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.

Downtown Emergency Service Center (NPI 1447375332)

Field	Value
Entity Type	Organization
Organization	Downtown Emergency Service Center
Address	515 3rd Ave
City	Seattle
State	WA
ZIP	98104
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 20, 2007

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0043	Supported housing, per diem	28,470	$110	$3.2M
H2023	Supported employment, per 15 minutes	840	$80	$63K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	210	$0	$0
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	1,330	$0	$0
96153	N/A	920	$0	$0
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	60	$0	$0
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	40	$0	$0
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…	8,430	$0	$0
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1,720	$0	$0
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,…	2,000	$0	$0

Showing 1–10 of 29

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

Downtown Emergency Service Center — 1 of 2 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9485	Crisis intervention mental health services, per diem	2	20	3,730	$310	$1.8M
H0043	Supported housing, per diem	5	140	1,690	$110	$602.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	35	320	2,080	$60	$495.5K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	214	220	2,880	$50	$431K
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…	739	1,820	480	$60	$379.6K
H2023	Supported employment, per 15 minutes	64	110	1,080	$100	$307.5K
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…	410	1,860	610	$40	$295.5K
H2015	Comprehensive community support services, per 15 minutes	2	140	1,820	$20	$283.8K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	29	30	2,790	$10	$267.2K
H0038	Self‑help/peer services, per 15 minutes	33	130	990	$30	$192.6K

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Downtown Emergency Service Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
Seattle-king County Dept Of Public Health	WA	Case Manager/Care Coordinator	$0	$74M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
Seattle-king County Dept Of Public Health	WA	Dental Clinic/Center	$0	$62.9M
Bloodworks	WA	Community/Retail Pharmacy	$0	$56.8M
Swedish Health Services	WA	Internal Medicine Physician	$0	$21.1M
International Community Health Services	WA	Dentist	$0	$16M
Swedish Health Services	WA	Family Medicine Physician	$0	$11.1M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.2M
King County Finance	WA	State or Local Public Health Clinic/Center	$0	$5.7M

Downtown Emergency Service Center — Billing Profile & Reimbursement Data

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Downtown Emergency Service Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References