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.

American Behavioral Health Systems, Inc. (NPI 1962991661)

Field	Value
Entity Type	Organization
Organization	American Behavioral Health Systems, Inc.
Address	12715 E Mission Ave
City	Spokane Valley
State	WA
ZIP	99216
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	May 8, 2018

Payer Source	Total Paid
Medicaid	$9.5M
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
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	21,870	$420	$9.1M
H2036	Alcohol and/or other drug treatment program, per diem	9,650	$30	$299.1K
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…	1,280	$60	$75.8K
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,…	70	$40	$2.4K
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…	20	$100	$2.1K
H0001	Alcohol and/or drug assessment	10	$0	$0
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	910	$0	$0
H0046	Mental health services, not otherwise specified	130	$0	$0
S9981	Medical records copying fee, administrative	50	$0	$0
S9982	Medical records copying fee, per page	50	$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

American Behavioral Health Systems, Inc. — 0 of 5 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
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	19	60	8,670	$280	$4.9M
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	39	50	4,000	$60	$1.5M
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…	1,674	1,820	480	$60	$379.6K
H2036	Alcohol and/or other drug treatment program, per diem	27	70	4,930	$20	$344.7K
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…	738	1,860	610	$40	$295.5K
H0001	Alcohol and/or drug assessment	204	210	220	$150	$104K
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,…	468	700	180	$50	$59.3K
H0046	Mental health services, not otherwise specified	167	210	800	$10	$30.6K
S9981	Medical records copying fee, administrative	9	20	50	$10	$710
S9982	Medical records copying fee, per page	8	20	50	$1	$630

Nearby Providers

Other providers in the same ZIP code as American Behavioral Health Systems, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	WA	Home Infusion Therapy Pharmacy	$27.8K	$41.8M
Incyte Pathology, PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$0	$27.5M
Multicare Health System	WA	General Acute Care Hospital	$0	$24.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$18.1M
Peaks And Plains Medical, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Kirk Fuhriman PLLC	WA	Dentist	$0	$5.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$3.4M
Incyte Pathology, PLLC	WA	Clinical Medical Laboratory	$3.2M	$159.4K
Lincare Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.1M
J Blake, Dmd, Ps	WA	Pediatric Dentistry	$0	$3.1M

American Behavioral Health Systems, Inc. — Billing Profile & Reimbursement Data

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American Behavioral Health Systems, Inc. — 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