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.

Peacehealth (NPI 1356309553)

Peacehealth is a internal medicine physician provider located in Bellingham, Washington. This profile covers 0 Medicare and 143 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Peacehealth
Address	2901 Squalicum Pkwy
City	Bellingham
State	WA
ZIP	98225
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$26.1M
Medicare	$0

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

143 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	160,240	$70	$11.5M
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…	108,170	$60	$6.2M
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…	11,480	$100	$1.1M
99391	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…	10,430	$90	$928.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	7,960	$80	$644.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,530	$100	$626.8K
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…	5,530	$100	$552.6K
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…	6,900	$80	$517.8K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	13,490	$30	$364.1K
99204	The provider sees a new 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 provider…	3,200	$100	$320K

Showing 1–10 of 143

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

Peacehealth — 9 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

143 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	200	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.	183	230	6,220	$100	$1.8M
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.	116	140	2,410	$110	$593.3K
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…	13	1,820	480	$60	$379.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7	130	890	$100	$337.8K
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.	27	120	590	$230	$331.2K
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…	20	1,860	610	$40	$295.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	32	170	580	$30	$270.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	51	140	490	$40	$268.5K
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…	111	280	1,920	$40	$262.1K

Showing 1–10 of 143

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
Peacehealth	WA	Ambulatory Surgical Clinic/Center	$473.2K	$795.5K
John Zimmermann	AK	Medical Oncology Physician	$1.2M	$570
Karman Tandon	WA	Cardiovascular Disease Physician	$248.5K	$0
John Macgregor	WA	Clinical Cardiac Electrophysiology Physician	$241.4K	$0
Georges Ghafari	MI	Cardiovascular Disease Physician	$232K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$33.7M
Whatcom Medic One	WA	Land Ambulance	$894.1K	$20.7M
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$20.1M
Northwest Pathology PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$860.5K	$17.8M
Northwest Regional Council	WA	Transportation Broker	$0	$11.4M
Lake Whatcom Residential & Treatment Center	WA	Community/Behavioral Health Agency	$0	$10.3M
Total Renal Care, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.9M
Catholic Community Services Of Western Washington	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.8M
Apple Pediatric Dentistry	WA	Pediatric Dentistry	$0	$5.8M
Wchs, Inc	WA	Methadone Clinic	$141.1K	$4.5M

Peacehealth — Billing Profile & Reimbursement Data

Sign up for Peacehealth — Billing Profile & Reimbursement Data policy alerts

Peacehealth — Billing Profile & Reimbursement Data

Sign up for Peacehealth — 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