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.

Surgical Associates Northwest, PC (NPI 1629016555)

Field	Value
Entity Type	Organization
Organization	Surgical Associates Northwest, PC
Address	34612 6th Ave S
City	Federal Way
State	WA
ZIP	98003
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicare	$150.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
30140	This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).	110	$680	$75.1K
52356	The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…	20	$1,930	$30.8K
30117	In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure.	60	$490	$28.9K
52235	The provider inspects the urethra, prostatic urethra (in men), the interior of the bladder, and ureteric openings using a cystoscope passed through the urethra and into the bladder; he destroys…	10	$1,220	$15.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Surgical Associates Northwest, PC — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
30117	1	10	40	$460	$19.4K
30140	1	20	30	$390	$14.1K
52356	47	70	20	$400	$8.1K
52235	8	10	10	$310	$4.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Surgical Associates Northwest, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Stern	WA	Otolaryngology Physician	$395K	$0
Yi Hsieh	WI	Urology Physician	$299K	$0
Stephen King	WA	Urology Physician	$275.7K	$0
Ken Haberman	WA	Urology Physician	$155.8K	$0
Anthony Caruso	WA	Urology Physician	$135.9K	$0
Richard Johnston	WA	Urology Physician	$119.4K	$0
David Johnson	WA	Otolaryngology Physician	$91.8K	$0
Dick Hoistad	WA	Otolaryngology Physician	$78.8K	$0
Lachelle Drollman	WA	Family Nurse Practitioner	$51.5K	$0

Nearby Providers

Other providers in the same ZIP code as Surgical Associates Northwest, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashley House	WA	Nursing Care Agency	$0	$46.5M
St Francis Community Hospital	WA	General Acute Care Hospital	$0	$44.7M
Wei Guo, Dmd,md,pllc	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$8.3M
Multicare Health System	WA	Pediatrics Physician	$0	$6.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$6.8M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$6.8M
Bridging Care, LLC	WA	Community/Behavioral Health Agency	$0	$6.5M
Ellen Polsky Dds And Bobby Virk Dmd, Ps	WA	Pediatric Dentistry	$0	$5.8M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$4.2M
Pediatric Specialty Practices, PLLC	WA	Pediatrics Physician	$0	$3.7M

Surgical Associates Northwest, PC — Billing Profile & Reimbursement Data

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Surgical Associates Northwest, PC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References