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.

Jamestown S'klallam Tribe (NPI 1104901941)

Field	Value
Entity Type	Organization
Organization	Jamestown S'klallam Tribe
Address	526 S 9th Ave
City	Sequim
State	WA
ZIP	98382
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicaid	$30M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	52,140	$540	$28.2M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	60,960	$20	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	5,290	$40	$195.5K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	2,570	$60	$149.3K
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…	2,480	$50	$134.1K
H0001	Alcohol and/or drug assessment	390	$150	$57K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	2,610	$20	$52.1K
J3490	Unclassified drugs	430	$80	$34.5K
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,…	110	$30	$3.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	220	$10	$2.6K

Showing 1–10 of 17

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

Jamestown S'klallam Tribe — 0 of 12 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	58	650	4,110	$250	$4.9M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	27	60	18,030	$10	$4.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	97	320	2,080	$60	$495.5K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	118	220	2,880	$50	$431K
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…	539	1,860	610	$40	$295.5K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	121	230	3,070	$20	$135.6K
H0001	Alcohol and/or drug assessment	76	210	220	$150	$104K
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,…	412	700	180	$50	$59.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	462	550	400	$1	$36.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	136	260	240	$20	$26.1K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jamestown S'klallam Tribe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jamestown S'klallam Tribe	WA	Federally Qualified Health Center (FQHC)	$0	$37.6M
Jamestown S'klallam Tribe	WA	Dentist	$0	$21.8M
Jamestown S'klallam Tribe	WA	Federally Qualified Health Center (FQHC)	$0	$2.8M
Jerome Oakes	WA	Family Medicine Physician	$4.7K	$0
Thomas Rambow	ID	Physician Assistant	$3.4K	$0

Nearby Providers

Other providers in the same ZIP code as Jamestown S'klallam Tribe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	WA	Pharmacy	$444K	$140
Helen Xiao-li	WA	Radiation Oncology Physician	$368.1K	$0
William Harrer	WA	Medical Oncology Physician	$348K	$0
Costco Wholesale Corporation	WA	Community/Retail Pharmacy	$299.3K	$0
Agnieszka Niemeyer	WA	Dermatology Physician	$266.4K	$0
Britton Moss	WA	Physical Therapist	$261.6K	$0
John Banzer	WA	Cardiovascular Disease Physician	$254.2K	$0
Heidi Hermes Shantz	WA	MOHS-Micrographic Surgery Physician	$251K	$0
Pacific Vascular Incorporated	WA	Physiological Laboratory	$249.5K	$0
Lindsay Jensen	WA	Radiation Oncology Physician	$194K	$0

Jamestown S'klallam Tribe — Billing Profile & Reimbursement Data

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Jamestown S'klallam Tribe — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References