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 1 Of King County (NPI 1649209230)

Key Findings

Field	Value
Entity Type	Organization
Organization	Public Hospital District 1 Of King County
Address	400 S 43rd St
City	Renton
State	WA
ZIP	98055
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicaid	$120.6M
Medicare	$0

PUBLIC HOSPITAL DISTRICT 1 OF KING COUNTY reports $120.6M in lifetime Medicaid revenue and has no Medicare billing on file; this makes its population- and revenue-facing footprint effectively Medicaid-dominant rather than dual-payer. The absence of Medicare claims on file should be treated as a material feature of its payer mix when comparing network leverage or reimbursement exposure to peers that bill both payers.

Revenue is highly concentrated in a small set of outpatient and infusion-related services: the precomputed top 3 Medicaid codes by revenue account for 61.4% of this provider's total Medicaid revenue, driven primarily by G0463 ($38.1M, 40.1%), 96361 ($12.6M, 13.3%), and 99283 ($7.6M, 8.0%). This concentration indicates the hospital’s Medicaid revenue base relies heavily on a few high-volume service lines rather than a broad, evenly distributed procedure mix.

G0463’s $38.1M in Medicaid revenue (40.1% of the provider’s Medicaid total) and its rank of #3 of 103 providers in-state (98th percentile; extreme outlier) point to a dominant outpatient assessment and clinic-visit operation. High-volume billing for G0463 suggests extensive use of hospital outpatient clinic encounters for assessment and management as a core business line, and this dominance is substantially above typical state volumes for that code.

Large volumes of IV fluid and infusion codes (96361 $12.6M revenue, rank #3 of 105, 98th percentile, extreme outlier; 96360 and 96365/96366 also appear among top codes with notably above-typical state volumes) indicate a substantial infusion/rehydration treatment program. Coupled with the prominence of G0463, these codes imply the facility operates a high-throughput outpatient infusion and dehydration-management service that materially contributes to Medicaid revenue.

Emergency department evaluation-and-management codes are another major component of activity: 99283 ($7.6M, rank #11 of 234, 96th percentile), 99284 ($4.3M, 95th percentile), 99282 ($4.2M, rank #2 of 144, 99th percentile), and 99285 ($3.1M) all rank well above typical state volumes. This pattern shows the hospital handles a large ED caseload across acuity levels, reinforcing a care model that mixes urgent/emergent visits with high outpatient clinic and infusion throughput.

The facility is a statewide outlier on several public-health testing and therapy codes—87635 (SARS–CoV‑2 amplified probe) ranks #3 of 206 providers in-state, 99th percentile, labeled an extreme outlier, and U0003 also appears in the top codes—indicating a significant role in COVID testing throughput for Medicaid patients. Additionally, high-volume therapy/rehab codes such as 97530 and 97110 (both in very high percentiles) point to robust outpatient rehabilitative services contributing a steady revenue stream.

Competitive standing is mixed by service line: for G0463 and 96361 the provider is a clear statewide leader (top-3 rank and 98th percentile extreme outlier status), while for several diagnostic imaging, endoscopy, and advanced cardiac imaging codes (e.g., 74177, 70450, 93306, 45380) the provider ranks in the 84th–95th percentile range—strong but not dominant. These distinctions imply the hospital can be considered a dominant player for outpatient clinic and infusion care in Washington Medicaid, while remaining a major but not exclusive competitor for many inpatient/diagnostic procedures.

The provider’s NPI was enumerated on 2006-07-03 (~20 years ago), indicating long-established operation in the market; combined with the concentrated Medicaid revenue profile and repeated high-percentile ranks across multiple codes, this tenure supports a sustained, specialized operational focus on ED throughput, outpatient clinic visits, infusion services, and public-health testing for Medicaid populations.

Medicaid: Complete Services Breakdown

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

616 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	418,960	$90	$38.1M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	44,810	$280	$12.6M
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.	71,950	$110	$7.6M
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.	72,610	$60	$4.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	37,810	$110	$4.2M
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.	50,920	$60	$3.1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	16,210	$140	$2.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	16,270	$120	$2M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	43,890	$40	$1.8M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	15,560	$110	$1.8M

Showing 1–10 of 616

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 1 Of King County — 10 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

616 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	100	2,830	$80	$3.8M
J9271	Injection, pembrolizumab, 1 mg	8	10	270	$3,820	$2.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	3	110	5,950	$270	$2.6M
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.	13	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.	11	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.	18	190	5,130	$100	$1.8M
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	6	10	1,470	$400	$1.2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	10	140	2,830	$150	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	15	100	1,940	$70	$1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	7	20	190	$1,670	$956.2K

Showing 1–10 of 616

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Medical Group-renton	WA	General Acute Care Hospital	$0	$28.3M
Reza Masoomi	WA	Interventional Cardiology Physician	$319.1K	$0
Omar Dorzi	WA	Vascular Surgery Physician	$264.4K	$0
Andrew Brockenbrough	WA	Nephrology Physician	$186.3K	$0
Dennis Su	WA	Vascular Surgery Physician	$177.8K	$0
Jason Thompson	WA	Orthopaedic Surgery of the Spine Physician	$172.2K	$0
Amitoj Marwaha	WA	Cardiovascular Disease Physician	$169.9K	$0
Rajib Choudhury	WA	Cardiovascular Disease Physician	$160.9K	$0
George Dolack	WA	Clinical Cardiac Electrophysiology Physician	$140.5K	$0
Hamilton Gillespie	WA	Clinical Cardiac Electrophysiology Physician	$129.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Emergency Room Physicians, Inc P.s.	WA	Emergency Medicine Physician	$0	$12M
Retina Institute, PLLC	WA	Retina Specialist (Ophthalmology) Physician	$0	$5.5M
Valley Children's Clinic	WA	Pediatric Adolescent Medicine Physician	$0	$5.2M
Proliance Surgery Center At Valley, LLC	WA	Ambulatory Surgical Clinic/Center	$3.3M	$0
Vantage Radiology & Diagnostic Services, A Professional Services Corp	WA	Diagnostic Radiology Physician	$0	$2.6M
George Ko	WA	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Kenneth Fung	WA	Ophthalmology Physician	$1.6M	$0
Renton Regional Fire Authority	WA	Land Ambulance	$229.9K	$186.7K
Craig Fujisaki	WA	Dermatology Physician	$376.9K	$0
Timothy Alton	WA	Orthopaedic Surgery Physician	$313.4K	$0

Public Hospital District 1 Of King County — Billing Profile & Reimbursement Data

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Public Hospital District 1 Of King County — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References