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.

Yakima Valley Memorial Hospital Association (NPI 1053373480)

Key Findings

Field	Value
Entity Type	Organization
Organization	Yakima Valley Memorial Hospital Association
Address	2811 Tieton Dr
City	Yakima
State	WA
ZIP	98902
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 3, 2006

Payer Source	Total Paid
Medicaid	$103.5M
Medicare	$0

This provider effectively operates as a Medicaid-focused hospital: there is no Medicare billing on file and the provider reports $103.5M in total Medicaid revenue, indicating that Medicaid is the dominant payer driving the facility’s billed volume and financial footprint. Analysts should treat this profile as single-payer–heavy when modeling payer mix or network impact in the region.

Medicaid revenue is highly concentrated in a small set of services: the top three Medicaid codes (99283, G0463, and 96361) together account for 47.3% of this provider’s total Medicaid revenue. Those top codes are large absolute revenue drivers — 99283 ($14.7M, 19.1%), G0463 ($12.9M, 16.8%), and 96361 ($8.7M, 11.4%) — and they define the core business lines generating nearly half of reported Medicaid dollars.

The provider shows a heavy emergency department (ED) footprint: multiple ED E/M codes appear among the highest-revenue Medicaid items, including 99283 (127.8K claims, $14.7M, 19.1%), 99284 (89.8K claims, $7.9M, 10.3%), 99282 (28.7K claims, $2.9M, 3.8%), and 99285 (38.9K claims, $2.8M, 3.6%). 99283 in particular is an outlier in-state (ranks #4 of 234, 99th percentile; extreme outlier), underlining that ED visits at low-to-moderate complexity levels are a dominant operational and revenue focus for this hospital.

Ambulatory hospital clinic visits are also a major contributor: G0463 (Hospital outpatient clinic visit) alone accounts for $12.9M (16.8% of Medicaid revenue) and is ranked #10 of 103 in-state (91th percentile; typical, unremarkable volume). The combination of high-volume G0463 and the ED codes suggests the organization runs both a high-throughput outpatient clinic function and a busy ED, supporting broad acute ambulatory throughput.

There is substantial infusion and infusion-related service activity consistent with either ED/observation unit treatment or an infusion center: 96361 ($8.7M, 11.4%, rank #7 of 105, 94th percentile; notably above typical), plus notable volume for 96365, 96366, and 96360 among the top codes. High paid/claim averages on some of these infusion codes and their elevated ranks indicate infusion therapy and fluid/electrolyte management are material service lines for Medicaid patients.

The hospital also reports meaningful surgical and specialty procedural revenue, including procedural outliers at the state level: 47562 (laparoscopic cholecystectomy) is $1.7M (2.3%) and ranks #1 of 18 (100th percentile; extreme outlier), and 52000 (cystoscopy) is $1.3M (1.7%) and ranks #1 of 24 (100th percentile; extreme outlier). These #1 rankings show the facility functions as a regional surgical capacity for certain procedures, not solely as an emergency-only site.

Imaging, diagnostics, and specialty outpatient services are well represented across the top Medicaid codes, signaling a full-service acute hospital profile rather than a narrow clinic: notable entries include CT abdomen/pelvis with contrast 74177 ($2.3M), CT head 70450 ($1.5M), abdominal ultrasound 76705 ($866.2K), echocardiography 93306 ($893K), and polysomnography 95810/95811 (combined >$2.1M across the two codes). The diversity of imaging, cardiac testing, sleep study, and rehab codes (e.g., 97530) supports a broad clinical offering across diagnostics, procedural, and therapy lines.

Competitive standing in-state is strong and uneven: the provider ranks as a dominant outlier on several specific codes (e.g., 99283 at the 99th percentile labeled an "extreme outlier", 47562 and 52000 both at 100th percentile), while for other high-revenue codes it shows notably above-typical or typical volumes (e.g., G0463 at 91th percentile typical; 99284 at 98th percentile notably above typical). Combined with an NPI enumerated on 2006-04-03 (~20 years ago), these patterns indicate an established regional hospital that is a major Medicaid service hub for emergency care, infusion services, imaging, and selected surgical procedures.

Medicaid: Complete Services Breakdown

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

637 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	127,780	$120	$14.7M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	165,320	$80	$12.9M
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.	30,690	$290	$8.7M
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.	89,810	$90	$7.9M
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.	28,680	$100	$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.	38,850	$70	$2.8M
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.	14,620	$160	$2.3M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	21,350	$100	$2.1M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	34,890	$60	$2M
G0382	Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	15,560	$120	$1.9M

Showing 1–10 of 637

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

Yakima Valley Memorial Hospital Association — 14 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

637 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	10	100	2,830	$80	$3.8M
J9271	Injection, pembrolizumab, 1 mg	12	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.	7	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.	5	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.	4	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.	29	190	5,130	$100	$1.8M
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	4	10	1,470	$400	$1.2M
J9263	Injection, oxaliplatin, 0.5 mg	5	10	1,910	$670	$1.2M
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.	11	140	2,830	$150	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	11	20	190	$1,670	$956.2K

Showing 1–10 of 637

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yakima Valley Memorial Physicians	WA	General Acute Care Hospital	$0	$24.9M
Yakima Valley Memorial Hospital Association	WA	Pharmacy	$0	$6.2M
William Harris	TN	Vascular Surgery Physician	$1.5M	$0
Yoshio Inoue	WA	Medical Oncology Physician	$1.3M	$0
Lloyd Stambaugh	WA	Diagnostic Radiology Physician	$373.9K	$0
Drew Baldwin	WA	Interventional Cardiology Physician	$360.1K	$0
John Millichap	IL	Neurology with Special Qualifications in Child Neurology Physician	$49.3K	$239.6K
Hannu Huhdanpaa	CA	Neuroradiology Physician	$273.7K	$0
Robert Greene	WA	Orthopaedic Surgery Physician	$251.3K	$0
Kenneth Hebert	WA	Neuroradiology Physician	$243.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Total Care, Inc.	WA	Home Health Agency	$0	$34.3M
Community Health Of Central Washington	WA	Federally Qualified Health Center (FQHC)	$0	$25.9M
Comprehensive Healthcare	WA	Community/Behavioral Health Agency	$0	$22.9M
Planned Parenthood Of Greater Washington & North Idaho	WA	Multi-Specialty Clinic/Center	$0	$17.8M
American Medical Response Ambulance Service Inc	WA	Ambulance	$1.6M	$10.6M
Howards Medical LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Shc Medical Center - Yakima	WA	General Acute Care Hospital	$0	$6.9M
Renal Treatment Centers West Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.1M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$5.2M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$4.7M

Yakima Valley Memorial Hospital Association — 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