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.

House, Lee, Mast, Mcdonald And Nelson, PC (NPI 1033347950)

Field	Value
Entity Type	Organization
Organization	House, Lee, Mast, Mcdonald And Nelson, PC
Address	9720 Sandifur Pkwy
City	Pasco
State	WA
ZIP	99301
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 30, 2009

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	32,400	$30	$842.3K
D1120	Prophylaxis–child	29,830	$20	$686K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	34,450	$20	$620.1K
D2930	N/A	3,940	$140	$551.9K
D2392	Post 2 surface resin‑based composite	8,050	$70	$547.4K
D8080	N/A	1,360	$330	$451.9K
D1351	Sealant - per tooth	16,960	$20	$407.1K
D2391	Resin‑based composite – one surface, posterior	4,970	$60	$288.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,860	$40	$228.5K
D0272	N/A	22,070	$10	$220.7K

Showing 1–10 of 34

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

House, Lee, Mast, Mcdonald And Nelson, PC — 3 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

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D8080	N/A	43	110	970	$370	$634K
D2930	N/A	54	160	1,710	$140	$531.8K
D2929	N/A	34	30	620	$240	$350.5K
D8670	N/A	51	90	640	$220	$233K
D2392	Post 2 surface resin‑based composite	53	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	39	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	67	480	670	$50	$119.5K
D1120	Prophylaxis–child	34	730	690	$20	$112.8K
D1351	Sealant - per tooth	36	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	81	390	640	$50	$98.8K

Showing 1–10 of 34

Nearby Providers

Other providers in the same ZIP code as House, Lee, Mast, Mcdonald And Nelson, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lourdes Hospital LLC	WA	Critical Access Hospital	$0	$34M
Tri-cities Community Health	WA	Dentist	$0	$16.1M
Tri-cities Community Health	WA	Federally Qualified Health Center (FQHC)	$0	$13.2M
City Of Pasco	WA	Land Ambulance	$450.5K	$12M
Thompson. Ferguson. Steinhart. James, PLLC	WA	Dentist	$0	$12.3M
Lourdes Hospital LLC	WA	Internal Medicine Physician	$0	$8.7M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.1M
Tri-cities Community Health	WA	Case Manager/Care Coordinator	$0	$4.6M
In-home Medical Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Sophia Chang	WA	Rheumatology Physician	$271.1K	$240

House, Lee, Mast, Mcdonald And Nelson, PC — Billing Profile & Reimbursement Data

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House, Lee, Mast, Mcdonald And Nelson, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References