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.

Community Integrated Health Services, LLC (NPI 1942840160)

Community Integrated Health Services, LLC is a community/behavioral health agency provider located in Centralia, Washington. This profile covers 0 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Community Integrated Health Services, LLC
Address	1707 Cooks Hill Rd
City	Centralia
State	WA
ZIP	98531
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 15, 2020

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	5,880	$210	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	8,250	$110	$883K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,060	$190	$584.7K
H2015	Comprehensive community support services, per 15 minutes	24,170	$20	$411K
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…	4,240	$70	$305K
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…	5,960	$50	$274K
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…	2,810	$60	$173.9K
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…	2,360	$70	$169.8K
T1041	Medicaid certified community behavioral health clinic services, per month	50	$3,160	$161.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,930	$80	$148.2K

Showing 1–10 of 26

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

Community Integrated Health Services, LLC — 0 of 25 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	26	30	270	$2,060	$3.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	67	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…	81	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…	893	1,820	480	$60	$379.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	486	1,860	610	$40	$295.5K
H2015	Comprehensive community support services, per 15 minutes	19	140	1,820	$20	$283.8K
H2014	Skills training and development, per 15 minutes	73	200	930	$100	$280.7K
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…	151	930	680	$60	$259.2K
H0038	Self‑help/peer services, per 15 minutes	32	130	990	$30	$192.6K
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…	85	390	420	$50	$152.3K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$40.4M
N W Pediatric Center Inc P S	WA	Pediatrics Physician	$0	$19.1M
Cascade Community Healthcare	WA	Community/Behavioral Health Agency	$0	$14.2M
Pope's Kids Place	WA	Home Health Agency	$0	$9.9M
Kids Dental Of Centralia, P.C.	WA	General Practice Dentistry	$0	$8.9M
N W Pediatric Center Inc P S	WA	Pediatrics Physician	$0	$5.2M
American Medical Response Ambulance Service Inc	WA	Ambulance	$925.9K	$3.7M
Huy Dang	WA	Podiatrist	$249.2K	$0
Floyd Smith	WA	Internal Medicine Physician	$236.4K	$0
Keith Birchard	WA	Orthopaedic Surgery Physician	$201.1K	$0

Community Integrated Health Services, LLC — Billing Profile & Reimbursement Data

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Community Integrated Health Services, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References