Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alaska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Providence Health & Services Washington (NPI 1013905660)

Providence Health & Services Washington is a critical access hospital provider located in Kodiak, Alaska. This profile covers 0 Medicare and 59 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Providence Health & Services Washington
Address	1915 E Rezanof Dr
City	Kodiak
State	AK
ZIP	99615
Taxonomy	Critical Access Hospital
NPI Enumerated	October 7, 2005

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,060	$1,280	$2.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	3,150	$760	$2.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	3,140	$480	$1.5M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	7,780	$190	$1.5M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	3,170	$180	$554.2K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,850	$260	$483.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	4,670	$90	$410.5K
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	$250	$331.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	5,260	$50	$252.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	940	$170	$160.1K

Showing 1–10 of 59

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alaska Distribution

Providence Health & Services Washington — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	24	40	5,090	$240	$3.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20	40	2,210	$300	$3.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	24	50	4,500	$170	$2.5M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	24	30	2,190	$390	$1.3M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	54	100	360	$340	$1.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	26	30	3,420	$220	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	17	20	4,510	$130	$1.1M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	19	70	570	$110	$829.4K
87086	Culture, bacterial; quantitative, colony count, urine.	18	20	2,570	$130	$803.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	24	30	2,180	$200	$672K

Showing 1–10 of 59

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peter Ehrnstrom	AK	MOHS-Micrographic Surgery Physician	$642.7K	$0
Ahmed Abuzaid	AK	Cardiovascular Disease Physician	$544.1K	$0
Jacob Kelly	AK	Advanced Heart Failure and Transplant Cardiology Physician	$495.1K	$0
Alan Skolnick	AK	Cardiovascular Disease Physician	$473.3K	$0
Linda Ireland	AK	Cardiovascular Disease Physician	$389.7K	$0
Carson Webb	AK	Interventional Cardiology Physician	$387.8K	$0
Adam Mason	AK	Cardiovascular Disease Physician	$374.7K	$0
Herman Feringa	AK	Cardiovascular Disease Physician	$363.8K	$0
Gene Quinn	AK	Cardiovascular Disease Physician	$348.3K	$0
Scott Ebenhoeh	AK	Cardiovascular Disease Physician	$341.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kodiak Area Native Association	AK	Community Health Clinic/Center	$0	$21.8M
Hope Community Resources Inc	AK	Respite Care	$0	$4.1M
Kodiak Island Ambulatory Care Clinic Inc.	AK	Urgent Care Clinic/Center	$0	$2.6M
Kodiak Area Native Association	AK	Dental Clinic/Center	$0	$2M
Kodiak Island Health Care Foundation	AK	Federally Qualified Health Center (FQHC)	$0	$1.6M
Providence Health & Services Washington	AK	Community/Behavioral Health Agency	$0	$1.5M
Eyecare Excellence A Professional Corporation	AK	Optometrist	$0	$703.3K
Arctic Physical Therapy Services, Inc.	AK	Physical Therapy Clinic/Center	$0	$341.2K
City Of Kodiak	AK	Land Ambulance	$105.5K	$214.9K
North Pacific Medical Center	AK	Family Medicine Physician	$0	$294.5K

Providence Health & Services Washington — Billing Profile & Reimbursement Data

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Providence Health & Services Washington — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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