Agency
Colonial Clinic III, LLC
Colonial Clinic III, LLC was paid $1.37M by Medicaid between Aug 2018 and Jan 2023, across 8 billing codes. Its largest line is 96165, — 40% of everything it billed.
33Billing provider infoCOLONIAL CLINIC III, LLC
SPOKANE, WA 99201
SPOKANE, WA 99201
33aNPI1447590757assigned 02/22/2013
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$1.37M
24GClaims24,021
24DCodes billed8
24AFirst – last monthAug 2018 – Jan 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in Washington
Rank by total paid#54 of 176
Median peer was paid$340K
This provider vs. median4.0×
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 | 115 | $8K | |
| 2019 | 3,419 | $293K | |
| 2020 | 6,376 | $342K | |
| 2021 | 7,055 | $357K | |
| 2022 | 6,804 | $359K | |
| 2023 | 252 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96165 | 40% | 8,109 | 1,319 | $547K | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 24% | 3,779 | 1,654 | $327K |
| 96153 | 12% | 2,182 | 306 | $170K | |
| 96164 | 9.8% | 8,127 | 1,320 | $134K | |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 8.4% | 986 | 581 | $115K |
| H0001 | Alcohol and/or drug assessment | 3.4% | 365 | 364 | $47K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.1% | 426 | 202 | $28K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 47 | 46 | $3K |
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 officialSTOLZ, THOMAS H. STOLZ (CLINIC DIRECTOR/COUNSELOR)