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.

Performance Modalities Inc (NPI 1164790770)

Field	Value
Entity Type	Organization
Organization	Performance Modalities Inc
Address	500 17th Ave
City	Seattle
State	WA
ZIP	98122
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	December 9, 2011

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0601	Continuous positive airway pressure (CPAP) device	11,950	$60	$716.8K
E0562	Humidifier, heated, used with positive airway pressure device	2,760	$130	$350.6K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	6,870	$50	$343.4K
A4604	Tubing with integrated heating element for use with positive airway pressure device	10,260	$30	$287.2K
A7030	Full face mask used with positive airway pressure device, each	3,930	$70	$275.3K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	4,910	$40	$196.6K
A7035	Headgear used with positive airway pressure device	8,480	$20	$161.1K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	890	$100	$89.7K
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	430	$200	$85K
A7031	Face mask interface, replacement for full face mask, each	2,510	$20	$55.1K

Showing 1–10 of 19

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

Performance Modalities Inc — 6 of 19 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	39	80	4,270	$50	$417K
E0601	Continuous positive airway pressure (CPAP) device	4	90	1,970	$70	$242.5K
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	10	20	230	$290	$143.2K
A7030	Full face mask used with positive airway pressure device, each	6	80	1,050	$80	$125.7K
E0562	Humidifier, heated, used with positive airway pressure device	6	80	540	$100	$103.4K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	3	90	1,070	$50	$94.1K
A4604	Tubing with integrated heating element for use with positive airway pressure device	3	90	1,470	$30	$86.3K
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	10	40	240	$120	$71.2K
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	9	20	1,200	$20	$65.1K
A7035	Headgear used with positive airway pressure device	3	90	1,620	$20	$53K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Performance Modalities Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Performance Modalities Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$12.6M
Performance Modalities, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Performance Modalities Inc	OR	Oxygen Equipment & Supplies (DME)	$0	$1.4M

Nearby Providers

Other providers in the same ZIP code as Performance Modalities Inc, 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
Pediatrix Medical Group Of Washington Inc Ps	WA	Neonatal-Perinatal Medicine Physician	$0	$20M
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
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

Performance Modalities Inc — Billing Profile & Reimbursement Data

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Performance Modalities Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References