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 1053357244)

Key Findings

Field	Value
Entity Type	Organization
Organization	Public Hospital Dist No 1 Skagit
Address	1415 E Kincaid St
City	Mount Vernon
State	WA
ZIP	98274
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$88.6M
Medicare	$0

PUBLIC HOSPITAL DIST NO 1 SKAGIT is effectively a single-payer provider in the available claims data: there is no Medicare billing on file and its entire recorded federal payer activity is Medicaid, which totals $88.6M. The NPI was enumerated on 2006-06-22 (~20 years ago), indicating a long-tenured hospital presence in Mount Vernon, WA.

Revenue is highly concentrated in a small number of outpatient encounter codes: the precomputed top 3 Medicaid codes account for 67.6% of the provider's total Medicaid revenue, with G0463 alone contributing $39.8M (57.3%). This concentration indicates that hospital outpatient clinic assessment and management visits are the single largest revenue driver for this facility.

Emergency department throughput appears substantial based on high claim volumes across multiple ED E/M levels. Codes 99283 ($3.2M, 4.6%), 99284 ($2.9M, 4.1%), and 99285 ($2.6M, 3.7%) each report tens of thousands of claims and sit in typical state percentiles, which together suggest a busy ED handling a range of low- to high-acuity visits.

Infusion and IV-rehydration services are a prominent operational element: 96361 accounts for $3.9M (5.6%) and 96365/96366/96360 also appear in the top-25 list with individual revenues in the high hundreds of thousands to low millions. The presence of multiple infusion codes at meaningful revenue shares aligns with significant ED/observation and infusion throughput rather than isolated outpatient infusion clinics.

The provider maintains substantial diagnostic and procedural capacity: imaging and endoscopy codes such as 74177 ($1.8M, 2.6%), 70450 ($886.6K, 1.3%), 43239 ($1.1M, 1.6%), and 45380 ($826.8K, 1.2%) appear prominently, indicating routine CT, MRI, and GI procedural volumes. Most of these imaging and endoscopy codes rank in typical state percentiles, supporting the interpretation of a full-service acute-care hospital performing inpatient and outpatient diagnostics.

Several procedural codes mark the facility as an outlier for specific services relative to state peers: 17110 ranks #1 of 50 providers in-state (100th percentile; extreme outlier) and 20610 ranks #1 of 66 providers in-state (100th percentile; extreme outlier), while J0585 ranks #2 of 36 providers (97th percentile; notably above typical). These rankings indicate unusually high state-level volumes for lesion destruction, joint injection procedures, and onabotulinumtoxinA administration, pointing to specialty procedural lines that are much larger here than typical peers.

PUBLIC HOSPITAL DIST NO 1 SKAGIT also shows elevated community testing and high-throughput diagnostic activity for infectious disease: U0004 has 26.8K claims generating $1.8M (2.5%) and ranks #1 of 9 providers in-state (100th percentile; notably above typical state volume). That ranking suggests the hospital played a major role in SARS‑CoV‑2 testing and high-throughput lab activity during the relevant period.

From a competitive-standing perspective, the provider is a major statewide participant for several specific Medicaid codes—most notably G0463 where it ranks #2 of 103 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). However, the absence of Medicare billing means national Medicare peer comparisons are not available in this profile, and payers should treat the dataset as reflecting an institution with strong Medicaid exposure and concentrated outpatient and procedural business lines rather than a balanced Medicare/Medicaid mix.

Medicaid: Complete Services Breakdown

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

633 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	452,470	$90	$39.8M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	15,020	$260	$3.9M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	24,890	$130	$3.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	23,870	$120	$2.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	24,450	$110	$2.6M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	8,060	$220	$1.8M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	26,800	$70	$1.8M
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.	3,700	$310	$1.1M
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	5,740	$190	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,150	$120	$1.1M

Showing 1–10 of 633

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 — 6 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

633 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	100	2,830	$80	$3.8M
J9271	Injection, pembrolizumab, 1 mg	13	10	270	$3,820	$2.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	27	110	5,950	$270	$2.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	64	230	5,440	$90	$1.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	55	230	6,220	$100	$1.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	47	190	5,130	$100	$1.8M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	38	140	2,830	$150	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	54	100	1,940	$70	$1M
94799	Use 94799 to report a pulmonary service or procedure that does not have a specific code.	5	10	410	$1,180	$821.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	76	170	2,120	$40	$779.1K

Showing 1–10 of 633

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital Dist No 1 Skagit	WA	General Practice Physician	$0	$24.7M
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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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References