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.

Peaks And Plains Medical, Inc. (NPI 1487608949)

Field	Value
Entity Type	Organization
Organization	Peaks And Plains Medical, Inc.
Address	13524 E Sprague Ave Ste 2
City	Spokane Valley
State	WA
ZIP	99216
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$6.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	9,930	$90	$933.5K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	9,350	$80	$748.3K
A4927	Gloves, non-sterile, per 100	34,350	$20	$652.6K
T4541	Incontinence product, disposable underpad, large, each	13,250	$50	$636.1K
T4537	Incontinence product, protective underpad, reusable, bed size, each	15,260	$40	$625.5K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	18,420	$30	$534.1K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	5,700	$90	$501.2K
A4335	Incontinence supply; miscellaneous	13,590	$30	$353.4K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	3,800	$80	$296.2K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	2,720	$90	$247.1K

Showing 1–10 of 24

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

Peaks And Plains Medical, Inc. — 0 of 23 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T4543	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each	9	10	1,750	$230	$786.1K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	9	50	1,230	$90	$667.8K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	10	40	1,140	$90	$504.3K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	9	50	920	$70	$497.1K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	11	20	2,520	$100	$491.8K
T4544	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each	11	20	1,410	$160	$484.6K
T4541	Incontinence product, disposable underpad, large, each	8	60	1,310	$40	$433.9K
T4537	Incontinence product, protective underpad, reusable, bed size, each	8	50	2,140	$40	$416.6K
A4927	Gloves, non-sterile, per 100	10	80	2,930	$20	$408K
A4335	Incontinence supply; miscellaneous	5	20	6,970	$30	$393.5K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Peaks And Plains Medical, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Geneva Woods Health Supplies Pnw, LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$23.7M
Geneva Woods Health Supplies Pnw, LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$11M

Nearby Providers

Other providers in the same ZIP code as Peaks And Plains Medical, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	WA	Home Infusion Therapy Pharmacy	$27.8K	$41.8M
Incyte Pathology, PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$0	$27.5M
Multicare Health System	WA	General Acute Care Hospital	$0	$24.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$18.1M
American Behavioral Health Systems, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$9.5M
Kirk Fuhriman PLLC	WA	Dentist	$0	$5.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$3.4M
Incyte Pathology, PLLC	WA	Clinical Medical Laboratory	$3.2M	$159.4K
Lincare Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.1M
J Blake, Dmd, Ps	WA	Pediatric Dentistry	$0	$3.1M

Peaks And Plains Medical, Inc. — Billing Profile & Reimbursement Data

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Peaks And Plains Medical, Inc. — 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