Rule and Associates

Rule and Associates was paid $638K by Medicaid between Jan 2023 and Dec 2024, across 6 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 93% of everything it billed.

33Billing provider infoRULE AND ASSOCIATES
BELLINGHAM, WA 98225

33aNPI1962019885assigned 09/24/2020

33bProvider typeCounselor

28Total paid$638K

24GClaims7,036

24DCodes billed6

24AFirst – last monthJan 2023 – Dec 2024

Compared with peers

Next to other Counselor providers in Washington

Rank by total paid#13 of 74

Median peer was paid$57K

This provider vs. median11×

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
2023	1,863	$150K
2024incomplete	5,173	$488K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	93%	6,147	2,811	$595K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	3.8%	205	205	$25K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	1.7%	154	123	$11K
90785		<1%	497	288	$5K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	18	12	$2K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	15	12	$1K

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 officialGERDON, HOPE (MSW INTERN)