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.

Franciscan Health System (NPI 1366472508)

Field	Value
Entity Type	Organization
Organization	Franciscan Health System
Address	2901 Bridgeport Way W
City	University Place
State	WA
ZIP	98466
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5001	Hospice or home health care provided in patient's home/residence	27,570	$230	$6.4M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	260	$10	$3.1K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	40	$1	$120
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	130	$0	$0

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

Franciscan Health System — 1 of 3 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q5001	Hospice or home health care provided in patient's home/residence	2	70	870	$160	$452.5K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	57	80	1,640	$40	$136.1K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	28	40	120	$10	$3.1K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	16	20	190	$1	$930

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Medical Group	WA	Family Medicine Physician	$0	$92.6M
Franciscan Health System	WA	General Acute Care Hospital	$0	$44.6M
Valley Medical Group-renton	WA	General Acute Care Hospital	$0	$28.3M
Multicare Health System	WA	Family Medicine Physician	$0	$25.8M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$7.7M
Pacmed Clinics	WA	Multi-Specialty Clinic/Center	$0	$4.5M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$4.5M
Franciscan Health System	WA	Durable Medical Equipment & Medical Supplies	$0	$2.7M
Manoj Agarwal	WA	Medical Oncology Physician	$1M	$0
Daniel Kim	WA	Rheumatology Physician	$1M	$0

Nearby Providers

Other providers in the same ZIP code as Franciscan Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pierce County Fire Dist No 3	WA	Land Ambulance	$649.7K	$18.8M
Medtriq LLC	WA	Primary Care Clinic/Center	$0	$9.6M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.3M
University Place Smiles PLLC	WA	Dental Clinic/Center	$0	$3.1M
University Place Pediatric Clinic P S	WA	Pediatrics Physician	$0	$2.8M
Thomas Burghardt	WA	Podiatrist	$310K	$0
Mitra Hanjani	WA	Internal Medicine Physician	$155.7K	$0
Navreet Kaur	WA	Internal Medicine Physician	$120.6K	$0
Mark Nellermoe	WA	Foot & Ankle Surgery Podiatrist	$107.8K	$3K
Stephanie Hanson	WA	Physical Therapist	$100K	$0

Franciscan Health System — Billing Profile & Reimbursement Data

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Franciscan Health System — 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