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 1 Of Mason County (NPI 1679803126)

Field	Value
Entity Type	Organization
Organization	Public Hospital District No 1 Of Mason County
Address	1812 N 13th Loop Rd
City	Shelton
State	WA
ZIP	98584
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 6, 2010

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	13,100	$260	$3.5M
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…	9,650	$40	$395.6K
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…	400	$60	$22.1K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	30	$80	$2.2K
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…	170	$10	$2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	260	$10	$1.8K
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,…	30	$30	$920
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	20	$40	$560
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	10	$20	$290
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	30	$10	$150

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 1 Of Mason County — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	210	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…	975	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…	257	1,860	610	$40	$295.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	110	120	640	$100	$259.3K
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,…	537	700	180	$50	$59.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	51	80	60	$100	$41.8K
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…	309	580	190	$10	$18K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	232	270	450	$10	$16.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	273	550	260	$10	$12.2K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	214	250	100	$20	$11K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Public Hospital District No 1 Of Mason County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital District No 1 Of Mason County	WA	Critical Access Hospital	$0	$72.3M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$35.5M
Public Hospital District No 1 Of Mason County	WA	Rural Health Clinic/Center	$0	$3.8M
Ryan Halpin	WA	Neurological Surgery Physician	$756.1K	$0
Andrew Manista	WA	Orthopaedic Surgery Physician	$454.4K	$0
Darrin Trask	WA	Orthopaedic Surgery Physician	$241.1K	$0
Ross Vogelgesang	WA	Pain Medicine (Anesthesiology) Physician	$228.8K	$0
Jerome Zechmann	WA	Orthopaedic Surgery Physician	$214K	$0
Yong Shin	WA	Internal Medicine Physician	$208.3K	$0
Milan Moore	WA	Orthopaedic Surgery Physician	$181.6K	$0

Nearby Providers

Other providers in the same ZIP code as Public Hospital District No 1 Of Mason County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Indian Treatment Center	WA	Clinic/Center	$0	$17.3M
Fire Protection Dist 5 Mason County	WA	Land Ambulance	$766.4K	$6.9M
Squaxin Island Medical Encounter	WA	Health Service Clinic/Center	$0	$4.6M
Northwest Resources Ii	WA	Addiction (Substance Use Disorder) Counselor	$0	$3.9M
Squaxin Island Tribe	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Skokomish Tribal Council	WA	Family Medicine Physician	$0	$3.1M
Patrick Kwong	WA	General Practice Dentistry	$0	$2.5M
Gregory Fulling	WA	Physical Therapist	$65.8K	$0
Edward Herman	WA	Clinical Social Worker	$27K	$0

Public Hospital District No 1 Of Mason County — Billing Profile & Reimbursement Data

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Public Hospital District No 1 Of Mason County — 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