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.

Soar Behavior Services (NPI 1962862615)

Field	Value
Entity Type	Organization
Organization	Soar Behavior Services
Address	11707 E Sprague Ave Ste 106
City	Spokane Valley
State	WA
ZIP	99206
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 23, 2016

Payer Source	Total Paid
Medicaid	$19.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	117,420	$130	$14.9M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	22,800	$50	$1.2M
0365T	Adaptive behavior tx addl	11,540	$110	$1.2M
H2020	Therapeutic behavioral services, per diem	1,560	$500	$774.4K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	4,090	$120	$469.8K
0364T	Behavior treatment	11,280	$20	$225.5K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	4,330	$50	$211.9K
0368T	Behavior treatment modified additional	1,890	$20	$41.5K
0369T	Duodenal mucosal resurfacing, endoscopic	1,690	$20	$40.6K
0370T	Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)	530	$50	$26.8K

Showing 1–10 of 12

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

Soar Behavior Services — 9 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2020	Therapeutic behavioral services, per diem	4	10	930	$480	$1.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1	40	2,860	$120	$984.3K
0365T	Adaptive behavior tx addl	1	10	720	$90	$173.8K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	1	40	530	$80	$146.5K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	1	20	120	$130	$66.8K
0364T	Behavior treatment	1	10	730	$20	$39.3K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	1	30	180	$60	$34K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	2	10	140	$30	$19.5K
0369T	Duodenal mucosal resurfacing, endoscopic	1	10	190	$40	$18.7K
0359T	Behavior identification assessment, by the physician or other qualified health care professional, face-to-face with patient and/or guardian(s)/caregiver(s), includes administration of standardized…	2	10	70	$230	$16.6K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Soar Behavior Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Home Care, Inc.	WA	Home Health Agency	$0	$16.8M
Sunshine Behavioral Health	WA	Community/Behavioral Health Agency	$0	$11.7M
Option Care Enterprises, Inc.	WA	Home Infusion Therapy Pharmacy	$0	$10.1M
Apex Anesthesia Services PC	WA	Dental Anesthesiology	$0	$6.1M
Youthful Horizons Physical Therapy P S	WA	Physical Therapist	$0	$4.7M
Spokane Surgery Center Ltd Ps	WA	Ambulatory Surgical Clinic/Center	$819.8K	$4K
Natasha Demattos	WA	Neurology Physician	$138.9K	$0
Thomasin Hammer	WA	Podiatrist	$112.8K	$0
Joshua Antles	WA	Physician Assistant	$94K	$0
Timothy Mahnke	WA	Physician Assistant	$72.1K	$0

Soar Behavior Services — Billing Profile & Reimbursement Data

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Soar Behavior Services — 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