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.

Commonspirit Washington Community Care (NPI 1518912609)

Key Findings

Field	Value
Entity Type	Organization
Organization	Commonspirit Washington Community Care
Address	1800 Nw Myhre Rd
City	Silverdale
State	WA
ZIP	98383
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$66.2M
Medicare	$0

This provider is effectively single-payer on file: there is no Medicare billing on file and total Medicaid revenue reported is $66.2M, so all observed billing activity in the dataset is concentrated in Medicaid rather than split across Medicare and Medicaid. Analysts should treat Medicaid as the primary commercial data source for any utilization, network or rate benchmarking for this entity.

Revenue concentration is high: the precomputed top three Medicaid codes account for 45.2% of the provider's total Medicaid revenue, driven by G0463 ($11.4M, 22.2%), 99283 ($6.7M, 13.2%), and 96361 ($5M, 9.8%). This degree of concentration indicates that changes in reimbursement or utilization for outpatient clinic visits, ED evaluation-and-management at the lower end, or IV-fluid administration could meaningfully shift overall Medicaid revenue.

The code mix points to a hospital operation with heavy emergency and outpatient throughput: G0463 (hospital outpatient clinic visit), multiple ED E/M codes (99282–99285) and high-count ED codes such as 99283 (61.3K claims, $6.7M) and 99284 (54.2K claims, $4.9M) show large ED and urgent-care volume, while G0463 (117.4K claims, $11.4M) signals substantial outpatient clinic assessment activity. Together these codes suggest the site functions as a high-volume acute care facility with strong ED-to-outpatient clinic flows rather than a narrow specialty center.

Infusion, hydration and oncology services are material contributors to Medicaid revenue: 96361 ($5M, 18.1K claims) and other infusion codes (96365, 96366, 96360) appear throughout the top codes, and oncology-related codes such as J9271 (pembrolizumab, $1.4M) and chemotherapy add-ons (96413, 96415) are present. This mix indicates operational capacity for frequent IV treatments and some oncology infusion services, implying staffing and infusion-suite resource requirements.

Imaging, laboratory and therapy services support the acute-care profile: CT codes (74177, 74176, 70450, 71275), ultrasound 76705, the comprehensive metabolic panel 80053 (106.8K claims, $534K) and therapy codes 97110/97530 appear in the top 25, reflecting on-site diagnostics and rehabilitative services that complement ED and outpatient visits. Many of these diagnostics rank in upper state percentiles (for example 80053 at the 96th percentile), suggesting above-average utilization of ancillary services for Medicaid patients.

State competitive standing is mixed but regionally strong: several top Medicaid codes rank in high state percentiles (e.g., 99283 at the 95th percentile, G0463 at the 88th percentile, 80053 at the 96th percentile), which points to a meaningful presence in Washington Medicaid markets, yet most of those high-percentile codes are described as "typical, unremarkable volume" in the source, indicating high volume without being a clear statewide outlier across multiple lines. Analysts should interpret this as a solid, high-volume regional provider rather than a statewide monopoly.

There is at least one explicit statistical outlier in the source labels: 99282 is flagged as "notably above typical state volume" (ranks #10 of 144, 94th percentile), highlighting unusually high utilization for straightforward ED E/M visits relative to peers. At the same time, many other high-ranking codes retain the "typical, unremarkable volume" label, so reviewers should prioritize 99282 for further investigation into practice patterns or coding mix changes while treating other high-percentile codes as part of normal high-volume operations.

The provider has long tenure in the NPI registry, enumerated on 2006-05-24 (~20 years ago), which supports interpreting current patterns as established operational behavior rather than transient startup effects; longitudinal analyses should consider this long-standing presence when comparing year-over-year shifts in Medicaid utilization or service mix.

Medicaid: Complete Services Breakdown

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

523 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	117,440	$100	$11.4M
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.	61,330	$110	$6.7M
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.	18,140	$280	$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.	54,210	$90	$4.9M
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.	32,110	$100	$3.1M
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…	28,170	$70	$1.9M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	19,450	$100	$1.9M
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.	11,490	$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.	14,780	$110	$1.6M
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.	6,470	$230	$1.5M

Showing 1–10 of 523

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

Commonspirit Washington Community Care — 1 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

523 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	13	100	2,830	$80	$3.8M
J9271	Injection, pembrolizumab, 1 mg	6	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.	19	110	5,950	$270	$2.6M
J9299	Injection, nivolumab, 1 mg	2	10	1,260	$1,790	$2.2M
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.	21	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.	13	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.	36	190	5,130	$100	$1.8M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	7	10	130	$370	$1.3M
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	9	10	1,470	$400	$1.2M
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.	20	140	2,830	$150	$1.1M

Showing 1–10 of 523

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$4.5M
Manas Jain	WA	Urology Physician	$489.2K	$0
Satyavardhan Pulukurthy	WA	Interventional Cardiology Physician	$394.9K	$0
Christopher Johnson	WA	Cardiovascular Disease Physician	$361.2K	$0
Justin Penn	WA	Cardiovascular Disease Physician	$328.8K	$0
Raul Dominguiano	WA	Family Medicine Physician	$319K	$0
Gary Gretch	WA	Internal Medicine Physician	$315.7K	$0
Matthew Voorsanger	WA	Cardiovascular Disease Physician	$287.2K	$0
Frederick Dore	WA	Internal Medicine Physician	$275.4K	$0
Michael Steele	WA	Internal Medicine Physician	$274.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Kitsap Fire & Rescue 1	WA	Land Ambulance	$727.8K	$11M
West Sound Emergency Physicians, PLLC	WA	Emergency Medicine Physician	$0	$8.3M
Franciscan Medical Group	WA	Internal Medicine Physician	$0	$7.7M
David Spinak	WA	Ophthalmology Physician	$4.1M	$0
Mark Heinemann	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.3M
Easter Seals Washington	WA	Community/Behavioral Health Agency	$0	$3.3M
Adrian Omalley	WA	Ophthalmology Physician	$3M	$0
Salmon Surgery Center LLC	WA	Ambulatory Surgical Clinic/Center	$2.3M	$44.3K
Todd Schneiderman	WA	Ophthalmology Physician	$2.3M	$0
Surgery Center Of Silverdale LLC	WA	Ambulatory Surgical Clinic/Center	$1.5M	$0

Commonspirit Washington Community Care — Billing Profile & Reimbursement Data

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Commonspirit Washington Community Care — 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