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.

Valley Cities Counseling And Consultation (NPI 1972668853)

Field	Value
Entity Type	Organization
Organization	Valley Cities Counseling And Consultation
Address	325 W Gowe St
City	Kent
State	WA
ZIP	98032
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 22, 2006

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	28,040	$140	$3.9M
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	4,720	$660	$3.1M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	20,760	$70	$1.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	44,900	$30	$1.2M
T1041	Medicaid certified community behavioral health clinic services, per month	310	$3,130	$975.6K
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…	71,600	$10	$644.4K
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…	16,380	$20	$376.7K
99204	The provider sees a new 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 provider…	2,580	$110	$278.9K
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…	206,840	$1	$206.8K
H2023	Supported employment, per 15 minutes	2,490	$80	$199.3K

Showing 1–10 of 50

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

Valley Cities Counseling And Consultation — 5 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

50 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	5	60	8,670	$280	$4.9M
T1041	Medicaid certified community behavioral health clinic services, per month	15	30	270	$2,060	$3.7M
H0017	Behavioral health; residential (hospital residential treatment program), without room and board, per diem	1	10	460	$2,650	$3.5M
T2025	Waiver services; not otherwise specified (nos)	6	20	18,710	$150	$3.5M
H2022	Community-based wrap-around services, per diem	6	10	7,990	$310	$3.3M
H0011	Alcohol and/or drug services; acute detoxification (hospital inpatient) per diem	2	20	3,670	$300	$2M
H0004	Behavioral health counseling and therapy, per 15 minutes	11	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…	5	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…	26	1,820	480	$60	$379.6K
H2036	Alcohol and/or other drug treatment program, per diem	11	70	4,930	$20	$344.7K

Showing 1–10 of 50

Nearby Providers

Other providers in the same ZIP code as Valley Cities Counseling And Consultation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Md Medical Supplies Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$44.5M
Tri-med Ambulance LLC	WA	Ambulance	$5.4M	$26.2M
Performance Modalities Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$12.6M
Kci Usa, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$9.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.8M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.7M
Lincare Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Yicheng Chen	WA	Ophthalmology Physician	$2M	$290
Wchs, Inc.	WA	Methadone Clinic	$152.4K	$772.6K
Quality Medical Imaging Of Washington Inc	WA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$386.2K	$266.6K

Valley Cities Counseling And Consultation — Billing Profile & Reimbursement Data

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Valley Cities Counseling And Consultation — 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