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 1417202029)

Field	Value
Entity Type	Organization
Organization	Unity Care Northwest
Address	1616 Cornwall Ave
City	Bellingham
State	WA
ZIP	98225
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 19, 2012

Payer Source	Total Paid
Medicaid	$20.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	71,910	$240	$17.1M
D0120	Periodic oral evaluation - established patient	12,090	$30	$386.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	8,550	$40	$376.2K
D2392	Post 2 surface resin‑based composite	5,500	$60	$346.7K
D0140	Limited oral evaluation – problem focused	8,430	$30	$227.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,550	$50	$222.8K
D0220	Intraoral - periapical first radiographic image	18,280	$10	$182.8K
D0330	N/A	5,080	$30	$167.6K
D2391	Resin‑based composite – one surface, posterior	3,290	$50	$154.4K
D0274	N/A	13,830	$10	$138.3K

Showing 1–10 of 44

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 — 4 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

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	37	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…	1,069	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…	857	1,860	610	$40	$295.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	552	930	680	$60	$259.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	98	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	86	540	990	$60	$188.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	99	390	420	$50	$152.3K
D0120	Periodic oral evaluation - established patient	110	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	107	480	670	$50	$119.5K
D1120	Prophylaxis–child	501	730	690	$20	$112.8K

Showing 1–10 of 44

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	$15.4M

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
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Whatcom Medic One	WA	Land Ambulance	$894.1K	$20.7M
Northwest Pathology PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$860.5K	$17.8M
Northwest Regional Council	WA	Transportation Broker	$0	$11.4M
Lake Whatcom Residential & Treatment Center	WA	Community/Behavioral Health Agency	$0	$10.3M
Total Renal Care, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.9M
Catholic Community Services Of Western Washington	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.8M
Apple Pediatric Dentistry	WA	Pediatric Dentistry	$0	$5.8M
Wchs, Inc	WA	Methadone Clinic	$141.1K	$4.5M

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