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.

Bicycle Health Medical Group PA (NPI 1194342162)

Field	Value
Entity Type	Organization
Organization	Bicycle Health Medical Group PA
Address	506 Second Avenue
City	Seattle
State	WA
ZIP	98104
Taxonomy	Addiction Medicine (Family Medicine) Physician
NPI Enumerated	June 25, 2020

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	17,670	$60	$1.1M
G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	1,170	$260	$307.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	650	$430	$282.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,350	$50	$246.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,810	$90	$160.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	810	$110	$85.4K
T1041	Medicaid certified community behavioral health clinic services, per month	180	$400	$70.8K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	5,940	$10	$47.6K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	180	$270	$47K
T2022	Case management, per month	80	$390	$29.7K

Showing 1–10 of 16

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

Bicycle Health Medical Group PA — 0 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	18	30	270	$2,060	$3.7M
T2022	Case management, per month	14	20	1,980	$160	$793.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	108	1,820	480	$60	$379.6K
G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	1	10	1,170	$260	$307.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	356	1,860	610	$40	$295.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	65	540	130	$90	$128.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	174	530	80	$90	$87.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	186	700	180	$50	$59.3K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	1	10	180	$270	$46.9K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	180	90	$130	$45K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bicycle Health Medical Group PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caroline Choan	CA	Neurology Physician	$246.8K	$0
Samantha Nazaroff	MD	Adult Health Nurse Practitioner	$105.1K	$0
Shawn Mcgarvey	AZ	Family Nurse Practitioner	$91K	$0
Julie Craig	WA	Family Medicine Physician	$59.1K	$0
Eric Bergersen	WA	Physician Assistant	$53.2K	$0
Korena Popp	ID	Family Nurse Practitioner	$10.7K	$0
Kristyn Kulick	MA	Physician Assistant	$6.2K	$0

Nearby Providers

Other providers in the same ZIP code as Bicycle Health Medical Group PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
Seattle-king County Dept Of Public Health	WA	Case Manager/Care Coordinator	$0	$74M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
Seattle-king County Dept Of Public Health	WA	Dental Clinic/Center	$0	$62.9M
Bloodworks	WA	Community/Retail Pharmacy	$0	$56.8M
Swedish Health Services	WA	Internal Medicine Physician	$0	$21.1M
International Community Health Services	WA	Dentist	$0	$16M
Swedish Health Services	WA	Family Medicine Physician	$0	$11.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.2M
King County Finance	WA	State or Local Public Health Clinic/Center	$0	$5.7M

Bicycle Health Medical Group PA — Billing Profile & Reimbursement Data

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Bicycle Health Medical Group PA — 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