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.

Beautiful Autism (NPI 1841651585)

Field	Value
Entity Type	Organization
Organization	Beautiful Autism
Address	17825 59th Ave Ne Ste B
City	Arlington
State	WA
ZIP	98223
Taxonomy	Mental Health Counselor
NPI Enumerated	March 8, 2016

Payer Source	Total Paid
Medicaid	$2.8M
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
H0004	Behavioral health counseling and therapy, per 15 minutes	8,000	$120	$959.6K
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…	9,590	$70	$690.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	8,860	$80	$682.5K
H2027	Psychoeducational service, per 15 minutes	2,950	$70	$218.4K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,190	$40	$92.1K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	9,360	$10	$65.5K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	560	$60	$33.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	470	$50	$24.2K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	310	$60	$17.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	200	$90	$16.8K

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

Beautiful Autism — 1 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	72	320	2,080	$60	$495.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	133	280	1,920	$40	$262.1K
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…	79	930	680	$60	$259.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	87	590	1,280	$50	$244.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	192	390	420	$50	$152.3K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	19	20	540	$70	$129.6K
H2027	Psychoeducational service, per 15 minutes	7	20	1,280	$20	$102.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	290	340	510	$30	$80K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	47	120	330	$40	$69.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	72	160	330	$20	$60.3K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Beautiful Autism, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stillaguamish Tribe Of Indians	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$349.6M
Northwest Emergency Physicians LLC	WA	Emergency Medicine Physician	$0	$79.6M
Public Hospital Dist No 1 Skagit	WA	General Acute Care Hospital	$0	$17.2M
Stillaguamish Tribe Of Indians	WA	Community/Behavioral Health Agency	$0	$9.2M
Holman Recovery Center	WA	Substance Abuse Rehabilitation Facility	$0	$7.9M
Sight Partners Physicians, P.C.	WA	Ambulatory Surgical Clinic/Center	$325.2K	$126.8K
Trans-west Ambulance Service LLC	WA	Ambulance	$114.5K	$221.2K
Michael Banitt	WA	Ophthalmology Physician	$262.9K	$0
Jennifer Paek	WA	Dermatology Physician	$144.7K	$0
Aaron Brinklow	WA	Student in an Organized Health Care Education/Training Program	$85.6K	$0

Beautiful Autism — Billing Profile & Reimbursement Data

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Beautiful Autism — 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