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 Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Jamestown S'klallam Tribe (NPI 1023195161)

Field	Value
Entity Type	Organization
Organization	Jamestown S'klallam Tribe
Address	526 S 9th Ave
City	Sequim
State	WA
ZIP	98382
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	4,420	$610	$2.7M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,010	$50	$92.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	900	$40	$31.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	110	$70	$7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	350	$10	$3.5K
Q3014	Telehealth originating site facility fee	90	$20	$2.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$10	$250
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	30	$10	$170
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	50	$1	$140
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	10	$10	$110

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Jamestown S'klallam Tribe — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	317	650	4,110	$250	$4.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,355	1,820	480	$60	$379.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	606	1,860	610	$40	$295.5K
Q3014	Telehealth originating site facility fee	93	140	330	$20	$108.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	164	700	180	$50	$59.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	431	550	400	$1	$36.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	219	260	240	$20	$26.1K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	122	220	470	$10	$18.7K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	248	270	450	$10	$16.6K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	19	30	50	$10	$1.6K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jamestown S'klallam Tribe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamestown S'klallam Tribe	WA	Federally Qualified Health Center (FQHC)	$0	$37.6M
Jamestown S'klallam Tribe	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$30M
Jamestown S'klallam Tribe	WA	Dentist	$0	$21.8M
Jerome Oakes	WA	Family Medicine Physician	$4.7K	$0
Thomas Rambow	ID	Physician Assistant	$3.4K	$0

Nearby Providers

Other providers in the same ZIP code as Jamestown S'klallam Tribe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	WA	Pharmacy	$444K	$140
Helen Xiao-li	WA	Radiation Oncology Physician	$368.1K	$0
William Harrer	WA	Medical Oncology Physician	$348K	$0
Costco Wholesale Corporation	WA	Community/Retail Pharmacy	$299.3K	$0
Agnieszka Niemeyer	WA	Dermatology Physician	$266.4K	$0
Britton Moss	WA	Physical Therapist	$261.6K	$0
John Banzer	WA	Cardiovascular Disease Physician	$254.2K	$0
Heidi Hermes Shantz	WA	MOHS-Micrographic Surgery Physician	$251K	$0
Pacific Vascular Incorporated	WA	Physiological Laboratory	$249.5K	$0
Lindsay Jensen	WA	Radiation Oncology Physician	$194K	$0

Jamestown S'klallam Tribe — Billing Profile & Reimbursement Data

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Jamestown S'klallam Tribe — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References