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.

Peacehealth (NPI 1487904546)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peacehealth
Address	2901 Squalicum Parkway
City	Bellingham
State	WA
ZIP	98225
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	September 17, 2012

Payer Source	Total Paid
Medicaid	$47.1M
Medicare	$0

PEACEHEALTH in BELLINGHAM, WA shows an effectively single‑payer footprint: there is no Medicare billing on file and all reported lifetime public revenue is Medicaid‑based totaling $47.1M. This concentration means the provider’s public‑payer volume and financial exposure are driven entirely by Medicaid reimbursement patterns rather than a mixed Medicare/Medicaid book of business.

Revenue concentration is high: the provider’s top three Medicaid codes—96361 ($8.9M, 22.2% of Medicaid revenue), 99283 ($5.1M, 12.6%), and G0463 ($3.9M, 9.8%)—together account for 44.6% of the $47.1M Medicaid total. Those three services alone drive nearly half of reported Medicaid revenue, indicating a narrow set of service lines disproportionately responsible for topline public revenue.

The code mix and volumes point to a high‑throughput emergency and acute care operation. Multiple ED E/M codes have large claim counts (99283: 44.4K claims, $5.1M; 99284: 45.5K claims, $3.7M; 99285: 54.1K claims, $2.9M; 99282: 10.5K claims, $1.1M) and G0463 has 73.1K claims, $3.9M, consistent with a busy hospital outpatient/ED assessment and management practice. This pattern suggests core reliance on emergency visits and hospital outpatient clinic encounters for Medicaid revenue.

Infusion and infusion‑related services are a major revenue driver for this hospital: 96361 is the largest single Medicaid line at $8.9M (32K claims, 22.2% of Medicaid revenue), and related infusion codes 96365 (17.4K claims, $1.5M), 96366 (7.7K claims, $1.3M), and 96360 (9.3K claims, $1M) also appear among top contributors. The mix indicates substantial IV therapy and infusion throughput—either ED‑based or in an outpatient infusion setting—making infusion care a strategic service line for Medicaid patients.

Imaging and diagnostics are prominent and support the acute care profile: high volumes and revenue for CT and imaging codes include 74177 (11.2K claims, $1.8M), 70450 (10.5K claims, $1.4M), 74176 (3.7K claims, $564.9K), 71275 (2.6K claims, $392.3K), and cardiac imaging 93306 (6K claims, $1.2M) and 78452 ($635.1K). These figures reflect in‑house advanced imaging and cardiac diagnostic capacity typical of a rural acute care hospital with substantial ED and inpatient imaging demand.

Competitive standing in‑state is mixed by service line: PEACEHEALTH is a leading provider for several infusion and testing codes (96361 ranks #6 of 105, 95th percentile and labeled notably above typical; 96365 ranks #9 of 101, 92nd percentile), indicating above‑typical market share for infusion services. At the same time, some ED E/M ranks are more mid‑to‑high (99283 ranks #28 of 234, 88th percentile; 99284 ranks #32 of 225, 86th percentile) and are described as typical or unremarkable in state volume, showing it is an important but not necessarily dominant statewide ED provider across all acuity levels.

PEACEHEALTH is an extreme outlier for respiratory pathogen testing volumes: 87631 ranks #1 of 61 providers in‑state (100th percentile) and 87635 ranks #4 of 206 (99th percentile), both flagged as extreme outliers and far above typical state volume. These testing outlier positions, coupled with large claims counts for 87635 (28.2K claims, $732.1K), indicate unusually high laboratory throughput for infectious disease testing relative to peers.

The provider has an established operational tenure: the NPI was enumerated on 2012-09-17 (~14 years ago), which aligns with the scale of reported Medicaid activity and the breadth of acute, imaging, infusion, and diagnostic services. Taken together, the length of enumeration plus the high Medicaid volumes suggest a mature rural acute care hospital with operational emphasis on ED/outpatient assessment, IV therapy, and high diagnostic/testing capacity.

Medicaid: Complete Services Breakdown

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

365 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	32,040	$280	$8.9M
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.	44,360	$110	$5.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	73,110	$50	$3.9M
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.	45,500	$80	$3.7M
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.	54,120	$50	$2.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11,210	$160	$1.8M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	17,400	$90	$1.5M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	10,470	$130	$1.4M
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	7,720	$170	$1.3M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5,980	$200	$1.2M

Showing 1–10 of 365

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

Peacehealth — 5 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

365 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	100	2,830	$80	$3.8M
J9271	Injection, pembrolizumab, 1 mg	10	10	270	$3,820	$2.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	6	110	5,950	$270	$2.6M
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.	32	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.	28	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.	15	190	5,130	$100	$1.8M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	22	140	2,830	$150	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	73	100	1,940	$70	$1M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	43	170	2,120	$40	$779.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	9	100	3,660	$100	$635.7K

Showing 1–10 of 365

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
Peacehealth	WA	Ambulatory Surgical Clinic/Center	$473.2K	$795.5K
John Zimmermann	AK	Medical Oncology Physician	$1.2M	$570
Karman Tandon	WA	Cardiovascular Disease Physician	$248.5K	$0
John Macgregor	WA	Clinical Cardiac Electrophysiology Physician	$241.4K	$0
Georges Ghafari	MI	Cardiovascular Disease Physician	$232K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$33.7M
Whatcom Medic One	WA	Land Ambulance	$894.1K	$20.7M
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$20.1M
Northwest Pathology PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$860.5K	$17.8M
Northwest Regional Council	WA	Transportation Broker	$0	$11.4M
Lake Whatcom Residential & Treatment Center	WA	Community/Behavioral Health Agency	$0	$10.3M
Total Renal Care, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.9M
Catholic Community Services Of Western Washington	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.8M
Apple Pediatric Dentistry	WA	Pediatric Dentistry	$0	$5.8M
Wchs, Inc	WA	Methadone Clinic	$141.1K	$4.5M

Peacehealth — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References