K
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…	60	230	3,070	$20	$135.6K
96153	N/A	57	210	2,910	$20	$105.2K
H0001	Alcohol and/or drug assessment	104	210	220	$150	$104K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	7	10	100	$20	$19.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lower Elwha Klallam Tribe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lower Elwha Klallam Tribe	WA	Primary Care Clinic/Center	$0	$10M
Lower Elwha Klallam Tribe Dental Clinic	WA	Dental Clinic/Center	$0	$4.9M

Nearby Providers

Other providers in the same ZIP code as Lower Elwha Klallam Tribe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clallam County Public Hospital District 2	WA	General Acute Care Hospital	$0	$68.8M
Specialty Services 2 LLC	WA	Substance Abuse Rehabilitation Facility	$0	$13M
Olympic Medical Physicians	WA	Family Medicine Physician	$0	$7.8M
North Olympic Healthcare Network	WA	Federally Qualified Health Center (FQHC)	$0	$6M
North Olympic Healthcare Network	WA	Federally Qualified Health Center (FQHC)	$0	$5M
City Of Port Angeles	WA	Land Ambulance	$231.6K	$3.7M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.3M
Welch Vanbibber Haught Dds PC	WA	Dentist	$0	$2.9M
Baart Behavioral Health Services, Inc.	WA	Substance Use Disorder Rehabilitation Clinic/Center	$198.1K	$949.8K
Cammacks Pharmacies Inc	WA	Community/Retail Pharmacy	$165.9K	$463.5K

Lower Elwha Klallam Tribe — Billing Profile & Reimbursement Data

Sign up for Lower Elwha Klallam Tribe — Billing Profile & Reimbursement Data policy alerts

Lower Elwha Klallam Tribe — Billing Profile & Reimbursement Data

Sign up for Lower Elwha Klallam Tribe — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References