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.

Wenatchee Valley Hospital (NPI 1649517467)

Field	Value
Entity Type	Organization
Organization	Wenatchee Valley Hospital
Address	100 Highline Dr
City	East Wenatchee
State	WA
ZIP	98802
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 14, 2013

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	37,330	$150	$5.5M
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…	20,190	$60	$1.2M
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…	7,520	$50	$405.9K
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…	730	$90	$68.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	720	$90	$66K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1,350	$40	$59.4K
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…	600	$90	$52.9K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	510	$80	$40.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	250	$100	$24.3K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	120	$110	$13.7K

Showing 1–10 of 27

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

Wenatchee Valley Hospital — 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	92	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…	244	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…	134	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…	134	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…	118	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.	102	320	290	$70	$104.8K
99336	N/A	42	50	730	$30	$98.5K
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…	415	560	140	$70	$88.9K
90832	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…	227	340	510	$30	$80K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	236	330	100	$80	$60K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wenatchee Valley Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$63.5M
Wenatchee Valley Hospital	WA	General Acute Care Hospital	$0	$22.9M
Wenatchee Valley Hospital	WA	Multi-Specialty Clinic/Center	$0	$19.5M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$14.1M
Central Washington Health Services Association	WA	General Acute Care Hospital	$0	$10.9M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$8.6M
Central Washington Health Services Association	WA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7M
Wenatchee Valley Hospital	WA	Rural Health Clinic/Center	$0	$5.6M
Ozark Tri-county Health Care Consortium	MO	Federally Qualified Health Center (FQHC)	$0	$4M
Wenatchee Valley Hospital	WA	Clinical Medical Laboratory	$299.2K	$2.4M

Nearby Providers

Other providers in the same ZIP code as Wenatchee Valley Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nelson & Reynolds, PLLC	WA	Dental Clinic/Center	$0	$17M
Community Choice Dba Action Health Partners	WA	Case Management Agency	$0	$7.8M
Lifeline Ambulance, Inc.	WA	Ambulance	$1.9M	$4.9M
Aging & Adult Care Of Central Washington	WA	Case Management Agency	$0	$2.9M
Norco, Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Jared Wagner	WA	Pain Medicine (Anesthesiology) Physician	$270.6K	$0

Wenatchee Valley Hospital — Billing Profile & Reimbursement Data

Sign up for Wenatchee Valley Hospital — Billing Profile & Reimbursement Data policy alerts

Wenatchee Valley Hospital — Billing Profile & Reimbursement Data

Sign up for Wenatchee Valley Hospital — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References