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.

Ideal Option, PLLC (NPI 1841648623)

Field	Value
Entity Type	Organization
Organization	Ideal Option, PLLC
Address	8508 W Gage Blvd Ste A101
City	Kennewick
State	WA
ZIP	99336
Taxonomy	Clinical Medical Laboratory
NPI Enumerated	June 2, 2016

Payer Source	Total Paid
Medicaid	$39.2M
Medicare	$0

Key Findings

IDEAL OPTION, PLLC is effectively a single-payer Medicaid billing operation: there is no Medicare billing on file while lifetime Medicaid revenue totals $39.2M. This concentration means the provider’s financial footprint and payer risk are tightly tied to state Medicaid reimbursement and policy changes rather than a mix of Medicare and Medicaid payers.

Revenue is highly concentrated in a small set of toxicology and drug-testing services: the precomputed top three Medicaid codes account for 82.9% of the provider’s total Medicaid revenue. Those top three are G0482 ($16M, 40.7% of Medicaid revenue), G0481 ($10.3M, 26.4%), and 80307 ($6.2M, 15.8%), indicating reliance on a narrow set of high-volume lab services.

Code-level volume and unit payments show a high-throughput toxicology business model: G0482 had 83.5K claims at $191 avg paid/claim and generated $16M, while G0481 had 78.8K claims at $131 avg paid/claim for $10.3M, and 80307 had 106.8K claims at $58 avg paid/claim for $6.2M. The mix of definitive (G048x) and instrumented presumptive screens (80307) implies the lab performs both screening and confirmatory testing across many specimens, consistent with a clinical medical laboratory taxonomy.

Competitive standing within Washington’s Medicaid market is strong for primary drug-testing codes. G0482 ranks #2 of 20 providers in-state (95th percentile; typical, unremarkable volume for this code), G0481 ranks #4 of 31 (90th percentile; notably above typical state volume), and 80307 ranks #5 of 172 (98th percentile; typical, unremarkable volume for this code), together indicating IDEAL OPTION is a major in-state provider for these services rather than a marginal participant.

Secondary definitive-test codes further support the toxicology specialization and in-state prominence: G0480 produced $5.1M (12.9% of Medicaid revenue) on 49.6K claims at $102 avg paid/claim and ranks #5 of 93 providers (96th percentile; typical, unremarkable volume), while G0483 added $1.6M (4.2%) on 7K claims at $237 avg paid/claim and ranks #3 of 19 (89th percentile; typical, unremarkable volume). These additional definitive-test volumes reinforce that most revenue is driven by multi-class confirmatory testing.

The provider’s code-mix and ranks suggest an operational focus on multi-class drug panels and confirmatory mass-spectrometry or similar methods: G0482/G0481/G0483 descriptions indicate definitive identification methods (e.g., gc/ms, lc/ms) and specimen validity testing across many drug classes, while 80307 indicates high-volume instrumented presumptive screening. This pattern is consistent with a lab that processes large numbers of specimens with an integrated screening-to-confirmation workflow.

IDEAL OPTION, PLLC has an established operational tenure, with its NPI enumerated on 2016-06-02 (~10 years ago). That multi-year presence combined with consistent, high-ranked Medicaid volumes for core drug-testing codes suggests stable specialization rather than a transient billing profile.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	83,510	$190	$16M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	78,830	$130	$10.3M
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.	106,780	$60	$6.2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	49,600	$100	$5.1M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6,950	$240	$1.6M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	50	$40	$1.8K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	50	$40	$1.8K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	50	$40	$1.8K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	90	$10	$800

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

Ideal Option, PLLC — 2 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2	20	1,010	$140	$3M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	4	30	660	$100	$1.5M
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.	5	170	2,120	$40	$779.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	5	90	1,760	$50	$601.4K
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3	20	1,110	$130	$509.9K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	103	120	2,040	$30	$464.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	103	120	2,020	$30	$441.1K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	52	60	1,340	$30	$208.1K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	187	270	450	$10	$16.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ideal Option, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ideal Option, PLLC	WA	Clinic/Center	$0	$259.1M
Ideal Option, PLLC	MD	Addiction Medicine (Family Medicine) Physician	$0	$7.4M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.6M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.3M
Crm Physicians, LLC	OR	Internal Medicine Physician	$0	$2.1M
Ideal Option, PLLC	MT	Multi-Specialty Clinic/Center	$0	$1.2M
Ideal Option, PLLC	MT	Clinic/Center	$0	$731.9K
Ideal Option, PLLC	MT	Clinic/Center	$0	$703.9K
Ideal Option, PLLC	MT	Clinic/Center	$0	$692.7K
Ideal Option, PLLC	ND	Clinic/Center	$0	$690.9K

Nearby Providers

Other providers in the same ZIP code as Ideal Option, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yakima Valley Farm Workers Clinic	WA	Dentist	$0	$20.5M
City Of Kennewick	WA	Ambulance	$906.2K	$11.5M
Pinnacle Pain Center, Ps	WA	Pain Medicine (Anesthesiology) Physician	$0	$11.6M
Lutheran Community Services Northwest	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.4M
Three Rivers Therapy, LLC	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M
Tri-cities Laboratory, LLC	WA	Clinical Medical Laboratory	$0	$8.7M
Columbia Physical Therapy Inc Ps	WA	Physical Therapist	$0	$6.7M
Ideal Balance PLLC	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.3M
Qualicenters Inland Northwest L.L.C.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.1M
Todd Cooper, Dds, Tyson Teeples, Dmd, Md, Ryan Toponce, Dmd, Ps.	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$4.8M

Ideal Option, PLLC — Billing Profile & Reimbursement Data

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Ideal Option, PLLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References