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.

Neighborcare Health (NPI 1275567539)

Field	Value
Entity Type	Organization
Organization	Neighborcare Health
Address	9245 Rainier Ave S
City	Seattle
State	WA
ZIP	98118
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 10, 2006

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.

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	43,160	$30	$1.4M
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…	19,700	$50	$886.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	8,390	$40	$327.1K
99442	N/A	5,110	$40	$199.3K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	7,710	$10	$100.2K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	4,280	$10	$55.6K
99443	N/A	880	$60	$49.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,200	$20	$48.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	650	$70	$46.1K
99441	N/A	1,750	$30	$43.9K

Showing 1–10 of 66

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

Neighborcare Health — 3 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

66 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	650	650	4,110	$250	$4.9M
G9149	National committee for quality assurance - level 2 medical home	84	90	1,680	$200	$1.5M
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…	100	1,820	480	$60	$379.6K
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…	69	1,860	610	$40	$295.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	127	280	540	$70	$166.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	156	300	400	$80	$164.4K
G9148	National committee for quality assurance - level 1 medical home	47	50	140	$370	$150.3K
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…	293	540	130	$90	$128.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	164	320	290	$70	$104.8K
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…	495	530	80	$90	$87.4K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Neighborcare Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$18.9M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$16.2M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$10.2M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$8.8M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$5.2M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$3.4M
Carla Vazquez Santos	WA	Internal Medicine Physician	$3.1K	$3M
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$2.9M
Ted Zollman	WA	Ophthalmology Physician	$282K	$0

Nearby Providers

Other providers in the same ZIP code as Neighborcare Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Full Life Care	WA	Adult Day Care Clinic/Center	$0	$16.4M
International Community Health Services	WA	Dentist	$0	$14M
Seattle Children's Hospital	WA	Dental Clinic/Center	$0	$2.8M
Salaam Health PLLC	WA	Community/Retail Pharmacy	$42.6K	$26.4K
Christin Hitchcock	WA	Physical Therapist	$46.2K	$0

Neighborcare Health — Billing Profile & Reimbursement Data

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Neighborcare Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References