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.

Swinomish Health Services (NPI 1710182787)

Field	Value
Entity Type	Organization
Organization	Swinomish Health Services
Address	8212 S. March Point Road
City	Anacortes
State	WA
ZIP	98221
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	June 19, 2007

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	7,230	$420	$3M
H0004	Behavioral health counseling and therapy, per 15 minutes	2,320	$80	$181.2K
96153	N/A	2,790	$30	$91.9K
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…	570	$40	$21.2K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	1,160	$20	$19.7K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	1,160	$20	$19.6K

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

Swinomish Health Services — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	268	650	4,110	$250	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	150	320	2,080	$60	$495.5K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	153	220	2,880	$50	$431K
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…	949	1,860	610	$40	$295.5K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	154	230	3,070	$20	$135.6K
96153	N/A	107	210	2,910	$20	$105.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Swinomish Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swinomish Health Services	WA	Substance Use Disorder Rehabilitation Clinic/Center	$184.9K	$195.9M
Jenna Beh	WA	Surgical Physician Assistant	$26K	$0
Brook Ashcraft	WA	Family Medicine Physician	$14.5K	$0

Nearby Providers

Other providers in the same ZIP code as Swinomish Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital District No 2 Skagit County Washington	WA	General Acute Care Hospital	$0	$8.4M
Public Hospital District No 2 Skagit County Washington	WA	Rural Health Clinic/Center	$0	$5.8M
Public Hospital District No 2 Skagit County Washington	WA	Rural Health Clinic/Center	$0	$4.8M
Hill And Stout, PLLC	WA	Pediatric Dentistry	$0	$3.6M
City Of Anacortes	WA	Land Ambulance	$338.2K	$2.6M
Linda Brown	WA	Ophthalmology Physician	$1M	$0
Kenneth Ellis	WA	Ophthalmology Physician	$957.3K	$0
Wirt Hines	WA	MOHS-Micrographic Surgery Physician	$417K	$0
Walgreen Co	WA	Pharmacy	$328.2K	$0
Nicolas Elizondo	WA	Physician Assistant	$230.4K	$0

Swinomish Health Services — Billing Profile & Reimbursement Data

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Swinomish Health Services — 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