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.

Public Hospital Dist No 1 Skagit (NPI 1023332749)

Public Hospital Dist No 1 Skagit is a general practice physician provider located in Mount Vernon, Washington. This profile covers 0 Medicare and 149 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	Public Hospital Dist No 1 Skagit
Address	1400 E Kincaid St
City	Mount Vernon
State	WA
ZIP	98274
Taxonomy	General Practice Physician
NPI Enumerated	March 24, 2010

Payer Source	Total Paid
Medicaid	$24.7M
Medicare	$0

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

149 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	251,180	$50	$13.3M
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…	89,190	$40	$3.4M
99204	The provider sees a new 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 provider…	26,950	$80	$2.2M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	16,560	$90	$1.4M
99203	The provider sees a new 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 provider…	18,330	$50	$989.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	5,730	$70	$401.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	12,520	$30	$400.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4,400	$60	$268.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,590	$70	$251.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,840	$80	$213.1K

Showing 1–10 of 149

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

Public Hospital Dist No 1 Skagit — 9 of 25 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

149 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	344	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…	8	1,820	480	$60	$379.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	19	130	890	$100	$337.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	22	120	590	$230	$331.2K
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…	29	1,860	610	$40	$295.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	35	60	240	$380	$276.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	23	170	580	$30	$270.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	55	140	490	$40	$268.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	41	100	390	$260	$244.5K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	62	90	260	$300	$208.5K

Showing 1–10 of 149

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital Dist No 1 Skagit	WA	General Acute Care Hospital	$0	$88.6M
Public Hospital Dist No 1 Skagit	WA	General Acute Care Hospital	$0	$17.2M
Yoshio Inoue	WA	Medical Oncology Physician	$1.3M	$0
Daryl Sudasena	WA	Interventional Cardiology Physician	$380.6K	$0
Stacia Smith	WA	Orthopaedic Surgery Physician	$324.7K	$0
Ramy Hanna	WA	Clinical Cardiac Electrophysiology Physician	$213.9K	$0
Richard Lin	WA	Dermatology Physician	$195.1K	$0
Bhrigu Parmar	WA	Cardiovascular Disease Physician	$177.2K	$0
Murad Yunusov	WA	Hospitalist Physician	$171.9K	$0
Corinne Sayler	WA	Physician Assistant	$164.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Skagit Pediatrics, LLP	WA	Pediatrics Physician	$0	$6M
Eye Associates Surgery Center Inc	WA	Ambulatory Surgical Clinic/Center	$839.9K	$44.4K
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$793.8K	$0
Dawei Lu	WA	Orthopaedic Surgery of the Spine Physician	$264.1K	$0
Navdeep Dhaliwal	WA	Internal Medicine Physician	$248.8K	$12.2K
Carlindo Da Reitz Pereira	WA	Ophthalmology Physician	$230.4K	$0
Michal Whiton	WA	Radiation Oncology Physician	$229.5K	$0
Ernesto Golez	WA	Ophthalmology Physician	$203.2K	$0
Kiran Chaturvedi	WA	Anatomic Pathology & Clinical Pathology Physician	$165.4K	$0
Oscar Briseno	WA	Cardiovascular Disease Physician	$162.7K	$0

Public Hospital Dist No 1 Skagit — Billing Profile & Reimbursement Data

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Public Hospital Dist No 1 Skagit — 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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