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NPI 1306897681 · Prosser, WA · Critical Access Hospital
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Prosser Public Hospital District Of Benton County is a critical access hospital provider located in Prosser, Washington. This profile covers 0 Medicare and 303 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Prosser Public Hospital District Of Benton County |
| Address | 200 Prosser Health Dr |
| City | Prosser |
| State | WA |
| ZIP | 99350 |
| Taxonomy | Critical Access Hospital |
| NPI Enumerated | May 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $50.7M |
| Medicare | $0 |
PROSSER PUBLIC HOSPITAL DISTRICT OF BENTON COUNTY presents as effectively a single-payer facility in the dataset: there is no Medicare billing on file while the provider reports $50.7M in lifetime Medicaid revenue. This concentration indicates the hospital’s operations and reported revenue are driven almost entirely by Medicaid activity rather than Medicare.
Revenue is highly concentrated in a small set of emergency-department and imaging services: the precomputed top 3 Medicaid codes account for 44.4% of total Medicaid revenue, and the three largest individual contributors listed are 99283 ($7.1M, 19.9%), 99284 ($4.8M, 13.5%), and 99285 ($4M, 11.1%). This mix signals that ED visits at low-to-high E/M complexity are the primary revenue drivers.
The code mix implies a service-line emphasis on emergency care plus substantial diagnostic imaging and observation capacity. High-revenue imaging codes such as 74177 ($3.1M, 8.6%) and CT head 70450 ($992.1K, 2.8%), together with G0378 hospital observation services ($941.6K, 2.6%), suggest the hospital operates an ED with on-site CT and short-stay observation resources to evaluate and manage acute presentations.
Competitive standing within Washington State is mixed: for core ED codes the provider ranks in the upper percentiles for some volumes (99283 ranks at the 90th percentile, typical volume; 99282 is at the 93rd percentile and labeled notably above typical state volume), indicating locally strong ED throughput for lower-acuity visits. By contrast, higher-acuity ED code 99285 ranks at the 59th percentile and several imaging codes sit in middle percentiles, showing the hospital is a solid but not dominant statewide provider for high-complexity emergency services and advanced imaging.
Operational intensity in outpatient and ancillary services is evident from high-volume procedure counts across several modalities: large claim counts for lab panels (80053, 25.9K claims), CBCs (85025, 32.1K claims), ultrasound exams (76856, 4.8K claims), and therapy codes (97110, 17.9K claims) point to steady ambulatory and diagnostic throughput supporting ED and outpatient clinic activity rather than low utilization. These lines contribute meaningful Medicaid revenue beyond the top ED codes.
One code-level statistical note: 99282 is described as "notably above typical state volume" (93rd percentile), which aligns with the facility seeing an outsized number of straightforward ED visits compared with peers. Several other high-volume codes are described as "typical, unremarkable volume" in their percentiles despite large absolute revenues, suggesting the provider’s scale is consistent with many in-state hospitals rather than being an extreme outlier.
The provider has long tenure in the NPI registry, enumerated since 2006-05-12 (~20 years ago). This two-decade presence combined with the Medicaid revenue profile and ED-focused code mix suggests an established rural/critical access hospital role serving ongoing community acute-care and diagnostic needs.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
303 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 45,950 | $160 | $7.1M |
| 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. | 25,770 | $190 | $4.8M |
| 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. | 10,480 | $380 | $4M |
| 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. | 4,360 | $710 | $3.1M |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 18,860 | $90 | $1.6M |
| 92507 | The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with… | 15,060 | $90 | $1.4M |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 25,930 | $40 | $1.1M |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 17,940 | $60 | $1.1M |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 1,650 | $650 | $1.1M |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 32,080 | $30 | $1M |
Showing 1–10 of 303
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
303 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 591 | 650 | 4,110 | $250 | $4.9M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 40 | 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. | 49 | 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. | 59 | 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. | 25 | 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. | 79 | 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. | 53 | 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… | 62 | 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. | 140 | 170 | 2,120 | $40 | $779.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 100 | 150 | 1,340 | $120 | $719.5K |
Showing 1–10 of 303
Other providers in the same ZIP code as Prosser Public Hospital District Of Benton County, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Richard Lin | WA | Dermatology Physician | $195.1K | $0 |
| Ralph Laraiso | WA | Physical Medicine & Rehabilitation Physician | $155.4K | $0 |
| Rebecca Wray | WA | Physician Assistant | $38.6K | $0 |
| Kevin Gurney | WA | Certified Registered Nurse Anesthetist | $4.4K | $0 |
| Reeshma Mohammed | WA | Gerontology Nurse Practitioner | $1.8K | $0 |
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