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.

Kittitas County Public Hospital Dist 1 (NPI 1770711764)

Kittitas County Public Hospital Dist 1 is a rural health clinic/center provider located in Ellensburg, Washington. This profile covers 0 Medicare and 53 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	Kittitas County Public Hospital Dist 1
Address	100 E Jackson Ave
City	Ellensburg
State	WA
ZIP	98926
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	June 29, 2009

Payer Source	Total Paid
Medicaid	$19.5M
Medicare	$0

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	71,600	$240	$16.9M
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…	17,650	$50	$953.2K
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…	20,090	$40	$863.9K
99203	The provider sees a new 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 provider…	2,950	$70	$194.7K
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,…	4,150	$30	$111.9K
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…	1,440	$60	$89K
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…	850	$80	$70K
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…	920	$80	$68.8K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	630	$100	$60.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	580	$100	$56K

Showing 1–10 of 53

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

Kittitas County Public Hospital Dist 1 — 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	38	650	4,110	$250	$4.9M
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.	230	230	6,220	$100	$1.8M
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…	109	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…	135	1,860	610	$40	$295.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	498	930	680	$60	$259.2K
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…	110	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…	114	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…	83	540	130	$90	$128.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	190	320	290	$70	$104.8K
99203	The provider sees a new 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 provider…	55	560	140	$70	$88.9K

Showing 1–10 of 53

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kittitas County Public Hospital Dist 1	WA	Critical Access Hospital	$0	$39.1M
Kittitas County Public Hospital Dist 1	WA	Rural Health Clinic/Center	$0	$4.5M
Benjamin Jones	WA	Dermatology Physician	$582.9K	$0
Naeem Chavla	WA	Urology Physician	$389.6K	$0
Mark Richards	ID	Clinical Cardiac Electrophysiology Physician	$194.2K	$0
Mohan Ashok Kumar	WA	Cardiovascular Disease Physician	$160.3K	$0
Joshua Johnson	WA	Foot & Ankle Surgery Podiatrist	$158.3K	$0
Allen Rubin	WA	Vascular Surgery Physician	$145.2K	$0
Michael Shultis	WA	Physician Assistant	$141.2K	$0
Lauren Wikholm	OR	Surgery Physician	$121.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kittitas Valley Urgent Care PLLC	WA	Urgent Care Clinic/Center	$0	$7M
Kittitas County Fire Protection District 2	WA	Land Ambulance	$579.6K	$4.3M
Cindy Mi	WA	Ophthalmology Physician	$1.4M	$170
Daniel Hanson	WA	Ophthalmology Physician	$454.6K	$0
Erick Johnson	WA	Optometrist	$114.1K	$510
Casey Oltman	WA	Optometrist	$96.8K	$0
Jamin Feng	WA	Internal Medicine Physician	$42.5K	$0
Roberta Hoppe	WA	Clinical Cardiac Electrophysiology Physician	$27.8K	$0
Kenneth Gano	WA	Certified Registered Nurse Anesthetist	$17K	$0
Jenci Randall	WA	Audiologist	$10.4K	$0

Kittitas County Public Hospital Dist 1 — Billing Profile & Reimbursement Data

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Kittitas County Public Hospital Dist 1 — 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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