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.

Unity Care Northwest (NPI 1376013250)

Field	Value
Entity Type	Organization
Organization	Unity Care Northwest
Address	6060 Portal Way
City	Ferndale
State	WA
ZIP	98248
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 4, 2018

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	51,610	$240	$12.1M
D0120	Periodic oral evaluation - established patient	20,550	$30	$595.9K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	19,070	$20	$362.3K
D2392	Post 2 surface resin‑based composite	4,520	$70	$334.4K
D2391	Resin‑based composite – one surface, posterior	5,500	$60	$313.5K
D1120	Prophylaxis–child	9,090	$20	$218.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,500	$50	$216K
D9230	N/A	5,430	$30	$141.1K
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…	4,390	$30	$140.5K
D0274	N/A	12,330	$10	$135.7K

Showing 1–10 of 54

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

Unity Care Northwest — 1 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

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	60	650	4,110	$250	$4.9M
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…	607	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…	393	1,860	610	$40	$295.5K
D2392	Post 2 surface resin‑based composite	106	540	990	$60	$188.6K
D2150	Amalgam - two surfaces, primary or permanent	41	60	310	$50	$137.2K
D0120	Periodic oral evaluation - established patient	63	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	62	480	670	$50	$119.5K
D1120	Prophylaxis–child	108	730	690	$20	$112.8K
D1351	Sealant - per tooth	148	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	185	390	640	$50	$98.8K

Showing 1–10 of 54

Related Providers

Other providers that share a Tax Identification Number (TIN) with Unity Care Northwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$33.7M
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$20.1M

Nearby Providers

Other providers in the same ZIP code as Unity Care Northwest, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Whatcom County Fire Protection District No 7	WA	Land Ambulance	$272K	$6.1M
Cascade Ambulance Service, Inc	WA	Land Ambulance	$465.3K	$895.7K
Leigh Gongaware	WA	Optometrist	$40.2K	$0

Unity Care Northwest — Billing Profile & Reimbursement Data

Sign up for Unity Care Northwest — Billing Profile & Reimbursement Data policy alerts

Unity Care Northwest — Billing Profile & Reimbursement Data

Sign up for Unity Care Northwest — 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