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    OpenPayerNPI Medicare & MedicaidKadlec Regional Medical Center
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    Kadlec Regional Medical Center — Billing Profile & Reimbursement Data

    NPI 1275071789 · Richland, WA · Ambulatory Surgical Clinic/Center

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    Kadlec Regional Medical Center is a ambulatory surgical clinic/center provider located in Richland, Washington. This profile covers 16 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationKadlec Regional Medical Center
    Address1351 Fowler St Ste 100
    CityRichland
    StateWA
    ZIP99352
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedFebruary 3, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$815.5K
    Medicare$571.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…50$2,360$127.3K
    25609The provider surgically repairs a fracture of the lower radius, the larger of the two lower arm bones, beyond the joint or a separation of the radius from the joint through an incision and fixes…20$3,390$77.9K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…70$960$62.6K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…100$530$53.4K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…100$400$38.8K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…60$550$34K
    26850In this procedure, the provider surgically immobilizes a metacarpophalangeal joint. He may or may not use an internal fixation device to fuse the joint. A metacarpophalangeal joint is a joint where…10$2,420$31.5K
    23440In this procedure, the provider surgically resects or transplants the long tendon of the biceps to a new point of attachment. He performs this procedure to improve the stability of the shoulder joint.20$1,570$31.3K
    64772The provider severs or removes other spinal nerves that are not identified in other codes within CPT®.50$440$22.4K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…50$390$18.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2560911020$2,720$46.2K
    2685011010$2,420$31.5K
    2344011020$1,560$31.3K
    2982769020$1,130$26.1K
    29881113020$950$20K
    6472177030$450$19.7K
    6477221050$350$18.4K
    29848136030$470$17.2K
    2648012020$720$15.9K
    26123111020$930$15.8K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)600$1,340$809.8K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…10$320$4.5K
    99460The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.10$70$850
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…20$10$210

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…190210690$40$114.5K
    C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)2650600$70$68.9K
    99460The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.4850130$80$53.4K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…112040$370$41.5K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Kadlec Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kadlec Regional Medical CenterWAGeneral Acute Care Hospital$0$151.5M
    Guy JonesNVRadiation Oncology Physician$2.5M$0
    Sherry ZhaoWARadiation Oncology Physician$1.3M$0
    Kadlec Regional Medical CenterWAAmbulatory Surgical Clinic/Center$231.7K$158.7K
    Glen ZuroskeWACardiovascular Disease Physician$372.5K$0
    Fareed ArifWANephrology Physician$369.2K$0
    Melvin WahlWAOrthopaedic Surgery of the Spine Physician$327.4K$0
    Sarena SlootWANurse Practitioner$307.9K$0
    Joshua BalesWAOrthopaedic Surgery Physician$304.9K$0
    Andrew RoehrigWARadiation Oncology Physician$300.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Kadlec Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gill, Ritchie, Walker PLLCWAAmbulatory Surgical Clinic/Center$0$10.7M
    City Of RichlandWAAmbulance$679.8K$7.8M
    Ortc, LLCWAMethadone Clinic$0$6.2M
    Health First Urgent Care, PLLCWAUrgent Care Clinic/Center$0$5.2M
    American Medical Response Ambulance Service IncWAAmbulance$1.1M$3M
    Total Renal Care IncWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.8M
    Tri-city Orthodontics, LLCWAOrthodontics and Dentofacial Orthopedics Dentistry$0$2.9M
    Alexey RyskinWAPain Medicine (Anesthesiology) Physician$2.3M$990
    Sidney SmithWADermatology Physician$2.1M$0
    Cheryl LeeWAOphthalmology Physician$1.5M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Kadlec Regional Medical Center — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Kadlec Regional Medical Center — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington