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.

Tulalip Tribes Of Washington (NPI 1770531501)

Tulalip Tribes Of Washington is a general practice physician provider located in Tulalip, Washington. This profile covers 0 Medicare and 58 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	Tulalip Tribes Of Washington
Address	7520 Totem Beach Rd
City	Tulalip
State	WA
ZIP	98271
Taxonomy	General Practice Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$21.6M
Medicare	$0

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	45,420	$440	$20M
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…	12,750	$50	$573.7K
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…	10,040	$60	$562K
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…	3,000	$40	$129.1K
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…	970	$90	$91.4K
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…	500	$70	$36.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	450	$80	$34.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,740	$10	$32.8K
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…	410	$70	$28.6K
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.	840	$10	$11K

Showing 1–10 of 58

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

Tulalip Tribes Of Washington — 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	71	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…	192	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…	208	1,860	610	$40	$295.5K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	75	90	1,030	$30	$246.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	492	590	1,280	$50	$244.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	181	240	2,430	$10	$194.2K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	281	480	1,160	$30	$180.9K
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…	147	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…	136	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…	105	540	130	$90	$128.6K

Showing 1–10 of 58

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Care Washington PLLC	WA	Multi-Specialty Clinic/Center	$0	$19.5M
Tulalip Tribes Of Washington	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$15.7M
Tulalip Tribes Of Washington	WA	Dentist	$0	$7.8M
Tulalip Tribes Of Washington	WA	Public Health & General Preventive Medicine Physician	$0	$4M
Tulalip Tribes Of Washington	WA	Public Health & General Preventive Medicine Physician	$0	$3.8M
Optum Care Washington PLLC	WA	Ambulatory Surgical Clinic/Center	$288.5K	$0
Ka Rose	MT	Family Nurse Practitioner	$78.9K	$0
Khoa Truong	WA	Family Medicine Physician	$17.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tulalip Tribes Of Washington Quil Ceda Creek Counseling	WA	Methadone Clinic	$0	$22.3M
Snohomish County Fire Protection District 15	WA	Land Ambulance	$36.4K	$4.2M
Vest Seattle, LLC	WA	Psychiatry Physician	$0	$3.8M
Hoang H Dang, Md, Ps	WA	Internal Medicine Physician	$0	$3.7M
Vest Seattle, LLC	WA	Psychiatric Hospital	$0	$2.5M
Brett Buchmiller	WA	Allergy & Immunology Physician	$728.6K	$0
Eugene Chang	WA	Cardiovascular Disease Physician	$309.7K	$0
Amy Cheng	WA	Clinical & Laboratory Dermatological Immunology Physician	$203.5K	$0
Erin Mallery	WA	Physician Assistant	$119.7K	$0
James Barlow	WA	Pulmonary Disease Physician	$116.9K	$0

Tulalip Tribes Of Washington — Billing Profile & Reimbursement Data

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Tulalip Tribes Of Washington — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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