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.

Wenatchee Valley Hospital (NPI 1295071520)

Field	Value
Entity Type	Organization
Organization	Wenatchee Valley Hospital
Address	820 N Chelan Ave
City	Wenatchee
State	WA
ZIP	98801
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 13, 2012

Payer Source	Total Paid
Medicaid	$22.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

359 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	136,450	$80	$11.3M
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.	11,080	$120	$1.3M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	2,410	$320	$764K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	1,750	$340	$600.9K
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.	6,580	$80	$526K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	1,660	$280	$470.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,440	$260	$377.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	630	$570	$353.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,300	$150	$340.1K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	830	$390	$322.9K

Showing 1–10 of 359

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

Wenatchee Valley Hospital — 1 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

359 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	12	100	2,830	$80	$3.8M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	69	110	5,950	$270	$2.6M
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.	108	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.	97	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.	160	190	5,130	$100	$1.8M
92586	N/A	2	10	22,880	$60	$1.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	75	140	2,830	$150	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	43	100	1,940	$70	$1M
J0178	Injection, aflibercept, 1 mg	16	30	550	$930	$892.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	113	170	2,120	$40	$779.1K

Showing 1–10 of 359

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$63.5M
Wenatchee Valley Hospital	WA	Multi-Specialty Clinic/Center	$0	$19.5M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$14.1M
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$10.9M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$8.6M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$7.4M
Central Washington Health Services Association	WA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$5.6M
Ozark Tri-county Health Care Consortium	MO	Federally Qualified Health Center (FQHC)	$0	$4M
Wenatchee Valley Hospital	WA	Clinical Medical Laboratory	$299.2K	$2.4M

Nearby Providers

Other providers in the same ZIP code as Wenatchee Valley Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbia Valley Community Health	WA	Federally Qualified Health Center (FQHC)	$0	$21.5M
Burns & Hunsaker LLC	WA	Speech-Language Pathologist	$0	$13.6M
Geoffrey T Ping, Ps	WA	Dental Clinic/Center	$0	$11.5M
Columbia Valley Community Health	WA	Federally Qualified Health Center (FQHC)	$0	$8.1M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.8M
Ballard Services, Inc.	WA	Land Ambulance	$1.4M	$3M
Children's Home Society Of Washington	WA	Community/Behavioral Health Agency	$0	$3.7M
Crh Christopher House LLC	WA	Assisted Living Facility (Mental Illness)	$0	$3.5M
Bryan Fletcher Dds Msd Ps	WA	Dental Clinic/Center	$0	$3.1M
American Behavioral Healt Systems, Inc.	WA	Community/Behavioral Health Agency	$0	$3M

Wenatchee Valley Hospital — Billing Profile & Reimbursement Data

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Wenatchee Valley Hospital — 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