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.

Easter Seals Washington (NPI 1255682902)

Field	Value
Entity Type	Organization
Organization	Easter Seals Washington
Address	3100 Nw Bucklin Hill Rd Nw
City	Silverdale
State	WA
ZIP	98383
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 20, 2012

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5102	Day care services, adult; per diem	44,790	$70	$3.1M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1,320	$140	$180.7K
0365T	Adaptive behavior tx addl	100	$100	$9.3K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	30	$210	$5.5K
0364T	Behavior treatment	80	$20	$1.8K
0369T	Duodenal mucosal resurfacing, endoscopic	30	$60	$1.7K
0368T	Behavior treatment modified additional	30	$20	$740
SA687	N/A	440	$0	$0

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

Easter Seals Washington — 0 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	4	10	18,610	$70	$2.4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	23	40	2,860	$120	$984.3K
0365T	Adaptive behavior tx addl	12	10	720	$90	$173.8K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	36	40	530	$80	$146.5K
0364T	Behavior treatment	13	10	730	$20	$39.3K
0369T	Duodenal mucosal resurfacing, endoscopic	7	10	190	$40	$18.7K
0368T	Behavior treatment modified additional	8	10	110	$20	$10.2K
SA687	N/A	3	10	970	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonspirit Washington Community Care	WA	General Acute Care Hospital	$0	$66.2M
Central Kitsap Fire & Rescue 1	WA	Land Ambulance	$727.8K	$11M
West Sound Emergency Physicians, PLLC	WA	Emergency Medicine Physician	$0	$8.3M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$7.7M
David Spinak	WA	Ophthalmology Physician	$4.1M	$0
Mark Heinemann	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.3M
Adrian Omalley	WA	Ophthalmology Physician	$3M	$0
Salmon Surgery Center LLC	WA	Ambulatory Surgical Clinic/Center	$2.3M	$44.3K
Todd Schneiderman	WA	Ophthalmology Physician	$2.3M	$0
Surgery Center Of Silverdale LLC	WA	Ambulatory Surgical Clinic/Center	$1.5M	$0

Easter Seals Washington — Billing Profile & Reimbursement Data

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Easter Seals Washington — 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