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.

Legacy Salmon Creek Hospital (NPI 1356357784)

Legacy Salmon Creek Hospital is a clinic/center provider located in Vancouver, Washington. This profile covers 0 Medicare and 70 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	Legacy Salmon Creek Hospital
Address	2211 Ne 139th St
City	Vancouver
State	WA
ZIP	98686
Taxonomy	Clinic/Center
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

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

70 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	36,080	$80	$2.9M
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…	40,730	$50	$2.2M
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…	37,180	$40	$1.6M
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…	13,690	$50	$698.1K
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…	13,380	$50	$615.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8,300	$70	$555.9K
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…	2,040	$60	$126.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,450	$80	$119.9K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	2,250	$50	$114.5K
J0585	Injection, onabotulinumtoxina, 1 unit	110	$940	$104.8K

Showing 1–10 of 70

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

Legacy Salmon Creek Hospital — 3 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

70 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	27	40	1,040	$390	$518.8K
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…	51	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…	190	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…	64	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…	17	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…	8	280	1,920	$40	$262.1K
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.	16	590	1,280	$50	$244.5K
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…	355	480	1,160	$30	$180.9K
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…	241	280	540	$70	$166.5K
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…	195	300	400	$80	$164.4K

Showing 1–10 of 70

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$64.2M
Legacy Emanuel Hospital & Health Center	OR	General Acute Care Hospital	$0	$50.8M
Legacy Clinics LLC	OR	Clinic/Center	$35.6K	$48.7M
Legacy Salmon Creek Hospital	WA	General Acute Care Hospital	$0	$48.7M
Legacy Mount Hood Medical Center	OR	General Acute Care Hospital	$0	$43.2M
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Legacy Emanuel Hospital & Health Center	OR	Clinic/Center	$0	$17M
Legacy Emanuel Hospital & Health Center	OR	Rural Health Clinic/Center	$0	$1.8M
Legacy Emanuel Hospital & Health Center	OR	Clinic/Center	$0	$1.5M
Legacy Mount Hood Medical Center	OR	Clinic/Center	$0	$1.1M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Acute Care Specialists PC	WA	Emergency Medicine Physician	$0	$11.9M
Wchs, Inc.	WA	Methadone Clinic	$0	$6.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Joyce Choe	WA	Ophthalmology Physician	$382K	$0
Randall Harada	WA	Interventional Cardiology Physician	$303.2K	$0
Lauren Boudreaux	WA	Dermatology Physician	$168.9K	$0
Mayank Agrawal	WA	Interventional Cardiology Physician	$141.4K	$0
Jason Boyd	WA	Dermatology Physician	$121.6K	$0
Graham Clark	WA	Dermatology Physician	$119K	$0
Jason Blankenship	WA	Certified Registered Nurse Anesthetist	$98.7K	$0

Legacy Salmon Creek Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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