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.

Highline Emergency Physicians PLLC (NPI 1669757290)

Field	Value
Entity Type	Organization
Organization	Highline Emergency Physicians PLLC
Address	16251 Sylvester Rd Sw
City	Burien
State	WA
ZIP	98166
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 14, 2011

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	34,040	$80	$2.8M
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.	37,980	$60	$2.3M
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.	19,050	$30	$628.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,800	$100	$185.5K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	880	$110	$99.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,100	$90	$98.9K
99220	N/A	400	$70	$28.2K
99217	N/A	410	$30	$13.2K
99053	The provider renders overnight services at a 24 hour facility.	2,820	$1	$8.5K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	3,860	$1	$7.7K

Showing 1–10 of 14

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

Highline Emergency Physicians PLLC — 0 of 13 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	44	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.	67	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.	35	190	5,130	$100	$1.8M
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.	144	140	2,410	$110	$593.3K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	34	120	270	$90	$152K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	27	130	290	$90	$138.1K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	5	20	320	$130	$122.7K
99053	The provider renders overnight services at a 24 hour facility.	17	30	2,450	$1	$39.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	79	100	100	$40	$31.7K
99220	N/A	5	30	80	$70	$20.5K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Highline Emergency Physicians PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Linh Le	MO	Emergency Medical Services (Emergency Medicine) Physician	$53.9K	$0
Melissa Bowe	WA	Physician Assistant	$23.1K	$0

Nearby Providers

Other providers in the same ZIP code as Highline Emergency Physicians PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Highline Medical Center	WA	General Acute Care Hospital	$0	$29.8M
Tyler Shawcroft Dds PLLC	WA	Dental Clinic/Center	$0	$7.7M
Highline Physical Therapy Group	WA	Multi-Specialty Clinic/Center	$0	$3.3M
Manoj Agarwal	WA	Medical Oncology Physician	$1M	$0
Daniel Gottlieb	WA	Cardiovascular Disease Physician	$204K	$13.3K
Chatchawan Piyaskulkaew	WA	Interventional Cardiology Physician	$163.9K	$0
Taylor Sann	WA	Foot & Ankle Surgery Podiatrist	$71K	$220
Carmen Hudson	WA	Surgery Physician	$68.8K	$0
Brian Jones	WA	Orthopaedic Surgery Physician	$56.1K	$0
Mohammed Nayeemuddin	WA	Pulmonary Disease Physician	$55.9K	$0

Highline Emergency Physicians PLLC — Billing Profile & Reimbursement Data

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Highline Emergency Physicians PLLC — 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