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.

Comprehensive Mental Health Center Of Tacoma-pierce County (NPI 1952597056)

Field	Value
Entity Type	Organization
Organization	Comprehensive Mental Health Center Of Tacoma-pierce County
Address	737 Fawcett Ave
City	Tacoma
State	WA
ZIP	98402
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 21, 2007

Payer Source	Total Paid
Medicaid	$37.8M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is $37.8M, indicating its entire reported federal payer footprint in the dataset is concentrated in Medicaid. Analysts should treat commercial and Medicare comparisons as not observable from these data.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes account for 74.8% of the provider’s total Medicaid revenue, driven primarily by H0018, H0004, and T1041. Those three codes alone represent the bulk of reported dollars, leaving the remainder of the fee schedule to support a much smaller portion of overall revenue.

The code mix points to a residential‑and‑community behavioral health operating model. H0018 (short‑term residential per diem) generates $15.5M (41.1% of Medicaid revenue) with 106.9K claims and a $145 avg paid/claim, while T1041 (Medicaid certified community behavioral health clinic services, per month) contributes $6M (15.9%) and H0004 (behavioral health counseling and therapy, per 15 minutes) contributes $6.7M (17.7%). Together these suggest large short‑term residential capacity supplemented by high‑volume outpatient counseling and certified community behavioral health clinic activity.

The provider is a statewide outlier on several high‑revenue codes and therefore a dominant in‑state player for those services: H0018 ranks #1 of 59 providers in-state (100th percentile; extreme outlier), H0004 ranks #8 of 317 providers in-state (98th percentile; extreme outlier), and T1041 ranks #5 of 30 providers in-state (86th percentile; typical). These rank/percentile positions indicate market leadership in short‑term residential care and very high counseling volume relative to peers.

Alcohol and substance‑use per diem services are also unexpectedly large for the market: H2036 accounts for $2.9M (7.7% of Medicaid revenue), records 107.9K claims at a $27 avg paid/claim, and ranks #3 of 68 providers in-state (97th percentile; extreme outlier). This reinforces that the provider’s service footprint includes high‑volume AOD treatment alongside residential behavioral health.

Beyond the headline codes, the provider bills a broad set of community and clinical services at materially lower dollar volumes: examples include H0019 $1.4M (3.7%), H0038 $784.7K (2.1%), 99214 $729.2K (1.9%), H2015 $634.3K (1.7%) and H0043 $602.6K (1.6%). Many of these codes rank in the mid‑to‑high percentiles in‑state (largely described as typical or unremarkable volume), indicating operational breadth but with substantially smaller revenue contribution than the top drivers.

This is a long‑standing entity in the public payer system: the NPI was enumerated on 2007-09-21 (~19 years ago), supporting the interpretation that the current high‑volume Medicaid footprint is built on years of established service delivery rather than a short‑term reporting anomaly.

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	106,910	$150	$15.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	89,000	$80	$6.7M
T1041	Medicaid certified community behavioral health clinic services, per month	1,800	$3,330	$6M
H2036	Alcohol and/or other drug treatment program, per diem	107,860	$30	$2.9M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	13,210	$110	$1.4M
H0038	Self‑help/peer services, per 15 minutes	16,350	$50	$784.7K
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…	5,360	$140	$729.2K
H2015	Comprehensive community support services, per 15 minutes	13,790	$50	$634.3K
H0043	Supported housing, per diem	5,330	$110	$602.6K
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…	7,050	$80	$550.1K

Showing 1–10 of 42

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

Comprehensive Mental Health Center Of Tacoma-pierce County — 3 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	60	8,670	$280	$4.9M
T1041	Medicaid certified community behavioral health clinic services, per month	5	30	270	$2,060	$3.7M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	19	50	4,000	$60	$1.5M
H0043	Supported housing, per diem	39	140	1,690	$110	$602.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	8	320	2,080	$60	$495.5K
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…	294	1,820	480	$60	$379.6K
H2036	Alcohol and/or other drug treatment program, per diem	3	70	4,930	$20	$344.7K
H2023	Supported employment, per 15 minutes	35	110	1,080	$100	$307.5K
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…	306	1,860	610	$40	$295.5K
H2015	Comprehensive community support services, per 15 minutes	30	140	1,820	$20	$283.8K

Showing 1–10 of 42

Nearby Providers

Other providers in the same ZIP code as Comprehensive Mental Health Center Of Tacoma-pierce County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Care	WA	Federally Qualified Health Center (FQHC)	$0	$128.6M
City Of Tacoma	WA	Land Ambulance	$1.8M	$79.8M
Pierce County Alliance	WA	Community/Behavioral Health Agency	$0	$12.5M
Tacoma Detoxification Center	WA	Substance Abuse Rehabilitation Facility	$0	$6.5M
County Of Pierce	WA	Case Management Agency	$0	$5.1M
Grand Park, LLC	WA	Adult Day Care Clinic/Center	$0	$3.2M
Maxim Healthcare Services, Inc.	WA	Home Health Agency	$0	$2.8M
C W Charron Inc Ps	WA	General Practice Dentistry	$0	$2.7M
Multicare Health System	WA	Community Based Hospice Care Agency	$0	$2.7M
Joseph Sam	WA	Diagnostic Radiology Physician	$1.2M	$0

Comprehensive Mental Health Center Of Tacoma-pierce County — Billing Profile & Reimbursement Data

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Comprehensive Mental Health Center Of Tacoma-pierce County — 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

Nearby Providers

Frequently Asked Questions

References