Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUND

NPI: 1780774950 · TUKWILA, WA 98188 · Community/Behavioral Health Agency · NPI assigned 10/16/2006

$8.90M
Total Medicaid Paid
1,576,480
Total Claims
697,755
Beneficiaries
51
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDE LUCA, MIKE (VP AND CHIEF FINANCIAL OFFICIER)
NPI Enumeration Date10/16/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 342,169 $1.23M
2019 170,389 $1.11M
2020 223,943 $1.93M
2021 220,528 $1.97M
2022 221,005 $599K
2023 202,809 $962K
2024 195,637 $1.10M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1041 Medicaid certified community behavioral health clinic services, per month 1,135 1,135 $4.14M
T2025 Waiver services; not otherwise specified (nos) 6,832 6,154 $3.88M
H2023 Supported employment, per 15 minutes 2,381 828 $195K
H0004 Behavioral health counseling and therapy, per 15 minutes 232,607 117,835 $135K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 58,232 48,306 $122K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48,308 41,259 $116K
99443 22,346 19,048 $95K
90837 Psychotherapy, 53 minutes with patient 93,469 50,060 $61K
90834 Psychotherapy, 45 minutes with patient 47,522 27,299 $22K
H2015 Comprehensive community support services, per 15 minutes 254,870 121,347 $21K
90832 Psychotherapy, 30 minutes with patient 35,098 19,647 $17K
90853 Group psychotherapy (other than of a multiple-family group) 101,028 32,899 $16K
99442 15,770 13,627 $16K
90791 Psychiatric diagnostic evaluation 13,711 12,901 $13K
99215 Prolong outpt/office vis 9,882 8,399 $13K
90863 95 41 $12K
H2025 Ongoing support to maintain employment, per 15 minutes 92 44 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 250 166 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,895 2,424 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 19,413 15,479 $3K
H0046 Mental health services, not otherwise specified 82,758 60,056 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 576 484 $2K
90847 Family psychotherapy with the patient present, 50 minutes 4,718 2,312 $2K
99441 1,410 1,184 $1K
99205 Prolong outpt/office vis 1,467 1,300 $1K
96165 13,647 5,994 $1K
H0034 Medication training and support, per 15 minutes 5,255 2,467 $871.01
96164 13,743 6,019 $685.57
H0038 Self-help/peer services, per 15 minutes 42,919 10,780 $647.52
H2021 Community-based wrap-around services, per 15 minutes 3,229 986 $623.36
H2012 Behavioral health day treatment, per hour 23,557 6,509 $543.20
90846 Family psychotherapy without the patient present, 50 minutes 1,732 955 $503.25
H2011 Crisis intervention service, per 15 minutes 27,116 19,179 $319.11
90785 2,155 1,590 $307.14
99334 208 149 $305.87
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 602 477 $302.00
99310 Prolong nursin fac eval 15m 315 250 $167.18
96153 21,147 5,959 $91.85
H0032 Mental health service plan development by non-physician 870 610 $0.02
H2022 Community-based wrap-around services, per diem 40,163 3,028 $0.00
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 259,402 8,952 $0.00
H0047 Alcohol and/or other drug abuse services, not otherwise specified 488 327 $0.00
H2014 Skills training and development, per 15 minutes 51 27 $0.00
90849 20 20 $0.00
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 20 13 $0.00
99307 28 19 $0.00
T1016 Case management, each 15 minutes 8,479 4,866 $0.00
H0033 Oral medication administration, direct observation 49,427 11,496 $0.00
99000 3,409 1,545 $0.00
H0001 Alcohol and/or drug assessment 1,456 1,181 $0.00
90839 177 123 $0.00