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.

Seattle-king County Dept Of Public Health (NPI 1104983543)

Field	Value
Entity Type	Organization
Organization	Seattle-king County Dept Of Public Health
Address	401 5th Ave
City	Seattle
State	WA
ZIP	98104
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	January 3, 2007

Payer Source	Total Paid
Medicaid	$74M
Medicare	$0

Key Findings

SEATTLE-KING COUNTY DEPT OF PUBLIC HEALTH is effectively a single-payer Medicaid operation with no Medicare billing on file; total Medicaid revenue on record is $74M and there is explicitly no Medicare revenue reported. This concentration of payer exposure means analyses of utilization and revenue risk should focus on Medicaid policy, rates, and state program changes rather than Medicare dynamics.

Revenue is extremely concentrated in a narrow set of service codes: the precomputed top 3 Medicaid codes account for 97.9% of the provider's total Medicaid revenue. In particular, T1015 alone represents $69.4M (93.7% of total Medicaid revenue), indicating that a single service line drives the vast majority of income.

The provider’s operational model appears to be community-facing clinical and care-coordination services: the dominant code T1015 (Clinic visit/encounter, all-inclusive) at 180.2K claims and $385 avg paid/claim suggests high-volume clinic encounters. Complementary lines include targeted case management (T1017, 65.5K claims) and nursing services (T1002, 34.6K claims), which together imply integrated clinic plus case management and nursing support rather than specialty procedural care.

Competitive standing within Washington Medicaid is pronounced for the top codes. T1015 ranks #6 of 652 providers in-state (99th percentile) which positions the provider among the largest statewide billers for clinic encounters, while T1017 ranks #1 of 81 providers (100th percentile) and is described as an extreme outlier, indicating market dominance in targeted case management. T1002 ranks #3 of 64 providers (97th percentile), further supporting a top-tier statewide footprint for nursing services.

Several ancillary service lines also show notable volume relative to peers: S9470 (Nutritional counseling, dietitian visit) appears with 19.1K claims and $572.4K revenue and ranks #1 of 18 providers (100th percentile), labeled an extreme outlier for that code as well. T1027 (Family training and counseling for child development) and S9482 (Family stabilization services) both rank in the high percentiles (#2 of 30 at 97th and #2 of 26 at 96th respectively), suggesting a broader portfolio of family support and behavioral health–adjacent services beyond core clinic visits.

The mix of codes and volumes indicates an organizational emphasis on longitudinal, non-procedural care—clinic encounters, targeted case management billed in 15-minute increments, and short-interval RN services—consistent with public health department activities focused on population health and care coordination. Payment rates and per-claim averages (for example $385 avg for T1015, $25 avg for T1017, $42 avg for T1002) reflect that revenue is driven more by high visit volumes than by high per-claim unit prices.

From a risk and strategic perspective, the provider’s heavy reliance on a single code (T1015 at $69.4M) creates vulnerability to changes in how clinic encounters are reimbursed or defined by the state Medicaid program; any policy, coding, or rate adjustments to T1015 would materially affect overall revenue. Analysts should prioritize monitoring T1015 policy, audit activity, and authorization trends given it comprises 93.7% of Medicaid revenue.

The provider has a long-standing billing presence: the NPI was enumerated on 2007-01-03 (~19 years ago), indicating institutional tenure and potential stability in service delivery and contracting relationships with the state Medicaid program. That tenure, combined with top-percentile ranks across multiple codes, supports classification as an established, large-scale Medicaid service provider in Washington.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	180,150	$390	$69.4M
T1017	Targeted case management, each 15 minutes	65,460	$30	$1.6M
T1002	Rn services, up to 15 minutes	34,620	$40	$1.5M
S9470	Nutritional counseling, dietitian visit	19,080	$30	$572.4K
T1027	Family training and counseling for child development, per 15 minutes	27,760	$20	$471.9K
S9482	Family stabilization services, per 15 minutes	9,130	$40	$319.4K
96152	N/A	5,210	$40	$203.1K
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	50	$30	$1.2K

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

Seattle-king County Dept Of Public Health — 6 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	6	650	4,110	$250	$4.9M
T1002	Rn services, up to 15 minutes	3	60	1,140	$100	$493.3K
S9470	Nutritional counseling, dietitian visit	1	20	1,110	$40	$127.7K
S9482	Family stabilization services, per 15 minutes	2	30	1,740	$40	$110K
T1027	Family training and counseling for child development, per 15 minutes	2	30	1,980	$20	$102.8K
96152	N/A	3	40	240	$70	$84.2K
T1017	Targeted case management, each 15 minutes	1	80	410	$30	$74.4K
S9446	Patient education, not otherwise classified, non-physician provider, group, per session	24	30	540	$10	$18.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Seattle-king County Dept Of Public Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
King County Finance	WA	State or Local Public Health Clinic/Center	$0	$5.7M
Michael Soung	WA	Internal Medicine Physician	$64.7K	$0
Cheyenne Enevold	WA	Internal Medicine Physician	$55.4K	$0

Nearby Providers

Other providers in the same ZIP code as Seattle-king County Dept Of Public Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
Seattle-king County Dept Of Public Health	WA	Dental Clinic/Center	$0	$62.9M
Bloodworks	WA	Community/Retail Pharmacy	$0	$56.8M
Swedish Health Services	WA	Internal Medicine Physician	$0	$21.1M
International Community Health Services	WA	Dentist	$0	$16M
Swedish Health Services	WA	Family Medicine Physician	$0	$11.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.2M
Downtown Emergency Service Center	WA	Community/Behavioral Health Agency	$0	$3.3M
The Young Mens Christian Association Of Greater Seattle	WA	Health Educator	$6K	$2.8M

Seattle-king County Dept Of Public Health — Billing Profile & Reimbursement Data

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Seattle-king County Dept Of Public Health — Billing Profile & Reimbursement Data

Sign up for Seattle-king County Dept Of Public Health — Billing Profile & Reimbursement Data policy alerts

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