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.

Whidbey Island Public Hospital District (NPI 1467497636)

Whidbey Island Public Hospital District is a rural health clinic/center provider located in Oak Harbor, Washington. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Whidbey Island Public Hospital District
Address	1300 Ne Goldie St
City	Oak Harbor
State	WA
ZIP	98277
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	June 19, 2006

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	17,580	$140	$2.4M
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…	12,850	$40	$462.7K
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…	3,550	$50	$163.2K
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…	140	$60	$8.8K
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,…	350	$20	$7.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$90	$1.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	10	$90	$1.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	140	$10	$820
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	50	$10	$550
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	30	$1	$30

Showing 1–10 of 11

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

Whidbey Island Public Hospital District — 0 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	172	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…	381	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…	206	1,860	610	$40	$295.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	435	540	130	$90	$128.6K
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…	277	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,…	258	700	180	$50	$59.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	147	170	150	$70	$50.6K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	435	580	190	$10	$18K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	332	550	260	$10	$12.2K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	102	140	140	$20	$9.7K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Whidbey Island Public Hospital District	WA	Critical Access Hospital	$0	$31.5M
Whidbey Island Public Hospital District	WA	Rural Health Clinic/Center	$0	$2.7M
Xiaowen Wang	WA	Hematology & Oncology Physician	$714.4K	$0
Peter Jiang	WA	Hematology & Oncology Physician	$655.5K	$0
Amir Mehrvarz Sarshekeh	WA	Hematology & Oncology Physician	$651.1K	$0
Andrew Yang	WA	Hematology & Oncology Physician	$599.7K	$0
Sean Whalen	NY	Nuclear Medicine Physician	$555.5K	$0
Jesse Kincaid	AK	Neuroradiology Physician	$501K	$0
Ashley Lee	CA	Diagnostic Radiology Physician	$378.1K	$0
Robert Johnson	WA	Ophthalmology Physician	$365.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
L.e.a.p.s And Beyond, Inc	WA	Community/Behavioral Health Agency	$0	$6.5M
Pediatric Associates Of Whidbey Island, Ps	WA	Pediatrics Physician	$0	$5M
Preferred Podiatry Group PC	WA	Podiatrist	$0	$4.7M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.1M
Reese Bliek	WA	Medical Physician Assistant	$508.7K	$0
Walgreen Co	WA	Pharmacy	$175.8K	$400
Robert Lycksell	WA	Family Medicine Physician	$152.3K	$0
Soas, LLC	WA	Pharmacy	$70.1K	$1.2K
Laurie Harrison	WA	Physical Therapist	$49.3K	$0
David Lemme	WA	Family Medicine Physician	$44.7K	$0

Whidbey Island Public Hospital District — Billing Profile & Reimbursement Data

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Whidbey Island Public Hospital District — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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