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.

M2 Anesthesia, PLLC (NPI 1033432562)

Field	Value
Entity Type	Organization
Organization	M2 Anesthesia, PLLC
Address	8412 Myers Rd E Ste 205
City	Bonney Lake
State	WA
ZIP	98391
Taxonomy	Anesthesiology Physician
NPI Enumerated	March 11, 2010

Payer Source	Total Paid
Medicaid	$69.2M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and instead reports $69.2M in lifetime Medicaid revenue, effectively making its public-payer footprint single-payer (Medicaid) in scale and exposure. The absence of Medicare activity alongside a large Medicaid revenue base suggests the practice’s commercial and Medicare relationships are minimal or not present in the available data.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 92.6% of this provider’s total Medicaid revenue, driven by 00170 (38.1%, $26.3M), D9223 (27.4%, $19M), and T2035 (27.1%, $18.7M). This narrow revenue mix indicates operational dependence on a very small set of services and poses sensitivity to any coding, reimbursement, or policy changes affecting those specific codes.

The code mix indicates a primary service line in anesthesia for intraoral procedures: 00170 (anesthesia for a patient undergoing an intraoral procedure, including biopsy) alone accounts for 37.6K claims at $700 avg paid/claim and $26.3M in revenue (38.1% of Medicaid revenue). Such volume and the high average paid/claim are consistent with a high-volume dental/oral surgical anesthesia operation rather than general perioperative anesthesia across multiple hospital service lines.

A second major revenue driver, D9223 (57.4K claims, $331 avg paid/claim, $19M revenue), ranks as an extreme outlier in-state and, while its description is not available in the file, its scale (27.4% of Medicaid revenue and #1 of 92 providers) further supports a focused procedural or dental-service business model with very high state market share for that code. The combination of 00170 and D9223 volumes suggests the provider serves a large, recurring procedural population under Medicaid.

T2035 (utility services to support medical equipment and assistive technology/devices, waiver) is an unexpected but material line for an anesthesiology taxonomy, with 61.1K claims, $307 avg paid/claim, and $18.7M revenue (27.1% of Medicaid revenue). This indicates the provider is also a major participant in waiver-related utility services or support contracts in-state, representing a substantial non-procedural revenue stream alongside anesthesia.

Additional codes show secondary and negligible contributions: D9222 (61.1K claims, $84 avg paid/claim, $5.1M; 7.4%) is a meaningful but much smaller revenue contributor and also ranks #1 of 92 providers (100th percentile; extreme outlier), while D1999 shows 668 claims with $0 avg paid/claim and $0 revenue (0.0%), indicating claims for that code produced no recorded Medicaid revenue. These patterns underscore that nearly all collectible revenue comes from a handful of high-volume codes.

Competitive standing is dominant at the state level: 00170, D9223, T2035, and D9222 all rank #1 in-state (100th percentile) with the precomputed labels indicating "extreme outlier, far above typical state volume for this code." Across these codes the provider is a clear statewide leader and far exceeds typical peer volumes, which has implications for payer negotiation leverage, audit attention, and competitive positioning within Washington.

The provider has an established enrollment history (NPI enumerated 2010-03-11, approximately 16 years ago), suggesting long-standing operational presence. Combined with the concentrated Medicaid revenue base and statewide dominance on several codes, this tenure implies a stable, Medicaid-focused business model that warrants monitoring for shifts in payer mix or policy that would disproportionately affect its narrow service lines.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	37,640	$700	$26.3M
D9223	N/A	57,360	$330	$19M
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	61,050	$310	$18.7M
D9222	N/A	61,060	$80	$5.1M
D1999	N/A	670	$0	$0

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

M2 Anesthesia, PLLC — 4 of 4 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	1	20	190	$650	$1.3M
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	1	50	850	$300	$1.1M
D9223	N/A	1	90	750	$280	$893.8K
D9222	N/A	1	90	700	$80	$229.2K
D1999	N/A	257	510	670	$10	$16.8K

Nearby Providers

Other providers in the same ZIP code as M2 Anesthesia, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Pierce Fire & Rescue	WA	Land Ambulance	$749.3K	$20.9M
Tko Anesthesia LLC	WA	Anesthesiology Physician	$0	$13M
Bonney Lake Dental LLC	WA	Dental Clinic/Center	$0	$4.8M
Chung L. Hwang, Dds, PLLC	WA	Pediatric Dentistry	$0	$4.1M
Kevin H Sakai Dds PLLC	WA	Pediatric Dentistry	$0	$3M
Daniel Levy	WA	Dermatology Physician	$288.5K	$0
Bruce Cudahy	WA	Optometrist	$228.7K	$20.8K
Kamyar Vaziri	WA	Internal Medicine Physician	$113.2K	$0
Jonathan Cyphers	WA	Medical Physician Assistant	$99.3K	$0
Duy Trinh	WA	Family Nurse Practitioner	$1.6K	$0

M2 Anesthesia, PLLC — Billing Profile & Reimbursement Data

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M2 Anesthesia, PLLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References