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 1134178999)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peacehealth
Address	400 Ne Mother Joseph Pl
City	Vancouver
State	WA
ZIP	98664
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicaid	$81.6M
Medicare	$0

PEACEHEALTH in VANCOUVER, WA shows no Medicare billing on file and is effectively a single-payer Medicaid-billed hospital with $81.6M in reported Medicaid revenue; absence of Medicare activity limits cross-payer comparisons and positions this profile as Medicaid-centric for payer/provider analysis.

Revenue is materially concentrated: the precomputed top 3 Medicaid codes account for 35.3% of the provider's total Medicaid revenue, with 96361 ($9.7M, 16.7%), 99214 ($5.6M, 9.7%), and 99283 ($5.2M, 8.9%) identified as the top contributors. This level of concentration indicates a relatively small set of services drives a large share of Medicaid dollars.

Service-line mix suggests a hospital with high emergency and infusion care throughput: large volumes and revenue for ED evaluation-and-management codes 99283, 99284, and 99285 alongside infusion codes 96361, 96366, 96365, and 96360 point to substantial emergency department operations plus significant infusion/IV fluid and medication administration in outpatient or ED settings. The presence of G0463 ($5M) and high counts of 99214/99213 also indicate heavy outpatient clinic visit volumes.

Competitive standing within Washington Medicaid is strong for several specific services. 99214 ranks #15 of 1823 providers in-state (99th percentile, described as an extreme outlier), 96361 ranks #5 of 105 (96th percentile, notably above typical state volume), and 96366 ranks #1 of 74 (100th percentile, extreme outlier), highlighting dominance in high-volume office visits and infusion administration relative to peers.

There are multiple statistical outliers in the Medicaid mix that signal specialized volume concentrations: 96366 and 11042 both rank #1 in-state (100th percentile, extreme outlier), 87635 ranks #2 (100th percentile, extreme outlier), and several E/M and therapy codes (e.g., 99214, 99213, 96361) are described as notably above typical state volume. These flagged outlier labels suggest referral patterns or service capacity that exceed typical peer behavior for those codes.

Operational profile is broad but clinically focused: imaging and procedure codes such as 74177, 70450, 74176, 70553, 71275, and 76705 appear among top revenue codes with typical in-state percentiles, indicating a fully functional radiology and diagnostic service suite supporting ED and outpatient care rather than a narrow specialty clinic. Surgical/wound service activity is also visible through 11042 ($1.9M) where the provider ranks as an extreme outlier in-state.

Behavioral health and ancillary services contribute meaningfully though at smaller shares: H2012 ($1.8M, 3.2%) and Q5001 ($766.4K, 1.3%) show the provider offers behavioral health day treatment and home-based hospice/home health services, indicating diversified service lines beyond ED and infusion care. These secondary lines supplement the core ED/outpatient/recovery revenue base.

NPI tenure is longstanding: the provider’s NPI was enumerated on 2006-05-09 (~20 years ago), which aligns with the scale and breadth of billed Medicaid services and suggests an established operational footprint in the state market. This longevity, combined with the percentile rankings, supports the characterization of PEACEHEALTH as a major Medicaid participant in several high-revenue service areas.

Medicaid: Complete Services Breakdown

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

543 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	35,080	$280	$9.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	114,820	$50	$5.6M
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.	47,940	$110	$5.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	109,380	$50	$5M
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.	51,160	$90	$4.3M
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.	63,860	$60	$4.1M
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…	65,080	$40	$2.9M
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.	12,620	$210	$2.6M
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.	16,710	$150	$2.5M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	28,160	$70	$1.9M

Showing 1–10 of 543

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 — 13 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

543 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	15	100	2,830	$80	$3.8M
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.	5	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.	23	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.	23	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.	8	190	5,130	$100	$1.8M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	6	10	730	$270	$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.	9	140	2,830	$150	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	97	100	1,940	$70	$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.	48	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.	5	100	3,660	$100	$635.7K

Showing 1–10 of 543

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Vancouver Clinic Inc Ps	WA	Internal Medicine Physician	$0	$28.2M
South Sound Inpatient Physicians PLLC	WA	Internal Medicine Physician	$0	$17.6M
Emergency Medicine Associates PC	WA	Emergency Medicine Physician	$0	$11.1M
Rkso LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$4.2M
The Vancouver Clinic Inc Ps	WA	Ambulatory Surgical Clinic/Center	$901.2K	$2.9M
Southwest Washington Regional Surgery Center, LLC	WA	Ambulatory Surgical Clinic/Center	$2.4M	$563K
Aliakbar Dadla	WA	Hematology & Oncology Physician	$613.3K	$0
Howard Nelson	WA	Diagnostic Radiology Physician	$429K	$0
David Valent	WA	Ophthalmology Physician	$333.3K	$0
Ramon Godoy	WA	Family Nurse Practitioner	$230.6K	$0

Peacehealth — Billing Profile & Reimbursement Data

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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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Peacehealth Medical Group	OR	Family Medicine Physician	$0	$45.3M
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Peacehealth	OR	Critical Access Hospital	$0	$20.2M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
Peacehealth	OR	Hospitalist Physician	$0	$5.5M
Peacehealth	WA	Home Health Agency	$0	$2.5M
Peacehealth	WA	Ambulatory Surgical Clinic/Center	$473.2K	$795.5K