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 Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska 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. Alaska (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.

Nes Washington, Inc. (NPI 1215239595)

Field	Value
Entity Type	Organization
Organization	Nes Washington, Inc.
Address	3100 Tongass Ave
City	Ketchikan
State	AK
ZIP	99901
Taxonomy	Emergency Medicine Physician
NPI Enumerated	November 19, 2010

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	6,210	$200	$1.3M
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.	5,270	$150	$785.1K
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.	1,340	$80	$104.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	80	$20	$1.3K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	420	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	100	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alaska Distribution

Nes Washington, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	21	40	5,090	$240	$3.5M
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.	12	40	2,210	$300	$3.2M
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.	30	50	4,500	$170	$2.5M
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	5	10	40	$10	$3.4K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	1	10	220	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	3	10	510	$0	$0

Nearby Providers

Other providers in the same ZIP code as Nes Washington, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Resilient Youth & Community (ryc)	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$25M
Community Connections, Inc.	AK	Developmentally Disabled Services Day Training Agency	$0	$19M
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$16.8M
Ketchikan Indian Corporation	AK	Primary Care Clinic/Center	$0	$15.3M
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$11.8M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$6.5M
Akeela Inc	AK	Community/Behavioral Health Agency	$0	$5.5M
Peacehealth	AK	Diagnostic Radiology Physician	$0	$2.9M
Linsenmayer Dentistry, LLC	AK	Pediatric Dentistry	$0	$2M

Nes Washington, Inc. — Billing Profile & Reimbursement Data

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Nes Washington, 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

Nearby Providers

Frequently Asked Questions

References