Clinic
Ideal Balance PLLC
Ideal Balance PLLC was paid $5.30M by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is H0001, Alcohol and/or drug assessment — 64% of everything it billed.
33Billing provider infoIDEAL BALANCE PLLC
KENNEWICK, WA 99336
KENNEWICK, WA 99336
33aNPI1013343474assigned 09/17/2013
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$5.30M
24GClaims56,105
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Washington
Rank by total paid#9 of 48
Median peer was paid$632K
This provider vs. median8.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,249 | $0.00 | |
| 2019 | 8,722 | $410K | |
| 2020 | 12,997 | $1.22M | |
| 2021 | 15,379 | $1.75M | |
| 2022 | 6,898 | $992K | |
| 2023 | 1,012 | $209K | |
| 2024incomplete | 2,848 | $715K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0001 | Alcohol and/or drug assessment | 64% | 14,454 | 13,935 | $3.37M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 34% | 30,604 | 19,863 | $1.79M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 2.6% | 7,192 | 5,904 | $136K |
| T1016 | Case management, each 15 minutes | <1% | 1,597 | 1,002 | $121.00 |
| H0047 | Alcohol and/or other drug abuse services, not otherwise specified | 0% | 1,816 | 937 | $0.00 |
| 96153 | 0% | 442 | 180 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBELL, PENNY (ADMINISTRATOR)