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.

The Association Of Chrmc And University Physicians (NPI 1255449963)

The Association Of Chrmc And University Physicians is a pediatrics physician provider located in Seattle, Washington. This profile covers 0 Medicare and 142 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	The Association Of Chrmc And University Physicians
Address	4500 Sand Point Way Ne
City	Seattle
State	WA
ZIP	98105
Taxonomy	Pediatrics Physician
NPI Enumerated	August 25, 2006

Payer Source	Total Paid
Medicaid	$25M
Medicare	$0

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

142 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…	53,280	$70	$3.7M
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…	28,840	$110	$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.	39,200	$70	$2.8M
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.	52,350	$40	$2.1M
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.	14,880	$110	$1.6M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	21,350	$70	$1.5M
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…	28,300	$50	$1.3M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3,130	$260	$810.7K
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…	7,620	$100	$769.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	15,350	$50	$721.4K

Showing 1–10 of 142

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

The Association Of Chrmc And University Physicians — 12 of 25 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

142 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.	37	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.	20	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.	59	190	5,130	$100	$1.8M
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	4	20	190	$650	$1.3M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	3	10	730	$270	$1.2M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	2	10	3,130	$280	$968.3K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	1	10	4,100	$160	$753.2K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	3	10	560	$80	$613.5K
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.	114	140	2,410	$110	$593.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	67	130	2,770	$90	$588.4K

Showing 1–10 of 142

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seattle Children's Hospital	WA	Children's Hospital	$0	$219.4M
Seattle Children's Hospital	WA	Home Infusion Agency	$0	$32.2M
Seattle Children's Hospital	WA	Specialist	$0	$19.9M
Seattle Children's Hospital	WA	Dental Clinic/Center	$0	$2.8M
Waldo Feng	NV	Pediatric Urology Physician	$0	$2.4M
Abilio Reis	VA	Orthopaedic Surgery Physician	$472K	$0
Parisa Salehi	MN	Physical Medicine & Rehabilitation Physician	$218K	$0
Christine Petersen	OR	Glaucoma Specialist (Ophthalmology) Physician	$217.8K	$0
Frank Virant	WA	Allergy & Immunology Physician	$170.6K	$0
Nicholas Weiss	WA	Psychiatry Physician	$166.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kean Lawlor	WA	Dermatology Physician	$668.3K	$0
Jeremy Kampp	WA	MOHS-Micrographic Surgery Physician	$339.2K	$0
Matthew Saltzman	WA	Orthopaedic Surgery Physician	$234.7K	$39.2K
Cheryl Gustafson	WA	MOHS-Micrographic Surgery Physician	$222.8K	$0
Sand Point Pharmacy & Health	WA	Community/Retail Pharmacy	$220.2K	$0
Colin Sisco	WA	Physical Therapist	$186.8K	$0
John Falardeau	WA	Diagnostic Radiology Physician	$158.5K	$0
Fred Meyer Stores Inc	WA	Community/Retail Pharmacy	$77.8K	$74.2K
Brianne Noel	WA	Physician Assistant	$73K	$0
Ryan Bahr	WA	Surgical Physician Assistant	$59.9K	$0

The Association Of Chrmc And University Physicians — Billing Profile & Reimbursement Data

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The Association Of Chrmc And University Physicians — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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