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Sage River Counseling

Counselor Mental Health·Seattle, WA·NPI: 1053359729Share
Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$128.0M

$128,048,228

Total Claims

3.8M

Beneficiaries

3.2M

1.2 claims/patient

Avg Cost/Claim

$34

#917 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Sage River Counseling is a Counselor Mental Health provider based in Seattle, WA. From the 2018–2024 period, this provider received $128.0M in Medicaid payments across 3.8M claims.

Why This Matters

This provider received $128.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,006 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 21% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.3M
-3%
2019
$19.8M
-14%
2020
$17.1M
+8%
2021
$18.4M
-1%
2022
$18.2M
+1%
2023
$18.4M
-13%
2024
$16.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0463 (Hospital outpatient clinic visit)) accounts for 35% of total spending.

G0463Top 25%

Hospital outpatient clinic visit

$45.3M

559K claims · 35.4%

Your Cost: $81.07/claim|Median: $26.41
3.1× median
96361Top 10%

IV infusion, hydration, each additional hour

$5.1M

16K claims · 4.0%

Your Cost: $316.16/claim|Median: $38.92
8.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$4.5M

57K claims · 3.5%

Your Cost: $79.22/claim|Median: $85.65
0.9× median
G9006Top 5%

Coordination of long-term care services, per hour

$4.5M

18K claims · 3.5%

Your Cost: $253.41/claim|Median: $204.93
1.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$4.3M

44K claims · 3.4%

Your Cost: $98.50/claim|Median: $42.48
2.3× median
T2022Normal range

Case management, per month

$4.0M

24K claims · 3.1%

Your Cost: $170.16/claim|Median: $202.77
0.8× median
99284Normal range

Emergency dept visit, high complexity

$4.0M

49K claims · 3.1%

Your Cost: $81.64/claim|Median: $69.51
1.2× median
70450Top 25%

CT head/brain without contrast

$2.7M

20K claims · 2.1%

Your Cost: $135.21/claim|Median: $45.53
3.0× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$2.6M

2K claims · 2.0%

Your Cost: $1,328.55/claim|Median: $1,587.53
0.8× median
U0003Normal range

Infectious disease detection (COVID-19)

$2.4M

34K claims · 1.9%

Your Cost: $69.33/claim|Median: $63.08
1.1× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$1.9M

17K claims · 1.5%

Your Cost: $117.06/claim|Median: $54.77
2.1× median
74177Normal range

CT abdomen and pelvis with contrast

$1.4M

12K claims · 1.1%

Your Cost: $124.69/claim|Median: $65.76
1.9× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$1.3M

3K claims · 1.0%

Your Cost: $511.49/claim|Median: $268.70
1.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.3M

51K claims · 1.0%

Your Cost: $25.05/claim|Median: $35.43
0.7× median
96366Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$1.2M

5K claims · 1.0%

Your Cost: $244.34/claim|Median: $40.12
6.1× median
99281Normal range

Emergency dept visit, minimal complexity

$1.1M

11K claims · 0.9%

Your Cost: $101.21/claim|Median: $52.03
1.9× median
71275Top 25%

CT angiography, chest, with contrast

$1.0M

6K claims · 0.8%

Your Cost: $164.21/claim|Median: $92.96
1.8× median
43239Top 25%

Upper GI endoscopy with biopsy

$987K

3K claims · 0.8%

Your Cost: $304.40/claim|Median: $151.68
2.0× median
99282Normal range

Emergency dept visit, low complexity

$972K

11K claims · 0.8%

Your Cost: $90.21/claim|Median: $37.72
2.4× median
20680Normal range

$963K

1K claims · 0.8%

Your Cost: $845.67/claim|Median: $982.26
0.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$962K

2K claims · 0.8%

Your Cost: $425.67/claim|Median: $233.73
1.8× median
J2426Normal range

$904K

3K claims · 0.7%

Your Cost: $296.94/claim|Median: $625.59
0.5× median
J2315Normal range

$835K

1K claims · 0.7%

Your Cost: $673.43/claim|Median: $1,045.36
0.6× median
45380Normal range

Colonoscopy with biopsy

$832K

3K claims · 0.6%

Your Cost: $298.50/claim|Median: $200.68
1.5× median
Q5103Normal range

$815K

762 claims · 0.6%

Your Cost: $1,069.10/claim|Median: $1,075.28
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$786K

36K claims · 0.6%

Your Cost: $21.64/claim|Median: $24.49
0.9× median
Q3014Normal range

Telehealth originating site facility fee

$784K

40K claims · 0.6%

Your Cost: $19.65/claim|Median: $15.37
1.3× median
C9257Top 10%

$771K

2K claims · 0.6%

Your Cost: $418.28/claim|Median: $22.28
18.8× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$769K

8K claims · 0.6%

Your Cost: $97.34/claim|Median: $61.57
1.6× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$752K

20K claims · 0.6%

Your Cost: $38.43/claim|Median: $51.73
0.7× median

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