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.

Chehalis Children's Clinic Ps (NPI 1609957612)

Chehalis Children's Clinic Ps is a rural health clinic/center provider located in Chehalis, Washington. This profile covers 0 Medicare and 43 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	Chehalis Children's Clinic Ps
Address	370 S Market Street
City	Chehalis
State	WA
ZIP	98532
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	64,170	$60	$3.9M
T1015	Clinic visit/encounter, all-inclusive	82,260	$40	$3M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,490	$80	$285.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,650	$80	$277.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,550	$80	$206.8K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	3,030	$40	$124.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,310	$90	$115.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	5,140	$20	$77.1K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	780	$30	$19.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	500	$40	$17.5K

Showing 1–10 of 43

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

Chehalis Children's Clinic Ps — 4 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

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	28	650	4,110	$250	$4.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,418	1,820	480	$60	$379.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	45	1,860	610	$40	$295.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	52	280	540	$70	$166.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	53	300	400	$80	$164.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	53	320	290	$70	$104.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	219	700	180	$50	$59.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	36	280	110	$70	$45.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	172	250	110	$60	$41.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	181	550	400	$1	$36.5K

Showing 1–10 of 43

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lewis County Community Health Services	WA	Federally Qualified Health Center (FQHC)	$0	$25.2M
Eugenia Center	WA	Substance Abuse Rehabilitation Facility	$0	$11.1M
Lewis County Community Health Services	WA	Federally Qualified Health Center (FQHC)	$0	$6.7M
American Behavioral Health Systems, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$3.3M
American Behavioral Health Systems, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$3.2M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$3M
L G Steck Memorial Clinic P S	WA	Multi-Specialty Clinic/Center	$0	$2.6M
Pacific Cataract And Laser Institute Inc PC	WA	Ambulatory Surgical Clinic/Center	$1.5M	$411.9K
Rochelle Cochrane	WA	Ophthalmology Physician	$656.2K	$0
Jason Leng	WA	Ophthalmology Physician	$585.5K	$0

Chehalis Children's Clinic Ps — Billing Profile & Reimbursement Data

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Chehalis Children's Clinic Ps — 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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Frequently Asked Questions

References