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 Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska 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. Alaska (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.

Providence Health & Services Washington (NPI 1053363119)

Field	Value
Entity Type	Organization
Organization	Providence Health & Services Washington
Address	3200 Providence Dr
City	Anchorage
State	AK
ZIP	99508
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$161.5M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-focused hospital: there is no Medicare billing on file while total Medicaid revenue is $161.5M, making Medicaid the sole recorded payer in the dataset. The NPI was enumerated on 2006-05-17 (~20 years ago), indicating a long tenure in the market and an established presence in the state Medicaid network.

Revenue is highly concentrated in emergency department evaluation & management codes: 99285 ($31M, 25.0%), 99284 ($22.3M, 18.0%), and 99283 ($16.4M, 13.3%) together account for 56.3% of the provider’s total Medicaid revenue. That top-three share (56.3%) signals the business is heavily driven by acute, unscheduled care rather than elective or outpatient specialty lines.

Emergency services are a clear operational focus based on claim volumes and ranks: 99283 shows 68.5K claims, 99284 56.9K claims, and 99285 46K claims; 99284 ranks #1 of 42 providers in-state (100th percentile; notably above typical state volume) while 99285 ranks #2 of 36 (97th percentile; notably above typical state volume). Those high volumes and top state rankings indicate the hospital is a major regional ED destination for Medicaid patients.

Hospital observation and critical care activity are also elevated: G0378 (hospital observation service) generates $10M and ranks #1 of 15 providers in-state (100th percentile; extreme outlier), and 99291 (critical care) contributes $1.3M and ranks #4 of 16 providers (80th percentile; typical, unremarkable volume for this code). The combination of high observation revenue and meaningful critical care billing supports a workflow that moves many ED patients into monitored observation rather than immediate discharge.

High-throughput diagnostics and monitoring complement the acute-care profile: 93005 (ECG recording) has 44.5K claims for $3.2M and ranks #1 of 21 providers in-state (100th percentile; extreme outlier), and U0003 (SARS-CoV-2 NAAT) yields $1.2M and ranks #1 of 14 (100th percentile; notably above typical state volume). These extreme outlier rankings for basic monitoring and testing show the provider handles large volumes of ED and inpatient diagnostic throughput.

Cross-sectional imaging and endoscopy are meaningful ancillary revenue lines: 74177 (CT abdomen/pelvis with contrast) contributes $6M and ranks #5 of 28 providers (85th percentile; typical, unremarkable volume), while 70450 (CT head without contrast) adds $3M and ranks #3 of 28 providers (93th percentile; typical, unremarkable volume). GI diagnostics such as 43239 (EGD with biopsy) account for $1.5M and rank #2 of 30 providers (97th percentile; notably above typical state volume), indicating a steady procedural caseload supporting the ED/acute mix.

Infusion, IV therapy, and rehabilitative services show unusually high throughput for Medicaid: 96374, 96375, 96365, 96361, and 96360 collectively appear in the top codes with multiple #1 in-state ranks and several 100th-percentile designations (for example, 96375 ranks #1 of 26, 96365 #1 of 24, 96361 #1 of 22, and 96360 #1 of 17). Physical and occupational therapy activity is also elevated—97110 accounts for $1.6M and ranks #1 of 116 providers in-state (100th percentile; extreme outlier)—pointing to substantial post-acute and supportive-service throughput alongside ED care.

Competitive standing is state-dominant in several acute and support services but not universal across all lines: the provider holds multiple #1 in-state ranks and many 100th-percentile placements (indicating dominance in ED visits, observation, ECGs, certain infusion and therapy services, and COVID testing), yet other areas (for example, 74177 at the 85th percentile, 93306 at the 78th percentile, and 88305 at the 79th percentile) show more typical, unremarkable volumes. In sum, the hospital is a major Medicaid-era acute-care hub in Alaska with concentrated revenue in emergency/observation services and very high statewide share in several ancillary throughput codes.

Medicaid: Complete Services Breakdown

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

508 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	46,020	$670	$31M
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.	56,880	$390	$22.3M
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.	68,480	$240	$16.4M
G0378	Hospital observation service, per hour	13,040	$760	$10M
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.	7,400	$810	$6M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2,220	$2,270	$5M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	44,490	$70	$3.2M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	8,040	$370	$3M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	34,450	$80	$2.6M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	28,780	$80	$2.4M

Showing 1–10 of 508

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alaska Distribution

Providence Health & Services Washington — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

508 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	1	40	5,090	$240	$3.5M
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.	2	40	2,210	$300	$3.2M
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.	3	50	4,500	$170	$2.5M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2	10	870	$1,460	$2M
G0378	Hospital observation service, per hour	1	20	1,530	$750	$1.9M
H2021	Community-based wrap-around services, per 15 minutes	33	80	1,070	$330	$1.3M
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.	5	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	30	1,280	$210	$1.3M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	13	100	360	$340	$1.2M
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.	4	30	3,420	$220	$1.1M

Showing 1–10 of 508

Related Providers

Other providers that share a Tax Identification Number (TIN) with Providence Health & Services Washington, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$2.8M
Ahmed Abuzaid	AK	Cardiovascular Disease Physician	$544.1K	$0
Nadine Baker	AK	Psychologist	$523.2K	$0
Jacob Kelly	AK	Advanced Heart Failure and Transplant Cardiology Physician	$495.1K	$0
Lina Bautista	AK	Child & Adolescent Psychiatry Physician	$0	$495K
Alan Skolnick	AK	Cardiovascular Disease Physician	$473.3K	$0
Hung Vo	AK	Cardiovascular Disease Physician	$425.8K	$0
Linda Ireland	AK	Cardiovascular Disease Physician	$389.7K	$0
Carson Webb	AK	Interventional Cardiology Physician	$387.8K	$0
Adam Mason	AK	Cardiovascular Disease Physician	$374.7K	$0

Nearby Providers

Other providers in the same ZIP code as Providence Health & Services Washington, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$397.1M
Southcentral Foundation	AK	Community Health Clinic/Center	$0	$130.3M
Alaska Native Tribal Health Consortium	AK	Transportation Broker	$0	$65.5M
The Arc Of Anchorage	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.8M
Good Samaritan Care Services	AK	In Home Supportive Care Agency	$0	$46.1M
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$33.1M
Galen Hospital Alaska, Inc.	AK	General Acute Care Hospital	$0	$31.8M
Anchorage Community Mental Health	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.7M
Patient Housing At Anmc	AK	General Acute Care Hospital	$0	$31M
Alaska Emergency Medicine Associates	AK	Emergency Medicine Physician	$0	$28.1M

Providence Health & Services Washington — 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