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.

Pacific Northwest Renal Services, L.L.C. (NPI 1790897692)

Field	Value
Entity Type	Organization
Organization	Pacific Northwest Renal Services, L.L.C.
Address	13118 Ne 4th St
City	Vancouver
State	WA
ZIP	98684
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	72,960	$60	$4M
A4657	Syringe, with or without needle, each	60,990	$20	$914.9K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	5,320	$80	$404.2K
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	12,340	$1	$24.7K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	1,570	$10	$22K
84155	The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a…	4,470	$1	$13.4K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	2,200	$10	$11K
J1756	Injection, iron sucrose, 1 mg	9,870	$1	$9.9K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	3,210	$1	$9.6K
84520	The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.	9,390	$1	$9.4K

Showing 1–10 of 48

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

Pacific Northwest Renal Services, L.L.C. — 2 of 21 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

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	6	100	27,900	$70	$2.1M
A4657	Syringe, with or without needle, each	6	90	6,530	$10	$211.5K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	12	80	1,500	$70	$175.1K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	164	180	950	$10	$104.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	109	270	2,880	$1	$100.6K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	79	130	180	$10	$52.3K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	167	300	580	$10	$41.2K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	104	110	370	$10	$38.6K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	40	180	840	$10	$33.2K
82746	The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…	72	100	210	$10	$23.7K

Showing 1–10 of 48

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pacific Northwest Renal Services, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pacific Northwest Renal Services, L.L.C.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.2M
Pacific Northwest Renal Services, L.L.C.	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M

Nearby Providers

Other providers in the same ZIP code as Pacific Northwest Renal Services, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carenexa, LLC	WA	Clinical Medical Laboratory	$1.1M	$26.3M
Tristan Bice	WA	Hematology & Oncology Physician	$605.8K	$0
David Cosgrove	WA	Medical Oncology Physician	$600.8K	$0
Magdolna Solti	WA	Hematology & Oncology Physician	$590.9K	$0
Zheng Qian	WA	Dermatology Physician	$577.2K	$0
Michaelann Liss	WA	Hematology & Oncology Physician	$516.3K	$0
Scott Schneider	WA	Radiation Oncology Physician	$382.3K	$0
Faisal Siddiqui	WA	Radiation Oncology Physician	$377.2K	$0
Thomas Busick	WA	Dermatology Physician	$171.8K	$0
Brent Barker	WA	Primary Podiatric Medicine Podiatrist	$104.3K	$11.2K

Pacific Northwest Renal Services, L.L.C. — Billing Profile & Reimbursement Data

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Pacific Northwest Renal Services, L.L.C. — 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