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.

Nooksack Central Management System (NPI 1891909867)

Field	Value
Entity Type	Organization
Organization	Nooksack Central Management System
Address	6750 Mission Rd
City	Everson
State	WA
ZIP	98247
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 9, 2007

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	6,210	$370	$2.3M
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…	3,060	$50	$156.1K
96153	N/A	1,090	$60	$60.1K
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…	3,150	$20	$56.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	240	$80	$18.6K
96168	The provider, typically a psychologist, interviews the patient’s family in the presence of the patient and counsels them on strategies to change family dynamics and behaviors that adversely affect…	100	$70	$7.3K
96167	The provider, typically a psychologist, interviews the patient’s family in the presence of the patient and counsels them on strategies to change family dynamics and behaviors that adversely affect…	120	$40	$4.4K
96154	N/A	20	$80	$1.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	10	$10	$140
80101	N/A	20	$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

Nooksack Central Management System — 0 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	286	650	4,110	$250	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	263	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…	110	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…	112	230	3,070	$20	$135.6K
96153	N/A	145	210	2,910	$20	$105.2K
96154	N/A	18	20	240	$30	$28.8K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	214	220	470	$10	$18.7K
96168	The provider, typically a psychologist, interviews the patient’s family in the presence of the patient and counsels them on strategies to change family dynamics and behaviors that adversely affect…	4	10	200	$60	$10.8K
96167	The provider, typically a psychologist, interviews the patient’s family in the presence of the patient and counsels them on strategies to change family dynamics and behaviors that adversely affect…	5	10	250	$40	$7.2K
80101	N/A	1	10	20	$0	$0

Nearby Providers

Other providers in the same ZIP code as Nooksack Central Management System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nooksack Central Management System	WA	Mental Health Counselor	$0	$33.2M
Nooksack Central Management System	WA	Family Medicine Physician	$0	$6.4M

Nooksack Central Management System — Billing Profile & Reimbursement Data

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Nooksack Central Management System — 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