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NPI 1003367863 · Lacey, WA · Diagnostic Radiology Physician
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Providence Health & Services Washington is a diagnostic radiology physician provider located in Lacey, Washington. This profile covers 23 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Providence Health & Services Washington |
| Address | 4800 College St Se Ste E |
| City | Lacey |
| State | WA |
| ZIP | 98503 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | October 17, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $30.2K |
| Medicare | $28.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 290 | $20 | $4.7K |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 150 | $20 | $3K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 140 | $20 | $3K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 120 | $20 | $2.3K |
| 73502 | In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other… | 90 | $20 | $2.3K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 130 | $20 | $2.2K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 100 | $20 | $1.9K |
| 73110 | The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area. | 70 | $30 | $1.7K |
| 72110 | In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer. | 40 | $30 | $1.2K |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 60 | $20 | $1.1K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 1,340 | $10 | $18.8K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 180 | $20 | $3.2K |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 170 | $20 | $2.8K |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 170 | $20 | $2.7K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 120 | $20 | $1.8K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 70 | $10 | $910 |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 30 | $20 | $460 |
How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Washington median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 115 | 220 | 1,570 | $10 | $83.7K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 137 | 180 | 780 | $20 | $32.9K |
| 73610 | In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area. | 102 | 140 | 900 | $20 | $31.1K |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 111 | 130 | 880 | $20 | $26.2K |
| 73130 | In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand. | 84 | 130 | 690 | $10 | $25.8K |
| 72100 | The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays… | 103 | 120 | 550 | $20 | $24.1K |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 70 | 110 | 340 | $20 | $23.1K |
Other providers in the same ZIP code as Providence Health & Services Washington, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sea-mar Community Health Center | WA | Federally Qualified Health Center (FQHC) | $0 | $8M |
| National Seating & Mobility, Inc. | WA | Durable Medical Equipment & Medical Supplies | $0 | $5.9M |
| Jane Myung | WA | Ophthalmology Physician | $2.7M | $0 |
| Vest Thurston LLC | WA | Psychiatric Hospital | $0 | $2.6M |
| Laser & Surgery Center, LLC | WA | Ambulatory Surgical Clinic/Center | $1.5M | $4K |
| Penporn Reck | WA | Ophthalmology Physician | $802.6K | $0 |
| Grant Aaker | WA | Ophthalmology Physician | $481.9K | $0 |
| Stephen Reck | WA | Ophthalmology Physician | $433.1K | $0 |
| Anthony Grillo | WA | Cornea and External Diseases Specialist Physician | $348.5K | $0 |
| Crystal Adams | WA | Gynecologic Oncology Physician | $183.2K | $0 |
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