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.

John West (NPI 1043473598)

Field	Value
Entity Type	Individual
Organization	John West
Address	20696 Bond Rd Ne Ste 205
City	Poulsbo
State	WA
ZIP	98370
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 4, 2008

Payer Source	Total Paid
Medicare	$147.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27446	In this procedure, the provider reconstructs the diseased or damaged medial or lateral compartment of the knee along with the femoral condyles and tibial plateaus to relieve pain and improve the…	30	$890	$27.7K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	20	$1,030	$22.7K
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	10	$1,000	$14K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	200	$50	$10.6K
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…	90	$100	$8.9K
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…	70	$120	$8.7K
29881	The provider examines the inside of the knee joint with an arthroscope. She repairs the joint by removing the meniscus, a crescent shaped cartilage cushion, from either the medial or lateral…	20	$410	$8.6K
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…	110	$70	$7.9K
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…	110	$60	$6.8K
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,…	180	$40	$6.7K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

John West — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	208	320	30	$1,190	$46.3K
27446	3	20	20	$2,200	$44K
29881	8	30	20	$950	$20K
29880	16	20	10	$870	$18.2K
27245	20	40	20	$880	$14.1K
99214	5,595	10,860	100	$80	$13.6K
99213	2,983	9,690	60	$60	$6.5K
99204	881	4,750	30	$110	$5.2K
J7321	2	10	60	$60	$3.9K
20610	53	790	50	$50	$3.3K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with John West, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Medical Group	WA	Family Medicine Physician	$0	$92.6M
Valley Medical Group-renton	WA	General Acute Care Hospital	$0	$28.3M
Multicare Health System	WA	Family Medicine Physician	$0	$25.8M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$7.7M
Franciscan Health System	WA	Internal Medicine Physician	$0	$6.4M
Pacmed Clinics	WA	Multi-Specialty Clinic/Center	$0	$4.5M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$4.5M
Manoj Agarwal	WA	Medical Oncology Physician	$1M	$0
Daniel Kim	WA	Rheumatology Physician	$1M	$0
Manas Jain	WA	Urology Physician	$489.2K	$0

Nearby Providers

Other providers in the same ZIP code as John West, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kitsap County Fire District 18	WA	Land Ambulance	$297.4K	$3M
North Kitsap Ambulatory Surgery Center, LLC	WA	Ambulatory Surgical Clinic/Center	$3.1M	$60.2K
Michael Jungkeit	WA	Specialist	$727.9K	$0
James Lin	WA	Ophthalmology Physician	$583.3K	$0
Dianne Levisohn	WA	Dermatology Physician	$324.7K	$0
Paetra Ruddy	WA	Dermatology Physician	$311.1K	$0
Andrea Smith	WA	Dermatology Physician	$291.1K	$0
Matthew Voorsanger	WA	Cardiovascular Disease Physician	$287.2K	$0
Manfred Henne	WA	Diagnostic Radiology Physician	$251.2K	$0
Jonathan Mendelsohn	WA	Family Medicine Physician	$180.3K	$0

John West — Billing Profile & Reimbursement Data

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John West — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References