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 Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska 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. Alaska (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.

Providence Health & Services Washington (NPI 1467547265)

Field	Value
Entity Type	Organization
Organization	Providence Health & Services Washington
Address	3200 Providence Drive
City	Anchorage
State	AK
ZIP	99506
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	14,850	$70	$1.1M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	9,760	$70	$644.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	82,290	$10	$576K
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…	3,160	$120	$382.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,000	$60	$122.2K
99443	N/A	150	$90	$13.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	130	$80	$10.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	330	$30	$8.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$180	$4.6K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	100	$30	$2.9K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alaska Distribution

Providence Health & Services Washington — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	18	30	1,280	$210	$1.3M
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…	23	490	680	$260	$1M
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…	83	440	580	$170	$458.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1	20	890	$200	$417.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	26	40	450	$100	$318.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	22	50	940	$70	$294.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	32	30	330	$200	$189K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	43	110	200	$140	$184.1K
99443	N/A	16	40	50	$390	$171.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	23	30	150	$170	$119K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Providence Health & Services Washington, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Providence Health & Services - Washington	AK	Psychiatry Physician	$0	$12.7M
Providence Health & Services- Washington	AK	Critical Care Medicine (Internal Medicine) Physician	$0	$10.6M
Ahmed Abuzaid	AK	Cardiovascular Disease Physician	$544.1K	$0
Nadine Baker	AK	Psychologist	$523.2K	$0
Jacob Kelly	AK	Advanced Heart Failure and Transplant Cardiology Physician	$495.1K	$0
Lina Bautista	AK	Child & Adolescent Psychiatry Physician	$0	$495K
Alan Skolnick	AK	Cardiovascular Disease Physician	$473.3K	$0
Hung Vo	AK	Cardiovascular Disease Physician	$425.8K	$0
Kwanghee Kim	AK	Internal Medicine Physician	$405K	$0

Nearby Providers

Other providers in the same ZIP code as Providence Health & Services Washington, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darren Shirley	AK	Diagnostic Radiology Physician	$951K	$0
Kenneth Boomgaard	AK	Family Medicine Physician	$296.3K	$0
Ross Dodge	AK	Internal Medicine Physician	$117.5K	$0
Nathan Frank	AK	Optometrist	$116.5K	$0
Paul Basel	AK	Emergency Medicine Physician	$114K	$0
Jaron Coombs	AK	Emergency Medicine Physician	$107.9K	$0
David Otten	AK	Emergency Medicine Physician	$107.1K	$0
Devin Burrup	AK	Emergency Medicine Physician	$100K	$0
Zachary Gibson	AK	Emergency Medicine Physician	$92.9K	$0
David Bigelow	AK	Diagnostic Radiology Physician	$92.8K	$0

Providence Health & Services Washington — Billing Profile & Reimbursement Data

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Providence Health & Services Washington — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References