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.

Kittitas County Public Hospital Dist 1 (NPI 1194747774)

Field	Value
Entity Type	Organization
Organization	Kittitas County Public Hospital Dist 1
Address	201 Alpha Way
City	Cle Elum
State	WA
ZIP	98922
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 24, 2006

Payer Source	Total Paid
Medicaid	$4.5M
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
T1015	Clinic visit/encounter, all-inclusive	18,660	$210	$3.9M
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…	5,290	$60	$296K
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…	3,860	$50	$177.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	870	$90	$80.7K
99443	N/A	980	$70	$67.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	160	$100	$14.9K
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…	150	$90	$12.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	30	$70	$2.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	790	$1	$1.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10	$110	$1.5K

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

Kittitas County Public Hospital Dist 1 — 0 of 15 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
T1015	Clinic visit/encounter, all-inclusive	164	650	4,110	$250	$4.9M
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…	298	1,820	480	$60	$379.6K
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…	425	1,860	610	$40	$295.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	418	930	680	$60	$259.2K
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…	252	540	130	$90	$128.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	294	330	100	$80	$60K
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,…	630	700	180	$50	$59.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	83	170	150	$70	$50.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	525	550	400	$1	$36.5K
99442	N/A	154	210	110	$30	$23.3K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kittitas County Public Hospital Dist 1, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kittitas County Public Hospital Dist 1	WA	Critical Access Hospital	$0	$39.1M
Kittitas County Public Hospital Dist 1	WA	Rural Health Clinic/Center	$0	$19.5M
Benjamin Jones	WA	Dermatology Physician	$582.9K	$0
Naeem Chavla	WA	Urology Physician	$389.6K	$0
Mark Richards	ID	Clinical Cardiac Electrophysiology Physician	$194.2K	$0
Mohan Ashok Kumar	WA	Cardiovascular Disease Physician	$160.3K	$0
Joshua Johnson	WA	Foot & Ankle Surgery Podiatrist	$158.3K	$0
Allen Rubin	WA	Vascular Surgery Physician	$145.2K	$0
Michael Shultis	WA	Physician Assistant	$141.2K	$0
Lauren Wikholm	OR	Surgery Physician	$121.7K	$0

Nearby Providers

Other providers in the same ZIP code as Kittitas County Public Hospital Dist 1, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kittitas County Hospital Dist 2	WA	Land Ambulance	$215.6K	$1.1M
Craig Pigeon	WA	Physical Therapist	$115.9K	$0

Kittitas County Public Hospital Dist 1 — Billing Profile & Reimbursement Data

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Kittitas County Public Hospital Dist 1 — Billing Profile & Reimbursement Data

Sign up for Kittitas County Public Hospital Dist 1 — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References