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.

Public Hospital District No 1 Of Mason County (NPI 1619180213)

Field	Value
Entity Type	Organization
Organization	Public Hospital District No 1 Of Mason County
Address	247 Professional Way
City	Shelton
State	WA
ZIP	98584
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 8, 2007

Payer Source	Total Paid
Medicaid	$3.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	19,360	$130	$2.6M
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…	7,450	$60	$439.4K
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…	2,270	$90	$197.1K
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…	2,430	$80	$196.6K
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…	2,270	$90	$195.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,220	$40	$53.6K
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,…	1,410	$30	$47.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	500	$90	$43.6K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	2,000	$10	$12K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	1,680	$10	$8.4K

Showing 1–10 of 40

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

Public Hospital District No 1 Of Mason County — 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	159	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…	479	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…	301	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…	68	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…	69	300	400	$80	$164.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	132	390	420	$50	$152.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	130	320	290	$70	$104.8K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	18	30	450	$70	$66.9K
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,…	113	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.	218	280	110	$70	$45.2K

Showing 1–10 of 40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Public Hospital District No 1 Of Mason County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital District No 1 Of Mason County	WA	Critical Access Hospital	$0	$72.3M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$35.5M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$3.9M
Ryan Halpin	WA	Neurological Surgery Physician	$756.1K	$0
Andrew Manista	WA	Orthopaedic Surgery Physician	$454.4K	$0
Darrin Trask	WA	Orthopaedic Surgery Physician	$241.1K	$0
Ross Vogelgesang	WA	Pain Medicine (Anesthesiology) Physician	$228.8K	$0
Jerome Zechmann	WA	Orthopaedic Surgery Physician	$214K	$0
Yong Shin	WA	Internal Medicine Physician	$208.3K	$0
Milan Moore	WA	Orthopaedic Surgery Physician	$181.6K	$0

Nearby Providers

Other providers in the same ZIP code as Public Hospital District No 1 Of Mason County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Indian Treatment Center	WA	Clinic/Center	$0	$17.3M
Fire Protection Dist 5 Mason County	WA	Land Ambulance	$766.4K	$6.9M
Squaxin Island Medical Encounter	WA	Health Service Clinic/Center	$0	$4.6M
Northwest Resources Ii	WA	Addiction (Substance Use Disorder) Counselor	$0	$3.9M
Squaxin Island Tribe	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Skokomish Tribal Council	WA	Family Medicine Physician	$0	$3.1M
Patrick Kwong	WA	General Practice Dentistry	$0	$2.5M
Gregory Fulling	WA	Physical Therapist	$65.8K	$0
Edward Herman	WA	Clinical Social Worker	$27K	$0

Public Hospital District No 1 Of Mason County — Billing Profile & Reimbursement Data

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Public Hospital District No 1 Of Mason County — 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