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.

Planned Parenthood Of Greater Washington & North Idaho (NPI 1477708469)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Of Greater Washington & North Idaho
Address	1117 Tieton Dr
City	Yakima
State	WA
ZIP	98902
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	November 18, 2008

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9430	Pharmacy compounding and dispensing services	54,830	$100	$5.4M
S4993	Contraceptive pills for birth control	78,920	$30	$2.5M
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…	27,050	$70	$1.9M
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	12,240	$150	$1.8M
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…	14,060	$120	$1.7M
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,…	11,260	$60	$675.4K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	38,220	$10	$535.1K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	18,340	$20	$385.1K
99385	The provider performs a well–patient visit for a patient who is between the ages of 18 and 39.	2,210	$170	$366.2K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	900	$380	$345.8K

Showing 1–10 of 52

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

Planned Parenthood Of Greater Washington & North Idaho — 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	44	60	18,030	$10	$4.1M
S9430	Pharmacy compounding and dispensing services	2	20	1,170	$280	$2.2M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	92	120	2,020	$30	$441.1K
S4993	Contraceptive pills for birth control	1	20	1,120	$30	$385.8K
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…	139	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…	109	1,860	610	$40	$295.5K
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	53	60	1,340	$30	$208.1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	139	140	1,360	$30	$205.2K
J7304	Contraceptive supply, hormone containing patch, each	1	10	350	$580	$169K
90834	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…	115	390	420	$50	$152.3K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Of Greater Washington & North Idaho, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Greater Washington And North Idaho	WA	Women's Health Nurse Practitioner	$0	$2.5M
April Golla	WA	Family Nurse Practitioner	$53.3K	$0
Manuela Orban	ID	Nurse Practitioner	$22.5K	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Of Greater Washington & North Idaho, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yakima Valley Memorial Hospital Association	WA	General Acute Care Hospital	$0	$103.5M
Total Care, Inc.	WA	Home Health Agency	$0	$34.3M
Community Health Of Central Washington	WA	Federally Qualified Health Center (FQHC)	$0	$25.9M
Yakima Valley Memorial Physicians	WA	General Acute Care Hospital	$0	$24.9M
Comprehensive Healthcare	WA	Community/Behavioral Health Agency	$0	$22.9M
American Medical Response Ambulance Service Inc	WA	Ambulance	$1.6M	$10.6M
Howards Medical LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Shc Medical Center - Yakima	WA	General Acute Care Hospital	$0	$6.9M
Yakima Valley Memorial Hospital Association	WA	Pharmacy	$0	$6.2M
Renal Treatment Centers West Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.1M

Planned Parenthood Of Greater Washington & North Idaho — Billing Profile & Reimbursement Data

Sign up for Planned Parenthood Of Greater Washington & North Idaho — Billing Profile & Reimbursement Data policy alerts

Planned Parenthood Of Greater Washington & North Idaho — 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