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.

Prosperity Counseling & Treatment Svcs (NPI 1972634939)

Field	Value
Entity Type	Organization
Organization	Prosperity Counseling & Treatment Svcs
Address	5001 112th St E
City	Tacoma
State	WA
ZIP	98446
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$14.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 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	49,920	$240	$12M
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…	12,570	$70	$854.8K
H2036	Alcohol and/or other drug treatment program, per diem	41,140	$20	$781.6K
96153	N/A	8,730	$30	$296.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	4,240	$60	$271K
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…	12,590	$20	$239.2K
H0001	Alcohol and/or drug assessment	870	$80	$66.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	830	$20	$16.6K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	190	$10	$2.6K
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	170	$0	$0

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

Prosperity Counseling & Treatment Svcs — 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

12 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	4	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	50	50	4,000	$60	$1.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	111	170	2,120	$40	$779.1K
H0004	Behavioral health counseling and therapy, per 15 minutes	113	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…	46	220	2,880	$50	$431K
H2036	Alcohol and/or other drug treatment program, per diem	5	70	4,930	$20	$344.7K
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…	49	230	3,070	$20	$135.6K
96153	N/A	39	210	2,910	$20	$105.2K
H0001	Alcohol and/or drug assessment	40	210	220	$150	$104K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	22	30	250	$20	$54.6K

Showing 1–10 of 12

Prosperity Counseling & Treatment Svcs — Billing Profile & Reimbursement Data

Sign up for Prosperity Counseling & Treatment Svcs — Billing Profile & Reimbursement Data policy alerts

Prosperity Counseling & Treatment Svcs — Billing Profile & Reimbursement Data

Sign up for Prosperity Counseling & Treatment Svcs — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References