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.

Sea Mar Community Health Centers (NPI 1598813818)

Field	Value
Entity Type	Organization
Organization	Sea Mar Community Health Centers
Address	926 E Whidbey Ave
City	Oak Harbor
State	WA
ZIP	98277
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	18,810	$120	$2.2M
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,110	$50	$143K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	2,790	$40	$114.4K
D0140	Limited oral evaluation – problem focused	4,090	$30	$102.3K
D2391	Resin‑based composite – one surface, posterior	1,660	$50	$86.5K
D0150	Comprehensive oral evaluation – new or established patient	1,920	$40	$70.9K
D0210	Intraoral - complete series of radiographic images	1,910	$40	$70.6K
D2392	Post 2 surface resin‑based composite	970	$70	$63.9K
D0120	Periodic oral evaluation - established patient	2,160	$30	$62.5K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2,730	$20	$51.9K

Showing 1–10 of 27

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

Sea Mar Community Health Centers — 0 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	162	650	4,110	$250	$4.9M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	159	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	272	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	312	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	167	480	670	$50	$119.5K
D1120	Prophylaxis–child	712	730	690	$20	$112.8K
D1351	Sealant - per tooth	365	400	1,120	$20	$103.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	89	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	228	730	730	$20	$98.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	134	660	620	$30	$76.1K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sea Mar Community Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sea-mar Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$42.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$14.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$12.1M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$9.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Sea-mar Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$8M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$7.8M

Nearby Providers

Other providers in the same ZIP code as Sea Mar Community Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
L.e.a.p.s And Beyond, Inc	WA	Community/Behavioral Health Agency	$0	$6.5M
Pediatric Associates Of Whidbey Island, Ps	WA	Pediatrics Physician	$0	$5M
Preferred Podiatry Group PC	WA	Podiatrist	$0	$4.7M
Whidbey Island Public Hospital District	WA	Rural Health Clinic/Center	$0	$3M
Whidbey Island Public Hospital District	WA	Rural Health Clinic/Center	$0	$2.7M
Reese Bliek	WA	Medical Physician Assistant	$508.7K	$0
Robert Johnson	WA	Ophthalmology Physician	$365.8K	$0
Walgreen Co	WA	Pharmacy	$175.8K	$400
Robert Lycksell	WA	Family Medicine Physician	$152.3K	$0
Soas, LLC	WA	Pharmacy	$70.1K	$1.2K

Sea Mar Community Health Centers — Billing Profile & Reimbursement Data

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Sea Mar Community Health Centers — 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