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 2 Skagit County Washington (NPI 1649288176)

Public Hospital District No 2 Skagit County Washington is a rural health clinic/center provider located in Anacortes, Washington. This profile covers 0 Medicare and 17 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	Public Hospital District No 2 Skagit County Washington
Address	2511 M Ave
City	Anacortes
State	WA
ZIP	98221
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	30,430	$120	$3.7M
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…	12,690	$60	$697.9K
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…	2,070	$80	$155K
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…	1,100	$80	$86.6K
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…	820	$90	$70.5K
99203	The provider sees a new 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 provider…	490	$70	$32.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	200	$90	$16.8K
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,…	450	$40	$16.5K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	780	$10	$4.7K
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…	580	$10	$3.5K

Showing 1–10 of 17

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 2 Skagit County Washington — 0 of 16 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	115	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…	503	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…	209	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…	95	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…	115	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.	176	320	290	$70	$104.8K
99203	The provider sees a new 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 provider…	165	560	140	$70	$88.9K
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,…	228	700	180	$50	$59.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	187	580	190	$10	$18K
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…	110	250	320	$10	$16.1K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital District No 2 Skagit County Washington	WA	General Acute Care Hospital	$0	$8.4M
Public Hospital District No 2 Skagit County Washington	WA	Rural Health Clinic/Center	$0	$5.8M
Theodore Kim	AK	Hematology & Oncology Physician	$1.2M	$0
Jesse Kincaid	AK	Neuroradiology Physician	$501K	$0
Helen Young	WA	Internal Medicine Physician	$192.5K	$0
Eric Hoover	MI	Diagnostic Radiology Physician	$151.3K	$0
Vidhu Paliwal	WA	Cardiovascular Disease Physician	$147.7K	$0
Niket Nathani	WA	Critical Care Medicine (Internal Medicine) Physician	$135.8K	$0
Leah Kiviat	WA	Vascular & Interventional Radiology Physician	$130.9K	$0
Kelley Cline	WA	Neuroradiology Physician	$129.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swinomish Health Services	WA	Substance Use Disorder Rehabilitation Clinic/Center	$184.9K	$195.9M
Hill And Stout, PLLC	WA	Pediatric Dentistry	$0	$3.6M
Swinomish Health Services	WA	Substance Abuse Rehabilitation Facility	$0	$3.4M
City Of Anacortes	WA	Land Ambulance	$338.2K	$2.6M
Linda Brown	WA	Ophthalmology Physician	$1M	$0
Kenneth Ellis	WA	Ophthalmology Physician	$957.3K	$0
Wirt Hines	WA	MOHS-Micrographic Surgery Physician	$417K	$0
Walgreen Co	WA	Pharmacy	$328.2K	$0
Nicolas Elizondo	WA	Physician Assistant	$230.4K	$0
Ryan Wisler	WA	Internal Medicine Physician	$185.8K	$0

Public Hospital District No 2 Skagit County Washington — Billing Profile & Reimbursement Data

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Public Hospital District No 2 Skagit County Washington — 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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