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.

Daiya Healthcare PLLC (NPI 1477027381)

Field	Value
Entity Type	Organization
Organization	Daiya Healthcare PLLC
Address	11120 Ne 33rd Pl Ste 202
City	Bellevue
State	WA
ZIP	98004
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 14, 2019

Payer Source	Total Paid
Medicaid	$8.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	129,940	$30	$4M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	116,020	$20	$2.8M
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	8,610	$50	$421.9K
99441	N/A	26,660	$10	$293.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	18,820	$10	$263.4K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	24,970	$10	$249.7K
99442	N/A	5,820	$20	$104.8K
99358	Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient.	3,540	$30	$95.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	5,930	$20	$94.8K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	4,340	$20	$65.1K

Showing 1–10 of 48

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

Daiya Healthcare PLLC — 13 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

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	58	170	580	$30	$270.4K
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…	83	140	490	$40	$268.5K
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…	53	120	270	$90	$152K
99336	N/A	32	50	730	$30	$98.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	51	80	210	$50	$91K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	42	70	230	$20	$83.4K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1	60	150	$30	$80.7K
90832	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…	263	340	510	$30	$80K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	110	380	$20	$72.9K
G0127	Trimming of dystrophic nails, any number	10	20	250	$1	$58K

Showing 1–10 of 48

Related Providers

Other providers that share a Tax Identification Number (TIN) with Daiya Healthcare PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Sumana Ketha	TX	Internal Medicine Physician	$605.1K	$500
Haramandeep Singh	CA	Sleep Medicine (Psychiatry & Neurology) Physician	$592.2K	$0
Jacques Sainvil	NY	Adult Health Nurse Practitioner	$242.5K	$260.8K
Valerie Reed	WA	Nurse Practitioner	$267.3K	$33.5K
Radu Butuc	NM	Internal Medicine Physician	$287.9K	$0
Navdeep Dhaliwal	WA	Internal Medicine Physician	$248.8K	$12.2K
Neel Chheda	WA	Internal Medicine Physician	$254.8K	$0
Manisha Ramdev	WA	Family Nurse Practitioner	$254.1K	$0
Yekaba Ayelegne	CO	Family Nurse Practitioner	$228K	$0

Nearby Providers

Other providers in the same ZIP code as Daiya Healthcare PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Language Service, Inc.	WA	Contractor	$0	$103.7M
Overlake Medical Center & Clinics	WA	General Acute Care Hospital	$0	$16.6M
Steve Kim	WA	Ophthalmology Physician	$3.4M	$20
David Saperstein	WA	Ophthalmology Physician	$3.3M	$100
Andrew Barloon	WA	Ophthalmology Physician	$2.7M	$20
Puget Sound Physicians PLLC	WA	Emergency Medicine Physician	$0	$2.5M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Charles Birnbach	WA	Ophthalmology Physician	$2.4M	$0
Todd Klesert	WA	Ophthalmology Physician	$2.1M	$0
Robert Nash	WA	Ophthalmology Physician	$1.9M	$20

Daiya Healthcare PLLC — Billing Profile & Reimbursement Data

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Daiya Healthcare PLLC — 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