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.

Tri-city Orthopaedic Clinic P S C (NPI 1720495708)

Field	Value
Entity Type	Organization
Organization	Tri-city Orthopaedic Clinic P S C
Address	6703 W Rio Grande Ave Bldg A
City	Kennewick
State	WA
ZIP	99336
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	July 22, 2014

Payer Source	Total Paid
Medicare	$766.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
28750	In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…	30	$3,260	$84.6K
20900	A bone graft restores structural integrity and natural osseous, or bony, tissue to the site of a bony defect, which increases its strength so it will last over a period of time. The provider…	50	$1,670	$83.5K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	40	$1,890	$83.1K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	10	$6,830	$75.2K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	100	$640	$64.9K
20680	Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…	60	$830	$49.6K
28300	The provider chooses among various approaches to perform an osteotomy of the calcaneus, or heel bone. He surgically incises the bone to create a controlled break and then realigns the bone. He…	20	$2,340	$42.1K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	20	$2,420	$38.7K
23430	In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…	10	$3,120	$34.3K
25447	The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…	20	$1,090	$25.1K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Tri-city Orthopaedic Clinic P S C — 0 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	313	320	30	$1,190	$46.3K
28750	2	10	20	$2,020	$36.3K
29828	13	30	20	$1,240	$28.4K
29827	8	90	20	$1,130	$26.1K
28300	1	10	20	$1,460	$23.4K
23430	21	30	20	$920	$20.2K
20900	2	10	30	$590	$20.1K
29881	13	30	20	$950	$20K
64721	5	70	30	$450	$19.7K
29880	7	20	10	$870	$18.2K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tri-city Orthopaedic Clinic P S C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Merrell	WA	Orthopaedic Surgery Physician	$368.3K	$0
Uel Hansen	WA	Orthopaedic Surgery Physician	$316.8K	$0
Faustin Stevens	WA	Orthopaedic Foot and Ankle Surgery Physician	$211K	$0
Allen Shoham	WA	Interventional Pain Medicine Physician	$202.9K	$0
Karen Nguyen	WA	Physician Assistant	$168.5K	$0
Joseph Webb	WA	Physician Assistant	$149K	$0
Eric Lowe	WA	Physician Assistant	$142K	$0
Molly London	WA	Nurse Practitioner	$137.6K	$0
Judd Fitzgerald	WA	Sports Medicine (Orthopaedic Surgery) Physician	$125.8K	$0
Tamara Turner	WA	Physical Therapist	$101.2K	$0

Nearby Providers

Other providers in the same ZIP code as Tri-city Orthopaedic Clinic P S C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ideal Option, PLLC	WA	Clinic/Center	$0	$259.1M
Ideal Option, PLLC	WA	Clinical Medical Laboratory	$0	$39.2M
Yakima Valley Farm Workers Clinic	WA	Dentist	$0	$20.5M
City Of Kennewick	WA	Ambulance	$906.2K	$11.5M
Pinnacle Pain Center, Ps	WA	Pain Medicine (Anesthesiology) Physician	$0	$11.6M
Lutheran Community Services Northwest	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.4M
Three Rivers Therapy, LLC	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.7M
Tri-cities Laboratory, LLC	WA	Clinical Medical Laboratory	$0	$8.7M
Columbia Physical Therapy Inc Ps	WA	Physical Therapist	$0	$6.7M
Ideal Balance PLLC	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.3M

Tri-city Orthopaedic Clinic P S C — Billing Profile & Reimbursement Data

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Tri-city Orthopaedic Clinic P S C — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References