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.

Grays Harbor Community Hospital (NPI 1376028373)

Field	Value
Entity Type	Organization
Organization	Grays Harbor Community Hospital
Address	815 K St
City	Hoquiam
State	WA
ZIP	98550
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 26, 2018

Payer Source	Total Paid
Medicaid	$7.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	26,950	$230	$6.3M
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…	13,330	$50	$692.9K
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…	4,070	$70	$284.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	8,620	$30	$258.7K
59430	For this service, the provider or nonphysician healthcare professional provides care to the patient in the outpatient setting following the delivery. Routine postpartum care can involve one or more…	200	$210	$42.4K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	390	$90	$36.5K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	670	$40	$26.2K
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…	210	$60	$13.4K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	910	$10	$7.3K
J1050	Injection, medroxyprogesterone acetate, 1 mg	200	$40	$7K

Showing 1–10 of 21

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

Grays Harbor Community Hospital — 1 of 20 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	127	650	4,110	$250	$4.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	66	100	2,830	$80	$3.8M
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…	350	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…	196	1,860	610	$40	$295.5K
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…	234	560	140	$70	$88.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	19	700	180	$50	$59.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	12	80	60	$100	$41.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	156	250	110	$60	$41.6K
J1050	Injection, medroxyprogesterone acetate, 1 mg	17	40	110	$20	$29.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	147	300	440	$10	$29.5K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Grays Harbor Community Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grays Harbor Community Hospital	WA	General Acute Care Hospital	$0	$34M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Grays Harbor Community Hospital	WA	Rural Health Clinic/Center	$0	$11.3M
Michael Benanti	IL	Diagnostic Radiology Physician	$469.7K	$460
Daniel Lucas	AZ	Diagnostic Radiology Physician	$298.3K	$164.6K
Philip Gibbs	WA	Internal Medicine Physician	$339.3K	$111.5K
Kamiar Massrour	AZ	Diagnostic Radiology Physician	$211.3K	$227.7K
Elliott Wagner	CA	Diagnostic Radiology Physician	$392.6K	$7.3K
Supriya Gupta	IL	Diagnostic Radiology Physician	$199.2K	$166K
Sabrina Shaheen	WA	Cardiovascular Disease Physician	$355.6K	$0

Nearby Providers

Other providers in the same ZIP code as Grays Harbor Community Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Hoquiam	WA	Land Ambulance	$259.9K	$1.9M
Washington Cvs Pharmacy LLC	WA	Pharmacy	$208.4K	$4.3K
Stephen Galt	WA	Physical Therapist	$150.1K	$0

Grays Harbor Community Hospital — Billing Profile & Reimbursement Data

Sign up for Grays Harbor Community Hospital — Billing Profile & Reimbursement Data policy alerts

Grays Harbor Community Hospital — Billing Profile & Reimbursement Data

Sign up for Grays Harbor Community Hospital — 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