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.

Sunnyside Community Hospital Association (NPI 1679521637)

Sunnyside Community Hospital Association is a rural health clinic/center provider located in Sunnyside, Washington. This profile covers 0 Medicare and 47 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	Sunnyside Community Hospital Association
Address	803 E Lincoln Ave
City	Sunnyside
State	WA
ZIP	98944
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	30,150	$170	$5.2M
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…	19,250	$60	$1.1M
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…	5,290	$40	$232.7K
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…	1,150	$80	$95.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	960	$80	$78K
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…	1,040	$70	$75.8K
99204	The provider sees a new 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 provider…	340	$100	$33.2K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	1,700	$20	$25.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	220	$90	$18.8K
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…	1,650	$10	$18.1K

Showing 1–10 of 47

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

Sunnyside Community Hospital Association — 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	117	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…	297	1,820	480	$60	$379.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	123	130	890	$100	$337.8K
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…	142	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…	100	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…	103	300	400	$80	$164.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	504	540	130	$90	$128.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	182	210	690	$40	$114.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	91	320	290	$70	$104.8K
99204	The provider sees a new 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 provider…	155	530	80	$90	$87.4K

Showing 1–10 of 47

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thompson Dmd PLLC	WA	Dentist	$0	$36.6M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.1M
Swofford & Halma Clinic, Inc. P.s.	WA	Family Medicine Physician	$0	$5.4M
Mid-valley Community Clinic, PLLC	WA	Family Medicine Physician	$0	$4.4M
Thompson.ferguson.steinhart.james.leavitt,pllc	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.2M
Sunnyside Emergency Group A Professional LLC	WA	Emergency Medicine Physician	$0	$3.8M
Derek S Weaver Do PLLC	WA	Family Medicine Physician	$0	$2.6M
B Martin And G Martin PLLC	WA	Dentist	$0	$2.6M
Greg Norell, Dds	WA	General Practice Dentistry	$0	$2.5M
City Of Sunnyside	WA	Land Ambulance	$221.9K	$672.8K

Sunnyside Community Hospital Association — Billing Profile & Reimbursement Data

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Sunnyside Community Hospital Association — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunnyside Community Hospital Association	WA	Critical Access Hospital	$0	$55.1M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Shc Medical Center Toppenish	WA	General Acute Care Hospital	$0	$15.1M
Shc Medical Center - Yakima	WA	General Acute Care Hospital	$0	$6.9M
Sunnyside Community Hospital Association	WA	Rural Health Clinic/Center	$0	$5.8M
Shc Medical Center Toppenish	WA	Rural Health Clinic/Center	$0	$5M
Sunnyside Community Hospital Association	WA	Rural Health Clinic/Center	$0	$4.4M
Sunnyside Community Hospital Association	WA	Rural Health Clinic/Center	$0	$2.8M
Danko Martincic	ID	Hematology & Oncology Physician	$2.6M	$0
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M