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.

Child & Adolescent Clinic, Ps (NPI 1144275777)

Field	Value
Entity Type	Organization
Organization	Child & Adolescent Clinic, Ps
Address	971 11th Ave
City	Longview
State	WA
ZIP	98632
Taxonomy	Pediatrics Physician
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$21.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

94 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	63,990	$100	$6.4M
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…	62,210	$70	$4.4M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	20,160	$90	$1.9M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	17,320	$90	$1.6M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,740	$90	$1.1M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	8,780	$100	$869.6K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	33,690	$20	$673.8K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	21,610	$30	$561.8K
99429	Use 99429 to report a preventive medicine service that does not have a specific code.	17,940	$30	$466.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,120	$140	$448.8K

Showing 1–10 of 94

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

Child & Adolescent Clinic, Ps — 17 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

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9149	National committee for quality assurance - level 2 medical home	49	90	1,680	$200	$1.5M
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…	30	1,820	480	$60	$379.6K
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…	46	1,860	610	$40	$295.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9	280	540	$70	$166.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5	300	400	$80	$164.4K
D0120	Periodic oral evaluation - established patient	117	920	690	$20	$131.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	39	540	130	$90	$128.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2	320	290	$70	$104.8K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	68	180	950	$10	$104.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	141	730	730	$20	$98.5K

Showing 1–10 of 94

Nearby Providers

Other providers in the same ZIP code as Child & Adolescent Clinic, Ps, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$48.2M
Core Health	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$46M
Columbia Wellness	WA	Case Management Agency	$0	$32.2M
Cowlitz Indian Tribe	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.2M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$15.2M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
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

Child & Adolescent Clinic, Ps — Billing Profile & Reimbursement Data

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Child & Adolescent Clinic, Ps — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References