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.

Clallam County Public Hospital District 2 (NPI 1306845557)

Key Findings

Field	Value
Entity Type	Organization
Organization	Clallam County Public Hospital District 2
Address	939 Caroline St
City	Port Angeles
State	WA
ZIP	98362
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicaid	$68.8M
Medicare	$0

This provider has no Medicare billing on file and is effectively a single-payer Medicaid operation, reporting Total Medicaid revenue of $68.8M. The absence of Medicare activity means analyses and contracting considerations should focus entirely on Medicaid volume, reimbursement, and state-level competitive dynamics.

Revenue is highly concentrated in a small number of outpatient visit codes: the top three Medicaid codes 99213, 99212, and G0463 together account for 54.6% of this provider's total Medicaid revenue. Individually these appear in the data as 99213 ($10.1M revenue, 18.3%), 99212 ($10.1M revenue, 18.2%), and G0463 ($10M revenue, 18.1%), indicating that more than half of Medicaid dollars flow from routine established-patient and hospital outpatient clinic visits.

The code mix indicates a strong ambulatory clinic and outpatient evaluation-and-management (E/M) footprint: 99213 shows 66.1K claims ($153 avg paid/claim) and 99212 shows 63.3K claims ($159 avg paid/claim), while G0463 shows 89.5K claims ($112 avg paid/claim). This pattern suggests the hospital operates a high-volume outpatient clinic infrastructure handling large numbers of established patient visits rather than relying on high-acuity inpatient procedural revenue.

Emergency department services are a material secondary line of business: 99284 (19.9K claims, $117 avg paid/claim, $2.3M revenue), 99283 (15.4K claims, $135 avg paid/claim, $2.1M), and 99285 (18.2K claims, $91 avg paid/claim, $1.7M) together represent several million dollars of Medicaid revenue and indicate consistent ED throughput. Statewide rank/percentile placements for these ED codes are generally mid-to-upper (for example, 99284 ranks #78 of 225, 66th percentile), meaning ED service volumes are typical to above-typical for Washington providers.

Infusion and procedure services provide meaningful ancillary Medicaid revenue: 96361 (7.6K claims, $350 avg paid/claim, $2.7M revenue, 4.8% of Medicaid revenue), 96365 (13.1K claims, $143 avg paid/claim, $1.9M), and 96366 (4.4K claims, $280 avg paid/claim, $1.2M) point to ongoing IV therapy and infusion activity. Imaging and diagnostics (e.g., 74177, 70450, 70450; 74177 at 6.5K claims, $214 avg paid/claim, $1.4M) plus high-volume lab panels (80053: 69.6K claims, $6 avg paid/claim, $417.4K) further signal a broad outpatient diagnostic capability supporting the clinic and ED volumes.

Competitive standing within Washington is mixed but dominated by ambulatory visit volume: 99212 ranks #2 of 696 providers in-state (100th percentile; extreme outlier) and 99211 ranks #6 of 260 (98th percentile; extreme outlier), while 99213 ranks #41 of 1863 (98th percentile; notably above typical state volume). By contrast, many ancillary and imaging codes are in the typical range (for example, G0463 ranks #19 of 103, 82th percentile; several imaging codes fall around the 64th–72th percentile range), indicating the provider is a regional leader in high-volume outpatient visits but more typical for ancillary service lines.

The provider has a long-tenured NPI (enumerated 2005-07-19 (~21 years ago)), confirming sustained operation in the market. That tenure combined with very high outpatient visit volumes suggests established referral pathways and a stable role as a primary ambulatory and emergency access point for Medicaid patients.

Because 54.6% of Medicaid revenue is concentrated in three outpatient visit codes (99213, 99212, G0463), the provider's financial performance is highly sensitive to changes in outpatient visit volume and Medicaid reimbursement policy for E/M and hospital outpatient clinic visit codes. For payers and partners, this concentration highlights where utilization-management levers or partnership opportunities will have the largest revenue impact.

Medicaid: Complete Services Breakdown

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

438 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…	66,090	$150	$10.1M
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,…	63,250	$160	$10.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	89,550	$110	$10M
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.	7,620	$350	$2.7M
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.	19,930	$120	$2.3M
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.	15,440	$140	$2.1M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	13,130	$140	$1.9M
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…	23,630	$80	$1.9M
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.	18,210	$90	$1.7M
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…	11,430	$140	$1.6M

Showing 1–10 of 438

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

Clallam County Public Hospital District 2 — 5 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

438 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	19	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.	44	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.	78	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.	80	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.	55	190	5,130	$100	$1.8M
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.	44	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…	12	100	1,940	$70	$1M
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.	33	170	2,120	$40	$779.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	18	100	3,660	$100	$635.7K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	23	70	2,010	$210	$620.1K

Showing 1–10 of 438

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olympic Medical Physicians	WA	Family Medicine Physician	$0	$7.8M
Michael Feldman	OR	Nephrology Physician	$501.5K	$0
Molly Tilley	OR	Nephrology Physician	$434.1K	$0
Helen Xiao-li	WA	Radiation Oncology Physician	$368.1K	$0
Colin Wolslegel	WA	Gastroenterology Physician	$214.1K	$0
Lindsay Jensen	WA	Radiation Oncology Physician	$194K	$0
Thomas Herschmiller	WA	Orthopaedic Surgery Physician	$165.3K	$0
Dirk Gouge	WA	Orthopaedic Surgery Physician	$155.7K	$0
Amir Kazerouninia	WA	Cardiovascular Disease Physician	$151.9K	$0
Manuel Macapinlac	WA	Medical Oncology Physician	$142.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Specialty Services 2 LLC	WA	Substance Abuse Rehabilitation Facility	$0	$13M
Lower Elwha Klallam Tribe	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.7M
North Olympic Healthcare Network	WA	Federally Qualified Health Center (FQHC)	$0	$6M
North Olympic Healthcare Network	WA	Federally Qualified Health Center (FQHC)	$0	$5M
City Of Port Angeles	WA	Land Ambulance	$231.6K	$3.7M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.3M
Welch Vanbibber Haught Dds PC	WA	Dentist	$0	$2.9M
Baart Behavioral Health Services, Inc.	WA	Substance Use Disorder Rehabilitation Clinic/Center	$198.1K	$949.8K
Cammacks Pharmacies Inc	WA	Community/Retail Pharmacy	$165.9K	$463.5K
Lauren Fetty	WA	Diagnostic Radiology Physician	$319.2K	$0

Clallam County Public Hospital District 2 — Billing Profile & Reimbursement Data

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Clallam County Public Hospital District 2 — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References