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.

Grays Harbor Community Hospital (NPI 1154378859)

Key Findings

Field	Value
Entity Type	Organization
Organization	Grays Harbor Community Hospital
Address	915 Anderson Dr
City	Aberdeen
State	WA
ZIP	98520
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicaid	$34M
Medicare	$0

This provider is effectively single-payer at scale: there is no Medicare billing on file while total Medicaid revenue is $34M, so Medicaid drives the entirety of reported public-payor activity for GRAYS HARBOR COMMUNITY HOSPITAL. Analysts should treat Medicaid patterns as the primary window into the organization's volume and service mix.

Revenue is highly concentrated in emergency department evaluation-and-management services: the precomputed top three Medicaid codes account for 42.1% of the provider’s total Medicaid revenue, with 99283 generating $5.2M (17.9%), 99284 generating $4.5M (15.6%), and 99285 generating $2.5M (8.6%). Those three codes alone constitute the single largest revenue cluster on the Medicaid side.

The code mix points to a high-volume emergency and acute care operation. The top three codes are all ED E/M visits (99283, 99284, 99285) with large claim counts (24.1K, 22.5K, and 20.1K claims respectively), and the presence of infusion codes 96365 ($2M, 6.8%) and 96361 ($1.8M, 6.3%) suggests substantial IV treatment and observation throughput tied to the ED. Together these patterns are consistent with a hospital whose Medicaid revenue is driven by emergency encounters supported by on-site infusions.

Ancillary acute services and obstetrics are meaningful secondary drivers: imaging and diagnostic codes such as 74177 ($1.5M, 5.2%), 70450 ($1.2M, 4.0%), and 71275 ($379.4K, 1.3%) appear in the top revenue list, while obstetric monitoring 59025 contributes $1.3M (4.5%) and ultrasound codes 76700 ($524.6K) and 76801 ($282.6K) indicate active prenatal imaging. This mix supports a full-service community hospital profile with in-house radiology and maternity capabilities.

Competitive standing across the state is mostly modest-to-typical for the provider’s top codes: 99283 ranks #56 of 234 (76th percentile), 99284 ranks #68 of 225 (70th percentile), and 99285 ranks #53 of 192 (73th percentile) — each described in the source as "typical, unremarkable volume for this code." These rankings suggest GRAYS HARBOR is a reliable regional participant in ED care but not a dominant statewide leader on those measures.

There is a notable local outlier in imaging: abdominal ultrasound 76700 ranks #5 of 89 (95th percentile) and is labeled "notably above typical state volume for this code," indicating the hospital has comparatively strong capacity or demand for complete abdominal ultrasound studies relative to in-state peers. That suggests a local competitive advantage in ultrasound-based diagnostics, which may support both ED and obstetric workflows.

High-volume routine services underline operational throughput: the comprehensive metabolic panel 80053 appears with 40.2K claims ($321.5K, 1.1%) and therapeutic exercise 97110 has 13.5K claims ($539.2K, 1.9%), reflecting steady laboratory and physical therapy activity that typically accompanies inpatient and outpatient care at a community hospital. These high claim counts, even when per-claim reimbursement is low, indicate consistent baseline utilization supporting acute and post-acute care.

The provider has long tenure in the NPI registry (enumerated 2006-05-28, ~20 years ago), which—combined with the breadth of codes (ED E/M, imaging, IV infusions, obstetrics, labs, and PT)—points to an established community hospital operating a comprehensive set of acute-care services for Medicaid populations in Aberdeen, WA.

Medicaid: Complete Services Breakdown

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

263 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	24,110	$210	$5.2M
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.	22,480	$200	$4.5M
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.	20,080	$120	$2.5M
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.	9,780	$200	$2M
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.	4,070	$450	$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.	5,480	$270	$1.5M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	4,750	$280	$1.3M
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.	5,350	$220	$1.2M
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.	2,810	$360	$1M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	6,950	$130	$889.6K

Showing 1–10 of 263

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

Grays Harbor Community Hospital — 1 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

263 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	583	650	4,110	$250	$4.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	42	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.	60	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.	68	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.	56	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.	53	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.	48	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…	65	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.	34	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.	24	100	3,660	$100	$635.7K

Showing 1–10 of 263

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Grays Harbor Community Hospital	WA	Rural Health Clinic/Center	$0	$11.3M
Grays Harbor Community Hospital	WA	Rural Health Clinic/Center	$0	$7.7M
Michael Benanti	IL	Diagnostic Radiology Physician	$469.7K	$460
Daniel Lucas	AZ	Diagnostic Radiology Physician	$298.3K	$164.6K
Philip Gibbs	WA	Internal Medicine Physician	$339.3K	$111.5K
Kamiar Massrour	AZ	Diagnostic Radiology Physician	$211.3K	$227.7K
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K
Supriya Gupta	IL	Diagnostic Radiology Physician	$199.2K	$166K
Sabrina Shaheen	WA	Cardiovascular Disease Physician	$355.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quinault Indian Nation	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$39.3M
Wchs, Inc.	WA	Methadone Clinic	$596.7K	$12.2M
Harbor Kids Dental PLLC	WA	General Practice Dentistry	$0	$10.9M
Coastal Community Action Program	WA	Case Manager/Care Coordinator	$0	$9.9M
City Of Aberdeen	WA	Ambulance	$440.4K	$5.1M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$5M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.3M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.8M
Lincare Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$2.5M

Grays Harbor Community Hospital — 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