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.

Legacy Salmon Creek Hospital (NPI 1700809829)

Key Findings

Field	Value
Entity Type	Organization
Organization	Legacy Salmon Creek Hospital
Address	2211 Ne 139th St
City	Vancouver
State	WA
ZIP	98686
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicaid	$48.7M
Medicare	$0

LEGACY SALMON CREEK HOSPITAL reports no Medicare billing on file and $48.7M in lifetime Medicaid revenue, making its public billing profile effectively single‑payer Medicaid‑dependent in the available data. The absence of any Medicare claims suggests analysts should treat Medicaid as the primary commercial data source when assessing this hospital's service mix and financial exposure.

Revenue concentration within Medicaid is substantial: the precomputed top three Medicaid codes (99283, 96361, 99284) together account for 42.6% of the provider's total Medicaid revenue. Individually those codes are 99283 $6.9M (16.5%), 96361 $5.8M (14.1%), and 99284 $5M (12.0%), indicating a small set of services drives a large share of reported Medicaid receipts.

The code mix strongly indicates an emergency department–centered operation supplemented by outpatient clinic throughput. High-volume ED E/M codes are prominent — 99283 (57.6K claims, $119 avg paid/claim), 99284 (51.7K claims, $96 avg paid/claim), and 99285 (53.3K claims, $83 avg paid/claim) — and G0463 (57.7K claims, $61 avg paid/claim, $3.5M) also appears as a significant outpatient clinic visit line, together pointing to sizeable ED and hospital outpatient activity.

Infusion and IV therapy are a secondary but notable service line: 96361 ($5.8M, 14.1% of Medicaid revenue) and related infusion codes 96365 ($1.9M), 96366 ($1.5M), and 96360 ($1.2M) together represent substantial infusion-hour and hydration activity. Two infusion codes stand out statistically — 96366 ranks in the 95th percentile and 96365 in the 91st percentile statewide — flagged as "notably above typical" volumes compared with peers, which implies above‑average IV/infusion throughput relative to in‑state hospitals.

Diagnostic imaging and procedural services provide meaningful ancillary revenue. CT abdomen/pelvis with contrast 74177 generated $2.2M (5.3%), CT head 70450 produced $1.6M (3.8%), and other imaging codes (e.g., 71275, 70553) appear on the top-25 list, indicating the hospital supports on‑site advanced imaging that aligns with its ED and acute care activity.

Competitive standing within the state is mixed but leans toward being a significant ED provider: 99283 ranks #16 of 234 in-state (94th percentile), 99284 ranks #22 of 225 (91st percentile), and 99285 ranks #16 of 192 (92nd percentile). However, many of these high-percentile ED codes are described as "typical, unremarkable volume for this code" in the dataset, suggesting that while the hospital sits near the top of state rankings, similar ED volumes are common across peers rather than uniquely dominant.

There is limited high-cost specialty drug activity relative to other service lines: J1745 (infliximab) appears but at $439.3K and ranks #9 of 21 in-state (60th percentile), which the dataset labels as typical. This pattern indicates some biologic infusion capability but not a major revenue driver compared with ED and general infusion services.

The provider has an established operational tenure with its NPI enumerated on 2006-07-26 (~20 years ago), consistent with a long‑standing community acute care presence; analysts should therefore interpret current code mix as the product of sustained service lines (ED, infusion, imaging) rather than a short‑term operational anomaly.

Medicaid: Complete Services Breakdown

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

338 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	57,600	$120	$6.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	21,430	$270	$5.8M
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.	51,710	$100	$5M
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.	53,320	$80	$4.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	57,730	$60	$3.5M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	13,310	$170	$2.2M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	16,940	$110	$1.9M
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.	13,930	$120	$1.6M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	12,400	$130	$1.6M
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	7,820	$200	$1.5M

Showing 1–10 of 338

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

Legacy Salmon Creek 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

338 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	22	100	2,830	$80	$3.8M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	13	110	5,950	$270	$2.6M
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.	22	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.	16	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.	16	190	5,130	$100	$1.8M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	14	140	2,830	$150	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	37	100	1,940	$70	$1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	9	20	190	$1,670	$956.2K
94799	Use 94799 to report a pulmonary service or procedure that does not have a specific code.	12	10	410	$1,180	$821.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	27	170	2,120	$40	$779.1K

Showing 1–10 of 338

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Union Associated Physicians Clinic, LLC	IN	Family Medicine Physician	$0	$31.1M
Legacy Salmon Creek Hospital	WA	Clinic/Center	$0	$9.9M
Legacy Mount Hood Medical Center	OR	Clinic/Center	$0	$1.1M
Randall Harada	WA	Interventional Cardiology Physician	$303.2K	$0
Christina Mcdowell	VA	Cardiovascular Disease Physician	$293.1K	$0
Jeffrey Harris	GA	Obstetrics & Gynecology Physician	$4.5K	$282.4K
David Philips	WA	Interventional Cardiology Physician	$268.4K	$0
Amish Desai	OR	Interventional Cardiology Physician	$201.5K	$0
Grant Harmon	OR	Radiation Oncology Physician	$176.1K	$0
Syed Agha	TN	Interventional Cardiology Physician	$149.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Acute Care Specialists PC	WA	Emergency Medicine Physician	$0	$11.9M
Wchs, Inc.	WA	Methadone Clinic	$0	$6.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.9M
Joyce Choe	WA	Ophthalmology Physician	$382K	$0
Lauren Boudreaux	WA	Dermatology Physician	$168.9K	$0
Mayank Agrawal	WA	Interventional Cardiology Physician	$141.4K	$0
Jason Boyd	WA	Dermatology Physician	$121.6K	$0
Graham Clark	WA	Dermatology Physician	$119K	$0
Jason Blankenship	WA	Certified Registered Nurse Anesthetist	$98.7K	$0
Ryan Steele	WA	Internal Medicine Physician	$94K	$0

Legacy Salmon Creek Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References