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.

Peacehealth (NPI 1073510277)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peacehealth
Address	1615 Delaware St
City	Longview
State	WA
ZIP	98632
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 1, 2005

Payer Source	Total Paid
Medicaid	$48.2M
Medicare	$0

PEACEHEALTH has been NPI-enumerated since 2005-07-01 (~21 years ago) and shows a Medicaid-dominant billing profile: there is no Medicare billing on file while total Medicaid revenue is $48.2M, effectively making Medicaid the sole source of reported Medicare/Medicaid payer revenue for this provider in our dataset. This single-payer visibility limits cross-payer comparisons but clearly positions Medicaid as the operational revenue base.

Revenue concentration is high: the top 3 Medicaid codes by revenue account for 51.6% of the provider's Medicaid receipts, driven by G0463 ($9.3M, 23.1%), 99283 ($6.1M, 15.2%), and 96361 ($5.3M, 13.3%). That level of concentration indicates a small number of service lines generate the majority of reported Medicaid income.

The code mix indicates a hybrid outpatient/acute operational footprint: G0463 (hospital outpatient clinic visit) is the single largest Medicaid revenue source, and multiple emergency department E/M codes (99283, 99284, 99285, 99282) also appear among top revenue drivers. This pattern points to substantial outpatient clinic throughput combined with significant emergency department activity rather than a narrow specialty focus.

Infusion and IV-support services are a clear service-line emphasis: 96361 ($5.3M, 13.3%) is a top-3 driver and other infusion codes (96365, 96366, 96360) also appear in the top 25, indicating recurring revenue from IV fluids and infusion administration and operational capacity for sustained infusion/acute dehydration care. These codes suggest the facility bills frequently for hands-on, facility-based therapy and supportive care.

Imaging and advanced diagnostics contribute meaningful Medicaid revenue and breadth to clinical services: 74177 ($1.6M, 4.0%), 70450 ($1.2M, 3.0%), 71275 ($347.7K, 0.9%), and 78815 ($286.4K, 0.7%) are in the top 25, supporting a typical hospital-level diagnostic footprint. Notably, C8929 (transthoracic echocardiography with contrast) ranks #1 of 29 providers in-state and is described as notably above typical state volume, signaling a relative dominance in contrast echo services within Washington.

Respiratory and infectious-disease testing is a local outlier: 87635 ($561.7K, 1.4%) ranks #6 of 206 providers in-state at the 98th percentile and 87631 ($475.2K, 1.2%) ranks #4 of 61 providers at the 95th percentile, both labeled notably above typical state volume. These high percentiles indicate the provider is an important regional site for SARS–CoV–2 and multiplex respiratory pathogen testing compared with peers.

Competitive standing is mixed by service line: several emergency and imaging codes rank in upper state percentiles (for example, 99283 ranks #18 of 234 providers at roughly the 93rd percentile) yet are characterized as "typical, unremarkable volume," suggesting PEACEHEALTH is a meaningful regional participant for ED and imaging services but not an extreme statewide outlier for those lines. In contrast, C8929 and 87635 are clear statewide outliers where the provider is notably above typical volume and, for C8929, the top-ranked in-state.

There are pockets of lower competitive presence for high-cost specialty items: J9271 (pembrolizumab) appears with $310.8K (0.8% of Medicaid revenue) and ranks #11 of 14 providers in-state (23rd percentile), indicating limited oncology biologic administration relative to other in-state centers. Combined with the absence of Medicare billing, this suggests the facility's Medicaid-driven business mix centers on ED/outpatient visits, infusion/supportive care, diagnostic imaging, and high-volume respiratory testing rather than a large Medicare oncology infusion practice.

Medicaid: Complete Services Breakdown

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

405 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	136,530	$70	$9.3M
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.	54,300	$110	$6.1M
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.	20,110	$270	$5.3M
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.	38,320	$90	$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.	42,790	$70	$3.1M
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.	9,910	$160	$1.6M
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.	13,140	$100	$1.4M
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.	8,890	$130	$1.2M
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.	13,520	$80	$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.	5,930	$140	$830.3K

Showing 1–10 of 405

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

Peacehealth — 2 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

405 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	11	100	2,830	$80	$3.8M
J9271	Injection, pembrolizumab, 1 mg	11	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.	14	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.	41	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.	18	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.	25	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.	28	140	2,830	$150	$1.1M
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.	66	170	2,120	$40	$779.1K
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.	17	100	3,660	$100	$635.7K
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.	12	70	2,010	$210	$620.1K

Showing 1–10 of 405

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cep America LLC	IN	Emergency Medicine Physician	$0	$28.6M
Cep America, LLC	DC	Emergency Medicine Physician	$0	$15.6M
Peacehealth	WA	Surgery Physician	$0	$13.5M
St Vincents Medical Center Inc	FL	General Acute Care Hospital	$0	$12.7M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
Cep America LLC	MD	Emergency Medicine Physician	$0	$12M
Cep America, LLC	VA	Emergency Medicine Physician	$0	$9.7M
Cep America LLC	IN	Emergency Medicine Physician	$0	$9M
Cep America LLC	IN	Emergency Medicine Physician	$0	$6.9M
Cep America LLC	OR	Emergency Medicine Physician	$0	$5.7M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Core Health	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46M
Columbia Wellness	WA	Case Management Agency	$0	$32.2M
Child & Adolescent Clinic, Ps	WA	Pediatrics Physician	$0	$21.9M
Cowlitz Indian Tribe	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.2M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$15.2M
Cowlitz Family Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$11M
Cowlitz Family Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$10.3M
Cowlitz Indian Tribe	WA	General Practice Physician	$0	$10.2M
Arbor Dental	WA	Dentist	$0	$6.3M
St. John's Emergency Physicians, Inc., P.s.	WA	Emergency Medicine Physician	$0	$5.3M

Peacehealth — 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