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.

Quileute Counseling And Recovery Substance Use Disorder (NPI 1861950859)

Field	Value
Entity Type	Organization
Organization	Quileute Counseling And Recovery Substance Use Disorder
Address	579 Hermison Rd
City	Forks
State	WA
ZIP	98331
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	March 8, 2019

Payer Source	Total Paid
Medicaid	$3.2M
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
T1015	Clinic visit/encounter, all-inclusive	6,090	$460	$2.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	2,370	$70	$165.8K
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…	2,510	$40	$105.5K
T1017	Targeted case management, each 15 minutes	1,750	$40	$77K
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…	2,560	$20	$43.5K
96153	N/A	490	$60	$31.5K

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

Quileute Counseling And Recovery Substance Use Disorder — 0 of 6 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
T1015	Clinic visit/encounter, all-inclusive	288	650	4,110	$250	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	148	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…	119	220	2,880	$50	$431K
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…	123	230	3,070	$20	$135.6K
96153	N/A	165	210	2,910	$20	$105.2K
T1017	Targeted case management, each 15 minutes	28	80	410	$30	$74.4K

Nearby Providers

Other providers in the same ZIP code as Quileute Counseling And Recovery Substance Use Disorder, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clallam County Public Hospital District No 1	WA	Critical Access Hospital	$0	$10.7M
Clallam County Public Hospital District No 1	WA	Rural Health Clinic/Center	$0	$4.4M

Quileute Counseling And Recovery Substance Use Disorder — Billing Profile & Reimbursement Data

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Quileute Counseling And Recovery Substance Use Disorder — 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