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.

Mt. Rainier Emergency Physicians, PLLC (NPI 1538104476)

Mt. Rainier Emergency Physicians, PLLC is a emergency medicine physician provider located in Puyallup, Washington. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Mt. Rainier Emergency Physicians, PLLC
Address	401 15th Ave Se
City	Puyallup
State	WA
ZIP	98372
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$5M
Medicare	$0

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

12 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.	25,830	$80	$2.1M
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.	26,620	$60	$1.7M
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.	11,370	$40	$397.9K
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…	2,400	$120	$293K
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…	2,890	$100	$280.2K
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…	1,930	$100	$188.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	23,090	$1	$69.3K
99220	N/A	170	$80	$13.5K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	5,810	$1	$11.6K
99235	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…	60	$90	$5.4K

Showing 1–10 of 12

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

Mt. Rainier Emergency Physicians, PLLC — 0 of 12 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

12 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.	57	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.	92	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.	42	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…	18	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…	24	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…	3	20	320	$130	$122.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22	170	930	$1	$36.2K
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…	61	100	100	$40	$31.7K
99220	N/A	11	30	80	$70	$20.5K
99235	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…	4	10	60	$100	$9.7K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Hirsig	WA	Emergency Medicine Physician	$66.6K	$0
Stephen Barnhart	MN	Emergency Medicine Physician	$59.4K	$0
Matthew Hoertkorn	WA	Emergency Medicine Physician	$56.2K	$0
Peter Mccahill	NC	Emergency Medicine Physician	$50.9K	$0
Jason Stone	HI	Emergency Medicine Physician	$47.3K	$0
Steven Salcido	ND	Emergency Medicine Physician	$41.1K	$0
Stephen Pieniak	WA	Emergency Medical Services (Emergency Medicine) Physician	$40K	$0
Paul Satterlee	MN	Emergency Medicine Physician	$37.4K	$0
Jeffrey Gerton	HI	Emergency Medicine Physician	$31.5K	$0
Wynn-c Kwan	LA	Emergency Medicine Physician	$23.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$77.8M
Multicare Health System	WA	Community/Behavioral Health Agency	$0	$48.2M
Agata A Pikula Dds PLLC	WA	Dental Clinic/Center	$0	$4.8M
United Wound Healing Ps	WA	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$0	$2.8M
Mazen Dahan	WA	Pediatrics Physician	$0	$2.6M
Neospine Puyallup Spine Center, LLC	WA	Ambulatory Surgical Clinic/Center	$609.8K	$0
Nathan Bittner	WA	Radiation Oncology Physician	$568.9K	$0
Cris Perez	WA	Family Medicine Physician	$226.6K	$0
Mohammed Baccora	WA	Nephrology Physician	$195.3K	$0
Tiffany Forquer	WA	Physician Assistant	$195K	$0

Mt. Rainier Emergency Physicians, PLLC — Billing Profile & Reimbursement Data

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Mt. Rainier Emergency Physicians, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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