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.

Northwest Emergency Physicians LLC (NPI 1235172370)

Key Findings

Field	Value
Entity Type	Organization
Organization	Northwest Emergency Physicians LLC
Address	330 S Stillaguamish Ave
City	Arlington
State	WA
ZIP	98223
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$79.6M
Medicare	$0

This provider reports no Medicare billing on file and $79.6M in lifetime Medicaid revenue, making its commercial public-payer footprint effectively single-payer Medicaid at scale. The NPI was enumerated 2006-06-14 (~20 years ago), indicating two decades of billing history under this identifier.

Revenue is highly concentrated in three emergency department E/M codes: 99285 ($37.6M, 47.3%), 99284 ($28.4M, 35.6%), and 99283 ($10.9M, 13.7%); together these top three codes account for 96.6% of the provider’s total Medicaid revenue. This concentration signals that nearly all Medicaid dollars flow from ED evaluation-and-management services rather than diverse specialty or procedural lines.

The code mix (dominant use of 99285, 99284, 99283) indicates the operation is focused on high-volume emergency department coverage with a spectrum of acuity from low to high medical decision-making. The high volumes for higher-acuity E/M codes (particularly 99285) suggest the group staffs busy ED(s) and handles a substantial share of complex emergency visits in-state.

Competitively this entity is a market leader for ED E/M in Washington: it ranks #1 in-state for 99285 (100th percentile; extreme outlier), #1 for 99284 (100th percentile; extreme outlier), and #1 for 99283 (100th percentile; extreme outlier). Those #1 rankings and percentile labels indicate volumes far above typical state providers and imply a dominant operational role in Medicaid emergency care locally.

Critical care services are also reported at notable volumes relative to peers: 99291 appears 15.4K times for $1.5M (1.9% of Medicaid revenue) and ranks #3 of 126 providers in-state (98th percentile; extreme outlier), while 99292 is present but small (276 claims, $23.5K). This pattern shows the group provides both ED E/M and measurable amounts of documented critical care time, reinforcing responsibility for higher-acuity patients.

Ancillary, facility-coverage, and diagnostic codes appear across large claim counts but contribute small revenue shares, consistent with an ED coverage model: 99053 (127.2K claims, $636.2K, 0.8% of revenue) ranks #1 of 34 (100th percentile; extreme outlier) and 93010 (177.3K claims, $532K, 0.7% of revenue) ranks #2 of 168 (99th percentile; extreme outlier). These entries are consistent with continuous/overnight ED staffing and high-volume ECG interpretation tied to emergency practice.

Some codes show high claim counts with minimal or zero paid amounts, for example 99406 (3.6K claims, $0 revenue) where the provider ranks #1 of 55 (100th percentile; extreme outlier). This suggests frequent documentation or reporting of brief tobacco cessation counseling in encounters even when reimbursement for that specific code may be negligible or bundled.

Overall, the provider’s financial and coding profile signals a concentrated Medicaid-dependent revenue base driven almost entirely by emergency department E/M services (top three = 96.6%). That concentration, combined with its two-decade enumeration and top in-state ranks, makes the provider strategically important to Medicaid ED capacity but potentially sensitive to shifts in Medicaid ED reimbursement or utilization policy.

Medicaid: Complete Services Breakdown

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

11 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.	432,620	$90	$37.6M
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.	410,890	$70	$28.4M
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.	271,570	$40	$10.9M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	15,450	$100	$1.5M
99053	The provider renders overnight services at a 24 hour facility.	127,240	$10	$636.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	177,330	$1	$532K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	280	$90	$23.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	230	$30	$6.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	740	$1	$740
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	290	$1	$580

Showing 1–10 of 11

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

Northwest Emergency Physicians LLC — 6 of 10 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

11 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.	1	230	5,440	$90	$1.8M
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	230	6,220	$100	$1.8M
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.	1	190	5,130	$100	$1.8M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	107	140	2,410	$110	$593.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3	130	290	$90	$138.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	133	220	1,570	$10	$83.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	121	150	4,380	$10	$80.1K
99053	The provider renders overnight services at a 24 hour facility.	1	30	2,450	$1	$39.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	2	170	930	$1	$36.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2	10	40	$40	$13.6K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Powell	OR	Emergency Medicine Physician	$76.8K	$0
Thomas Olsen	WA	Emergency Medicine Physician	$75.9K	$0
Jordan Barnhart	OR	Emergency Medicine Physician	$74.5K	$0
John Murray	WY	Emergency Medicine Physician	$49.6K	$0
Robert Veland	WY	Emergency Medicine Physician	$43.8K	$0
Kevin Mahoney	WY	Emergency Medicine Physician	$42.9K	$0
Edward Zimmerman	WY	Emergency Medicine Physician	$37.2K	$0
Gregory Clifford	WY	Emergency Medicine Physician	$35.6K	$0
Nathan Kartchner	UT	Emergency Medicine Physician	$33.9K	$0
Normand Lecomte	WA	Physician Assistant	$31.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stillaguamish Tribe Of Indians	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$349.6M
Public Hospital Dist No 1 Skagit	WA	General Acute Care Hospital	$0	$17.2M
Stillaguamish Tribe Of Indians	WA	Community/Behavioral Health Agency	$0	$9.2M
Holman Recovery Center	WA	Substance Abuse Rehabilitation Facility	$0	$7.9M
Beautiful Autism	WA	Mental Health Counselor	$0	$2.8M
Sight Partners Physicians, P.C.	WA	Ambulatory Surgical Clinic/Center	$325.2K	$126.8K
Trans-west Ambulance Service LLC	WA	Ambulance	$114.5K	$221.2K
Michael Banitt	WA	Ophthalmology Physician	$262.9K	$0
Jennifer Paek	WA	Dermatology Physician	$144.7K	$0
Aaron Brinklow	WA	Student in an Organized Health Care Education/Training Program	$85.6K	$0

Northwest Emergency Physicians LLC — Billing Profile & Reimbursement Data

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Northwest Emergency Physicians LLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References