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.

Pediatrix Medical Group Of Washington Inc Ps (NPI 1144327859)

Field	Value
Entity Type	Organization
Organization	Pediatrix Medical Group Of Washington Inc Ps
Address	747 Broadway
City	Seattle
State	WA
ZIP	98122
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	September 17, 2006

Payer Source	Total Paid
Medicaid	$20M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	23,200	$270	$6.3M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	49,570	$80	$4M
92586	N/A	45,680	$60	$2.6M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	25,520	$80	$2.1M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	6,920	$300	$2.1M
92650	In this procedure, the provider measures the patient’s response to sound stimuli to screen auditory potential (electrical response). The screening uses frequency nonspecific stimuli and automated…	61,550	$20	$1M
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	9,630	$80	$808.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	11,540	$50	$588.7K
99463	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center, through the time of discharge, or release, from the…	1,660	$100	$166.2K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	450	$220	$98.3K

Showing 1–10 of 21

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

Pediatrix Medical Group Of Washington Inc Ps — 11 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92586	N/A	1	10	22,880	$60	$1.3M
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.	1	10	730	$270	$1.2M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	1	10	3,130	$280	$968.3K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1	10	560	$80	$613.5K
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	1	10	3,040	$80	$563.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	88	140	490	$40	$268.5K
92650	In this procedure, the provider measures the patient’s response to sound stimuli to screen auditory potential (electrical response). The screening uses frequency nonspecific stimuli and automated…	1	10	20	$20	$247.7K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	2	10	450	$140	$226.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	46	130	290	$90	$138.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	80	210	$50	$91K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Pediatrix Medical Group Of Washington Inc Ps, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	WA	Clinical Medical Laboratory	$25M	$186.7M
Swedish Health Services	WA	General Acute Care Hospital	$0	$125.3M
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky	WA	Non-Surgical Family Planning Clinic/Center	$0	$18.7M
Advanced Lifeline Services Inc	WA	Certified Respiratory Therapist	$0	$11.1M
Seattle Emergency Physicians Services Inc Ps	WA	Emergency Medicine Physician	$0	$7.2M
Performance Modalities Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
The Polyclinic PLLC	WA	Ambulatory Surgical Clinic/Center	$838.3K	$3.5K
Jason Lee	WA	Vascular Surgery Physician	$574.1K	$0
Seattle Hand Surgery Group PC	WA	Ambulatory Surgical Clinic/Center	$322.1K	$0
Kelly Bui	WA	Ophthalmology Physician	$276.4K	$0

Pediatrix Medical Group Of Washington Inc Ps — Billing Profile & Reimbursement Data

Sign up for Pediatrix Medical Group Of Washington Inc Ps — Billing Profile & Reimbursement Data policy alerts

Pediatrix Medical Group Of Washington Inc Ps — Billing Profile & Reimbursement Data

Sign up for Pediatrix Medical Group Of Washington Inc Ps — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References