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.

Kittitas County Public Hospital Dist 1 (NPI 1356375307)

Key Findings

Field	Value
Entity Type	Organization
Organization	Kittitas County Public Hospital Dist 1
Address	603 S. Chestnut St
City	Ellensburg
State	WA
ZIP	98926
Taxonomy	Critical Access Hospital
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$39.1M
Medicare	$0

KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 is effectively a single‑payer Medicaid operator: there is no Medicare billing on file ("none below") while total Medicaid revenue is $39.1M, indicating Medicaid dominates its billed payer mix rather than a split between Medicare and Medicaid. This concentrated reliance on Medicaid should frame analyses of revenue stability and reimbursement risk.

Revenue concentration is high at the code level: the precomputed top three Medicaid codes (74177, 99285, 99284) account for 47.8% of the provider’s total Medicaid revenue. That level of concentration means shifts in utilization, pricing, or coverage for a small set of services—particularly advanced CT imaging and high‑acuity ED visits—would materially affect overall revenue.

The provider’s code mix and volumes point to an emergency‑department and on‑site imaging hub model. High claim counts for ED E/M codes (99284: 23.8K claims; 99285: 13.8K claims; 99283: 18K claims) together with large CT revenues (74177: $5.3M; 70450: $1.4M; 71260: $443.4K) and an observation line item (G0378: $655K) indicate the organization operates a busy ED with CT capability and supports short‑term observation stays.

In statewide competitive standing for its revenue drivers, the hospital is a modest or typical participant rather than a dominant outlier. For the top three Medicaid codes it ranks in the middle percentiles: 74177 at #67 of 139 (52th percentile), 99285 at #66 of 192 (66th percentile), and 99284 at #66 of 225 (71th percentile), which suggests competitive, unremarkable volume relative to in‑state peers instead of market leadership.

Ancillary and outpatient laboratory throughput is a clear strength: very high claim counts and elevated percentile ranks appear across routine lab and specimen codes (36415: 44.5K claims, rank #30 of 552, 95th percentile; 85025: 32.5K claims, 82th percentile; 80053: 28.8K claims, 81th percentile; 84443: 12.9K claims, 86th percentile). These patterns indicate the facility is a significant regional source for phlebotomy, basic panels, and endocrine testing as well as high COVID testing volume (U0003: 9.4K claims, 80th percentile).

Rehabilitation and therapy services contribute meaningful Medicaid revenue and volume, pointing to outpatient or post‑acute care capacity. Codes 97110 (16.5K claims, 91th percentile) and 97530 (10.9K claims, 88th percentile) together generate material revenue ($876.5K and $653.5K respectively), suggesting sustained demand for therapeutic exercise and functional performance interventions relative to peers.

The provider maintains routine infusion and medication administration capabilities that support ED and inpatient care: infusion/IV administration codes appear frequently (96361: 8.4K claims, $700.6K revenue, 61th percentile; 96365: 5.3K claims, $657.7K revenue, 62th percentile; 96375: 7.4K claims, $529.7K revenue, 55th percentile). These volumes are consistent with ongoing IV fluid and medication administration services rather than rare or specialized infusion programs.

This organization has long tenure in the provider registry, with its NPI enumerated on 2006-07-10 (~20 years ago), supporting the interpretation that the hospital is an established community provider. That longevity, combined with the ED, imaging, lab, and rehab footprint, aligns with the profile of a stable Critical Access Hospital serving a wide range of routine and emergency needs in its region.

Medicaid: Complete Services Breakdown

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

253 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	3,100	$1,710	$5.3M
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.	13,760	$310	$4.3M
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.	23,750	$180	$4.3M
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.	18,040	$100	$1.7M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,770	$500	$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.	28,780	$40	$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…	9,380	$100	$928.5K
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…	16,540	$50	$876.5K
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…	32,500	$30	$812.6K
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.	8,440	$80	$700.6K

Showing 1–10 of 253

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

Kittitas County Public Hospital Dist 1 — 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

253 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	59	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.	42	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.	66	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.	72	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.	66	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.	67	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…	21	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.	135	170	2,120	$40	$779.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	39	100	3,660	$100	$635.7K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	45	70	2,010	$210	$620.1K

Showing 1–10 of 253

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kittitas County Public Hospital Dist 1	WA	Rural Health Clinic/Center	$0	$19.5M
Kittitas County Public Hospital Dist 1	WA	Rural Health Clinic/Center	$0	$4.5M
Benjamin Jones	WA	Dermatology Physician	$582.9K	$0
Naeem Chavla	WA	Urology Physician	$389.6K	$0
Mark Richards	ID	Clinical Cardiac Electrophysiology Physician	$194.2K	$0
Mohan Ashok Kumar	WA	Cardiovascular Disease Physician	$160.3K	$0
Joshua Johnson	WA	Foot & Ankle Surgery Podiatrist	$158.3K	$0
Allen Rubin	WA	Vascular Surgery Physician	$145.2K	$0
Michael Shultis	WA	Physician Assistant	$141.2K	$0
Lauren Wikholm	OR	Surgery Physician	$121.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kittitas Valley Urgent Care PLLC	WA	Urgent Care Clinic/Center	$0	$7M
Kittitas County Fire Protection District 2	WA	Land Ambulance	$579.6K	$4.3M
Cindy Mi	WA	Ophthalmology Physician	$1.4M	$170
Daniel Hanson	WA	Ophthalmology Physician	$454.6K	$0
Erick Johnson	WA	Optometrist	$114.1K	$510
Casey Oltman	WA	Optometrist	$96.8K	$0
Jamin Feng	WA	Internal Medicine Physician	$42.5K	$0
Roberta Hoppe	WA	Clinical Cardiac Electrophysiology Physician	$27.8K	$0
Kenneth Gano	WA	Certified Registered Nurse Anesthetist	$17K	$0
Jenci Randall	WA	Audiologist	$10.4K	$0

Kittitas County Public Hospital Dist 1 — Billing Profile & Reimbursement Data

Sign up for Kittitas County Public Hospital Dist 1 — Billing Profile & Reimbursement Data policy alerts

Kittitas County Public Hospital Dist 1 — Billing Profile & Reimbursement Data

Sign up for Kittitas County Public Hospital Dist 1 — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References