Provail
Provail was paid $157K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 92609, — 41% of everything it billed.
33Billing provider infoPROVAIL
SEATTLE, WA 98133
SEATTLE, WA 98133
33aNPI1477760197assigned 05/16/2007
33bProvider typeSpeech-Language Pathologist
28Total paid$157K
24GClaims14,493
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Speech-Language Pathologist providers in Washington
Rank by total paid#13 of 47
Median peer was paid$58K
This provider vs. median2.7×
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
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 | 1,182 | $13K | |
| 2019 | 1,910 | $32K | |
| 2020 | 1,362 | $6K | |
| 2021 | 1,305 | $7K | |
| 2022 | 1,964 | $16K | |
| 2023 | 3,010 | $32K | |
| 2024incomplete | 3,760 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92609 | 41% | 5,565 | 2,281 | $64K | |
| 97535 | Self-care/home management training, each 15 minutes | 26% | 3,555 | 1,529 | $41K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 26% | 4,702 | 1,931 | $40K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 7.6% | 645 | 326 | $12K |
| G9175 | Other speech language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 13 | 12 | $0.00 |
| G9174 | Other speech language pathology functional limitation, current status at therapy episode outset and at reporting intervals | 0% | 13 | 12 | $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 officialHATZENBELER, MICHAEL (CEO)