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.

Prosser Public Hospital District Of Benton County (NPI 1477088391)

Field	Value
Entity Type	Organization
Organization	Prosser Public Hospital District Of Benton County
Address	336 Chardonnay Ave Ste A
City	Prosser
State	WA
ZIP	99350
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	April 28, 2017

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	29,040	$170	$5M
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…	17,710	$50	$867.8K
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…	4,400	$60	$272.9K
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…	1,910	$80	$152.6K
99392	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…	890	$90	$76.1K
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…	280	$70	$19K
99442	N/A	280	$40	$11.5K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	800	$10	$6.4K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	90	$50	$4.3K
98967	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	90	$30	$3K

Showing 1–10 of 33

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

Prosser Public Hospital District Of Benton County — 0 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	118	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…	333	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…	150	1,860	610	$40	$295.5K
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…	76	280	540	$70	$166.5K
99392	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…	112	300	400	$80	$164.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	298	320	290	$70	$104.8K
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…	208	560	140	$70	$88.9K
99204	The provider sees a new 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 provider…	408	530	80	$90	$87.4K
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,…	651	700	180	$50	$59.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	239	280	110	$70	$45.2K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prosser Public Hospital District Of Benton County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prosser Public Hospital District Of Benton County	WA	Critical Access Hospital	$0	$50.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Prosser Public Hospital District Of Benton County	WA	Rural Health Clinic/Center	$0	$5.8M
Prosser Public Hospital District Of Benton County	WA	Rural Health Clinic/Center	$0	$4.6M
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Chiayu Chen	CA	Cardiovascular Disease Physician	$599.9K	$0
Glen Zuroske	WA	Cardiovascular Disease Physician	$372.5K	$0
Fareed Arif	WA	Nephrology Physician	$369.2K	$0
Melvin Wahl	WA	Orthopaedic Surgery of the Spine Physician	$327.4K	$0
Norbert Yee	WA	Diagnostic Radiology Physician	$320.9K	$0

Nearby Providers

Other providers in the same ZIP code as Prosser Public Hospital District Of Benton County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Lin	WA	Dermatology Physician	$195.1K	$0
Ralph Laraiso	WA	Physical Medicine & Rehabilitation Physician	$155.4K	$0
Rebecca Wray	WA	Physician Assistant	$38.6K	$0
Kevin Gurney	WA	Certified Registered Nurse Anesthetist	$4.4K	$0
Reeshma Mohammed	WA	Gerontology Nurse Practitioner	$1.8K	$0

Prosser Public Hospital District Of Benton County — Billing Profile & Reimbursement Data

Sign up for Prosser Public Hospital District Of Benton County — Billing Profile & Reimbursement Data policy alerts

Prosser Public Hospital District Of Benton County — Billing Profile & Reimbursement Data

Sign up for Prosser Public Hospital District Of Benton County — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References