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 1144664954)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peacehealth
Address	2000 Hospital Dr
City	Sedro Woolley
State	WA
ZIP	98284
Taxonomy	Critical Access Hospital
NPI Enumerated	April 23, 2013

Payer Source	Total Paid
Medicaid	$41.3M
Medicare	$0

PEACEHEALTH in SEDRO WOOLLEY reports no Medicare billing on file and $41.3M in lifetime Medicaid revenue, making its public billing footprint effectively single‑payer in these datasets. The absence of Medicare activity in the file means Medicaid patterns drive any payer-analytics conclusions for this entity.

Revenue is highly concentrated in emergency department E/M codes: the top three Medicaid codes (99285, 99284, 99283) together account for 62.2% of this provider's total Medicaid revenue. Individually those codes are 99285 at $11.8M (32.4%), 99284 at $6.4M (17.6%), and 99283 at $4.5M (12.2%), indicating the ED is the primary revenue driver.

The code mix signals an ED-centric operating profile with substantial diagnostic imaging support. High-value imaging and acute diagnostics appear alongside the ED E/Ms — for example 74177 generated $3.8M (10.4%) and 70450 produced $1.1M (3.1%) — consistent with a hospital that handles a steady stream of acute presentations requiring CT imaging.

Ancillary service lines beyond imaging also contribute meaningfully: infusion and procedure administration codes such as 96374 ($578.5K), 96365 ($550K) and 96375 ($460.5K) appear in the top codes, and laboratory panels like 80053 ($807.5K) and troponin 84484 ($518.9K) reflect significant inpatient/ED testing volume. This mix is consistent with an ED and short-stay hospital workflow that couples diagnostics, labs, and IV therapy.

On competitive standing within Washington Medicaid, the provider is a modest, typical participant on its highest-volume ED codes rather than a dominant outlier. The top ED codes rank in the mid‑percentiles statewide (99285 at the 64th percentile, 99284 at the 58th percentile, 99283 at the 64th percentile) and are explicitly labeled in the data as "typical, unremarkable volume," indicating steady but not exceptional market share for those services.

No top Medicaid code in the provided list is flagged as an extreme outlier; most high-revenue codes carry descriptors such as "typical, unremarkable volume" and percentiles clustered around the middle (many in the 50th–80th percentile band). This suggests utilization patterns that are broadly in line with many in-state peers rather than concentrated top-tier dominance for specific procedures.

The provider's NPI was enumerated on 2013-04-23 (~13 years ago), and its taxonomy is Critical Access Hospital, which together are consistent with a smaller hospital-level operation focused on emergency care, imaging, and short-term observation. That tenure supports interpretation of the billing mix as mature and stable rather than transient.

Because Medicaid accounts for the entire recorded revenue base in our data and ED E/Ms make up a majority share (62.2%), payer exposure and financial performance for PEACEHEALTH SEDRO WOOLLEY are concentrated in one payer and one service line. From a payer or competitor perspective, this concentration signals that changes in Medicaid reimbursement or ED utilization could have outsized effects on the provider's revenue profile.

Medicaid: Complete Services Breakdown

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

153 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	13,140	$900	$11.8M
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.	11,160	$580	$6.4M
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.	14,030	$320	$4.5M
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.	3,910	$970	$3.8M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	3,030	$380	$1.1M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	19,690	$40	$807.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	3,750	$180	$659.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,010	$630	$637.8K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	530	$1,090	$578.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,260	$70	$578.5K

Showing 1–10 of 153

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 — 0 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

153 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	61	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.	45	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.	94	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.	84	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.	69	190	5,130	$100	$1.8M
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.	55	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…	86	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.	97	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.	40	100	3,660	$100	$635.7K
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.	34	70	2,010	$210	$620.1K

Showing 1–10 of 153

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Herbert Stickle	WA	Family Medicine Physician	$144.2K	$0
Wen-huan Ho	WA	Gastroenterology Physician	$143.6K	$0
Matthew Oswin	WA	Orthopaedic Surgery Physician	$97.8K	$0
Reena Baharani	TN	Psychiatry Physician	$68.3K	$460
Roman Reznik	WA	Pulmonary Disease Physician	$64K	$0
Lloyd Bellah	VA	Psychiatry Physician	$47.1K	$0
Kodjovi Kodjo	MT	Psychiatry Physician	$32.5K	$0
Courtney Beuning	UT	Infectious Disease Physician	$31.9K	$0
Warren Taranow	WA	Orthopaedic Surgery Physician	$21.1K	$0
Allison Robinson	WA	Colon & Rectal Surgery Physician	$19.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pioneer Human Services	WA	Substance Abuse Rehabilitation Facility	$0	$6.6M
Upper Skagit Indian Tribe	WA	Federally Qualified Health Center (FQHC)	$0	$4.6M
Sound Physicians Emergency Medicine Of Washington PLLC	WA	Emergency Medicine Physician	$0	$2.7M
Dan Siapco	WA	Ophthalmology Physician	$369.1K	$0
Kevin Lee	WA	Internal Medicine Physician	$310.5K	$0
Janessa Chang	WA	Physical Medicine & Rehabilitation Physician	$159.1K	$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