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.

Sea-mar Community Health Center (NPI 1326363359)

Field	Value
Entity Type	Organization
Organization	Sea-mar Community Health Center
Address	669 Woodland Square Loop Se
City	Lacey
State	WA
ZIP	98503
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 1, 2010

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	47,010	$120	$5.8M
D8080	N/A	1,210	$290	$344.6K
D0120	Periodic oral evaluation - established patient	8,530	$30	$221.9K
D0150	Comprehensive oral evaluation – new or established patient	5,940	$30	$190.2K
D2392	Post 2 surface resin‑based composite	3,020	$60	$181K
D0140	Limited oral evaluation – problem focused	8,050	$20	$177K
D2391	Resin‑based composite – one surface, posterior	3,460	$50	$169.7K
D0210	Intraoral - complete series of radiographic images	4,380	$40	$153.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,460	$40	$148.7K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	3,370	$40	$118K

Showing 1–10 of 35

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

Sea-mar Community Health Center — 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	66	650	4,110	$250	$4.9M
D8080	N/A	46	110	970	$370	$634K
D8670	N/A	85	90	640	$220	$233K
D2392	Post 2 surface resin‑based composite	147	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	147	920	690	$20	$131.3K
D8660	N/A	55	60	140	$150	$120.1K
D2391	Resin‑based composite – one surface, posterior	96	480	670	$50	$119.5K
D1120	Prophylaxis–child	222	730	690	$20	$112.8K
D8030	N/A	43	50	150	$310	$103.9K
D1351	Sealant - per tooth	237	400	1,120	$20	$103.9K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sea-mar Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sea-mar Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$42.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$14.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$12.1M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$9.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$7.8M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$7.4M

Nearby Providers

Other providers in the same ZIP code as Sea-mar Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Seating & Mobility, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$5.9M
Jane Myung	WA	Ophthalmology Physician	$2.7M	$0
Vest Thurston LLC	WA	Psychiatric Hospital	$0	$2.6M
Laser & Surgery Center, LLC	WA	Ambulatory Surgical Clinic/Center	$1.5M	$4K
Penporn Reck	WA	Ophthalmology Physician	$802.6K	$0
Grant Aaker	WA	Ophthalmology Physician	$481.9K	$0
Stephen Reck	WA	Ophthalmology Physician	$433.1K	$0
Anthony Grillo	WA	Cornea and External Diseases Specialist Physician	$348.5K	$0
Crystal Adams	WA	Gynecologic Oncology Physician	$183.2K	$0
David Overton	WA	Physician Assistant	$158.1K	$0

Sea-mar Community Health Center — Billing Profile & Reimbursement Data

Sign up for Sea-mar Community Health Center — Billing Profile & Reimbursement Data policy alerts

Sea-mar Community Health Center — Billing Profile & Reimbursement Data

Sign up for Sea-mar Community Health Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References