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.

Northwest Acute Care Specialists PC (NPI 1487811048)

Field	Value
Entity Type	Organization
Organization	Northwest Acute Care Specialists PC
Address	2211 Ne 139th St
City	Vancouver
State	WA
ZIP	98686
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 21, 2008

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	60,300	$90	$5.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	75,920	$70	$5.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	23,530	$40	$870.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,110	$110	$117.1K
99053	The provider renders overnight services at a 24 hour facility.	19,770	$10	$98.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	29,450	$1	$88.4K
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…	320	$100	$31.1K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	160	$130	$21.4K
99217	N/A	120	$40	$5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	70	$50	$3.8K

Showing 1–10 of 16

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

Northwest Acute Care Specialists PC — 2 of 14 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	230	5,440	$90	$1.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	57	230	6,220	$100	$1.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	10	190	5,130	$100	$1.8M
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…	56	120	270	$90	$152K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	34	130	290	$90	$138.1K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	11	20	320	$130	$122.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	202	220	1,570	$10	$83.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	138	150	4,380	$10	$80.1K
99053	The provider renders overnight services at a 24 hour facility.	3	30	2,450	$1	$39.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	18	170	930	$1	$36.2K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northwest Acute Care Specialists PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Acute Care Specialists PC	OR	Emergency Medicine Physician	$0	$42.6M
Jason Bell	OR	Orthopaedic Surgery Physician	$118K	$17.5K
Rebecca Dorsey	OR	Psychiatric/Mental Health Nurse Practitioner	$75.7K	$1.8K
Jerry Lawrence	OR	Emergency Medicine Physician	$74.3K	$0
Scott Fleck	OR	Medical Physician Assistant	$73.3K	$0
Tao Zhu	OR	Emergency Medicine Physician	$60K	$0
Mark Moylan	OR	Emergency Medicine Physician	$58.7K	$0
Alexandra Herndon	WA	Emergency Medicine Physician	$18.8K	$29.5K
Garth Barbee	OR	Emergency Medicine Physician	$37.8K	$0
Marc Houston	OR	Emergency Medicine Physician	$35.5K	$0

Nearby Providers

Other providers in the same ZIP code as Northwest Acute Care Specialists PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Legacy Salmon Creek Hospital	WA	General Acute Care Hospital	$0	$48.7M
Legacy Salmon Creek Hospital	WA	Clinic/Center	$0	$9.9M
Wchs, Inc.	WA	Methadone Clinic	$0	$6.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Joyce Choe	WA	Ophthalmology Physician	$382K	$0
Randall Harada	WA	Interventional Cardiology Physician	$303.2K	$0
Lauren Boudreaux	WA	Dermatology Physician	$168.9K	$0
Mayank Agrawal	WA	Interventional Cardiology Physician	$141.4K	$0
Jason Boyd	WA	Dermatology Physician	$121.6K	$0
Graham Clark	WA	Dermatology Physician	$119K	$0

Northwest Acute Care Specialists PC — Billing Profile & Reimbursement Data

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Northwest Acute Care Specialists PC — 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