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.

Sea-mar Community Health Center (NPI 1457497497)

Field	Value
Entity Type	Organization
Organization	Sea-mar Community Health Center
Address	1400 N Laventure Rd
City	Mount Vernon
State	WA
ZIP	98273
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 29, 2007

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	12,090	$180	$2.2M
T1002	Rn services, up to 15 minutes	4,440	$30	$133.1K
S9482	Family stabilization services, per 15 minutes	3,300	$30	$108.8K
T1017	Targeted case management, each 15 minutes	2,880	$20	$54.6K
T1027	Family training and counseling for child development, per 15 minutes	1,570	$10	$20.4K
96152	N/A	210	$1	$850

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

Sea-mar Community Health Center — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	217	650	4,110	$250	$4.9M
T1002	Rn services, up to 15 minutes	16	60	1,140	$100	$493.3K
S9482	Family stabilization services, per 15 minutes	8	30	1,740	$40	$110K
T1027	Family training and counseling for child development, per 15 minutes	19	30	1,980	$20	$102.8K
96152	N/A	21	40	240	$70	$84.2K
T1017	Targeted case management, each 15 minutes	18	80	410	$30	$74.4K

Nearby Providers

Other providers in the same ZIP code as Sea-mar Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Kulshan Pediatric Dentistry	WA	Pediatric Dentistry	$0	$6.7M
Evergreen Recovery Centers	WA	Substance Abuse Rehabilitation Facility	$0	$5.9M
Jon L. Way Dds, Ms, PLLC	WA	Dentist	$0	$5.6M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3M
City Of Mount Vernon	WA	Land Ambulance	$412.8K	$1.3M
Amber Fowler	WA	MOHS-Micrographic Surgery Physician	$503.1K	$0
Aaron Yu	WA	Diagnostic Radiology Physician	$283.2K	$0
David Mourning	WA	Orthopaedic Surgery of the Spine Physician	$137.1K	$0

Sea-mar Community Health Center — Billing Profile & Reimbursement Data

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Sea-mar Community Health 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