Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Royal Wa Lacey LLC

Royal Wa Lacey LLC was paid $1.10M by Medicaid between Nov 2022 and Oct 2024, across 5 billing codes. Its largest line is S9480, Intensive outpatient psychiatric services, per diem — 85% of everything it billed.

33Billing provider infoROYAL WA LACEY LLC
LACEY, WA 98516
33aNPI1336890854assigned 01/17/2022
28Total paid$1.10M
24GClaims4,971
24DCodes billed5
24AFirst – last monthNov 2022 – Oct 2024
Compared with peers

Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Washington

Rank by total paid#19 of 48
Median peer was paid$632K
This provider vs. median1.7×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
2022620$126K
20232,359$514K
2024incomplete1,992$457K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9480 Intensive outpatient psychiatric services, per diem 85% 3,971 354 $932K
H2036 Alcohol and/or other drug treatment program, per diem 8.1% 422 38 $89K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 5.5% 201 13 $60K
96165 <1% 189 59 $11K
96164 <1% 188 59 $5K

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 officialJACKSON, SHANDALEE (COMPLIANCE MANAGER)
Same official

Other billing entities under JACKSON, SHANDALEE

Full network →
ProviderLocationPaid
Royal Az LLCPrescott, AZ$2.66M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.