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.

Seattle Indian Health Board (NPI 1316012461)

Field	Value
Entity Type	Organization
Organization	Seattle Indian Health Board
Address	611 12th Ave S
City	Seattle
State	WA
ZIP	98144
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	38,710	$170	$6.7M
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…	16,890	$50	$861.4K
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…	22,620	$40	$837.1K
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,…	3,700	$30	$92.4K
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…	3,900	$20	$74.2K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	6,310	$10	$63.1K
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…	750	$70	$55K
99442	N/A	740	$40	$28.1K
0012A	N/A	740	$30	$23.8K
99443	N/A	280	$60	$16.2K

Showing 1–10 of 53

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

Seattle Indian Health Board — 0 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	88	650	4,110	$250	$4.9M
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…	114	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…	123	1,860	610	$40	$295.5K
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…	271	300	400	$80	$164.4K
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…	123	540	130	$90	$128.6K
S9470	Nutritional counseling, dietitian visit	11	20	1,110	$40	$127.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	262	320	290	$70	$104.8K
99203	The provider sees a new 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 provider…	476	560	140	$70	$88.9K
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…	328	340	510	$30	$80K
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,…	47	700	180	$50	$59.3K

Showing 1–10 of 53

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seattle Indian Health Board	WA	Federally Qualified Health Center (FQHC)	$0	$5.3M
Paul Erickson	MN	Specialist	$1.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$8.8M
Asian Counseling And Referral Service	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3M
Huy Hoang	WA	Optometrist	$80.2K	$285.3K
Norbert Yee	WA	Diagnostic Radiology Physician	$320.9K	$0
Steven Sohn	WA	Diagnostic Radiology Physician	$114.6K	$0
Christopher Krejci	WA	Diagnostic Radiology Physician	$111.9K	$0
Gregory Sterne	WA	Diagnostic Radiology Physician	$104.6K	$0
David Nguyen	WA	Family Medicine Physician	$35.9K	$0
Birendra Piya	WA	Family Medicine Physician	$32.6K	$0

Seattle Indian Health Board — Billing Profile & Reimbursement Data

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Seattle Indian Health Board — 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