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.

Privia Medical Group Washington, PLLC (NPI 1780658419)

Privia Medical Group Washington, PLLC is a clinic/center provider located in Walla Walla, Washington. This profile covers 0 Medicare and 116 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	Privia Medical Group Washington, PLLC
Address	55 W Tietan St
City	Walla Walla
State	WA
ZIP	99362
Taxonomy	Clinic/Center
NPI Enumerated	February 17, 2006

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

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

116 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	11,760	$60	$705.5K
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…	13,960	$40	$586.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2,270	$70	$158.9K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	1,630	$90	$145K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	2,530	$50	$129.1K
99204	The provider sees a new 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 provider…	1,180	$100	$121.8K
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…	2,010	$60	$114.7K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	1,090	$100	$103.3K
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…	1,070	$70	$79K
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…	2,030	$40	$70.9K

Showing 1–10 of 116

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

Privia Medical Group Washington, PLLC — 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

116 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	63	100	1,940	$70	$1M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	89	120	2,040	$30	$464.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	88	120	2,020	$30	$441.1K
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…	162	1,820	480	$60	$379.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	92	120	590	$230	$331.2K
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…	187	1,860	610	$40	$295.5K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	124	280	1,920	$40	$262.1K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	65	120	640	$100	$259.3K
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…	69	90	1,030	$30	$246.3K
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.	126	240	2,430	$10	$194.2K

Showing 1–10 of 116

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group Washington, PLLC	WA	Rural Health Clinic/Center	$0	$19M
David Panther	WA	Dermatology Physician	$762.5K	$0
Walla Walla Clinic, Inc.	WA	Ambulatory Surgical Clinic/Center	$414.6K	$0
Jacqueline Wong	WA	Ophthalmology Physician	$402.7K	$0
Gregory Haveman	WA	Otolaryngology Physician	$393.6K	$0
Kenneth Busby	WA	Physician Assistant	$235K	$0
Peter Linfoot	CA	Endocrinology, Diabetes & Metabolism Physician	$224.3K	$0
James Collins	AZ	Diagnostic Radiology Physician	$195.9K	$12K
Ryan Cornia	WA	Podiatrist	$186.8K	$0
Emily Castillo	WA	Adult Health Nurse Practitioner	$182.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	WA	General Acute Care Hospital	$0	$17.3M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$7.6M
Jonathan Gantz	WA	General Practice Dentistry	$0	$4.7M
City Of Walla Walla	WA	Land Ambulance	$527.2K	$4.1M
Providence Health & Services - Washington	WA	Emergency Medicine Physician	$0	$4.3M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$3.7M
Norco, Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.5M
Andrew Edwards	WA	Ophthalmology Physician	$698.5K	$0
Barbara Blankenship	WA	Diagnostic Radiology Physician	$380.6K	$0

Privia Medical Group Washington, PLLC — Billing Profile & Reimbursement Data

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Privia Medical Group Washington, PLLC — 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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