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.

Community Health Center Of Snohomish County (NPI 1164553137)

Field	Value
Entity Type	Organization
Organization	Community Health Center Of Snohomish County
Address	2722 Colby Ave
City	Everett
State	WA
ZIP	98201
Taxonomy	Dentist
NPI Enumerated	March 8, 2007

Payer Source	Total Paid
Medicaid	$112.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric dental operation with no Medicare billing on file and reported lifetime Medicaid revenue of $112.1M. The absence of Medicare revenue means the entity’s scale and payer strategy are overwhelmingly driven by state Medicaid flows rather than dual-payor mix dynamics.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 84.5% of the provider’s total Medicaid revenue, with a single code, T1015, contributing $87.6M (78.3% of total Medicaid revenue). This indicates the practice derives the vast majority of its Medicaid payments from bundled clinic/encounter visits rather than from a wide dispersion of high-value procedure codes.

High-volume visit-based service model: T1015 (T1015 – Clinic visit/encounter, all-inclusive) shows 444.7K claims at $197 average paid/claim and dominates revenue at $87.6M. The mix—dominated by an all-inclusive clinic visit code—suggests the organization operates as a high-throughput, comprehensive clinic setting where care is commonly billed as bundled encounters.

Clinical mix emphasizes routine evaluations, preventive care, and restorative dentistry: large counts for D0120 (145.2K claims, $4.1M revenue) and multiple prophylaxis, fluoride, and composite restoration codes (for example D1206, D1110, D2392) show repeated delivery of periodic exams, preventive treatments, and posterior composite restorations. This pattern aligns with a system providing ongoing, primary dental services across age groups.

Statewide competitive dominance on core codes: the provider ranks at or near the top statewide for many high-volume codes—T1015 ranks #3 of 652 (100th percentile; extreme outlier), D0120 ranks #2 of 918 (100th percentile; extreme outlier), and D2392 ranks #2 of 537 (100th percentile; extreme outlier). These rankings characterize the provider as a major, high-volume Medicaid dental provider in Washington for primary visit and routine dental services.

Selective areas of typical volume: while many codes are extreme outliers, several procedural codes show more typical volumes for the state—D7210 ranks #42 of 187 (78th percentile; typical, unremarkable volume) and D1351 ranks #63 of 403 (85th percentile; typical, unremarkable volume). This suggests that more complex surgical or specialty procedures are not the primary revenue drivers compared with bundled visits and routine restorations.

Operational implications for payers: because nearly four-fifths of Medicaid revenue comes from bundled clinic encounters (T1015) and the top three codes account for 84.5% of revenue, care management or payment-model interventions focused on encounter-based reimbursement, visit frequency, and bundled payment validation would target the largest revenue levers. Any contractual or utilization-management engagement should prioritize the T1015-dominated visit mix.

Established tenure: the provider’s NPI was enumerated on 2007-03-08 (~19 years ago), indicating long-term presence in the market. Combined with its dominant statewide ranks on multiple codes, the longevity supports a sustained, high-volume Medicaid footprint rather than a recent volume spike.

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	444,750	$200	$87.6M
D0120	Periodic oral evaluation - established patient	145,170	$30	$4.1M
D2392	Post 2 surface resin‑based composite	44,300	$70	$2.9M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	130,080	$20	$2.3M
D2391	Resin‑based composite – one surface, posterior	43,660	$50	$2.3M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	44,460	$40	$2M
D1120	Prophylaxis–child	63,970	$20	$1.5M
D0140	Limited oral evaluation – problem focused	55,030	$30	$1.4M
D0150	Comprehensive oral evaluation – new or established patient	38,600	$40	$1.4M
D0220	Intraoral - periapical first radiographic image	140,970	$10	$1.3M

Showing 1–10 of 42

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

Community Health Center Of Snohomish County — 19 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	3	650	4,110	$250	$4.9M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	42	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	2	540	990	$60	$188.6K
D7230	N/A	47	50	340	$130	$132.9K
D0120	Periodic oral evaluation - established patient	2	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	2	480	670	$50	$119.5K
D1120	Prophylaxis–child	5	730	690	$20	$112.8K
D1351	Sealant - per tooth	63	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	44	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2	730	730	$20	$98.5K

Showing 1–10 of 42

Nearby Providers

Other providers in the same ZIP code as Community Health Center Of Snohomish County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services-wa	WA	General Acute Care Hospital	$0	$62.4M
Sunrise Services, Inc.	WA	Community/Behavioral Health Agency	$0	$21.4M
Optum Care Washington PLLC	WA	Multi-Specialty Clinic/Center	$0	$19.5M
North Sound Emergency Medicine PC	WA	Emergency Medicine Physician	$0	$8.7M
Catholic Community Services Western Washington	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.9M
Providence Health & Services- Washington	WA	General Practice Physician	$0	$7.6M
Assured Independence, LLC	WA	Emergency Response System Companies	$0	$7M
Pioneer Human Services	WA	Substance Abuse Rehabilitation Facility	$0	$6.2M
Evergreen Recovery Centers	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.9M
Sight Partners	WA	Ambulatory Surgical Clinic/Center	$4.9M	$342.1K

Community Health Center Of Snohomish County — Billing Profile & Reimbursement Data

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Community Health Center Of Snohomish County — 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

Nearby Providers

Frequently Asked Questions

References