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.

Planned Parenthood Of Greater Washington And North Idaho (NPI 1790902906)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Of Greater Washington And North Idaho
Address	1530 Ellis St
City	Bellingham
State	WA
ZIP	98225
Taxonomy	Women's Health Nurse Practitioner
NPI Enumerated	April 19, 2007

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9430	Pharmacy compounding and dispensing services	12,740	$60	$738.8K
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…	9,270	$70	$602.8K
S4993	Contraceptive pills for birth control	11,630	$20	$197.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,250	$100	$129.2K
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…	900	$130	$120.5K
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…	940	$130	$116.9K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	8,160	$10	$106.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,840	$50	$91.8K
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,…	1,090	$70	$81K
J1050	Injection, medroxyprogesterone acetate, 1 mg	4,290	$10	$60K

Showing 1–10 of 27

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

Planned Parenthood Of Greater Washington And North Idaho — 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9430	Pharmacy compounding and dispensing services	4	20	1,170	$280	$2.2M
S4993	Contraceptive pills for birth control	4	20	1,120	$30	$385.8K
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…	743	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…	263	1,860	610	$40	$295.5K
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…	121	560	140	$70	$88.9K
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…	253	530	80	$90	$87.4K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	6	10	30	$380	$68.5K
58300	In this procedure, the provider places a contraceptive intrauterine device (IUD) in the uterine cavity.	6	20	140	$210	$64.4K
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,…	143	700	180	$50	$59.3K
11981	The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.	5	10	70	$330	$56.1K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Of Greater Washington And North Idaho, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Greater Washington & North Idaho	WA	Multi-Specialty Clinic/Center	$0	$17.8M
April Golla	WA	Family Nurse Practitioner	$53.3K	$0
Manuela Orban	ID	Nurse Practitioner	$22.5K	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Of Greater Washington And North Idaho, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$33.7M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Whatcom Medic One	WA	Land Ambulance	$894.1K	$20.7M
Unity Care Northwest	WA	Federally Qualified Health Center (FQHC)	$0	$20.1M
Northwest Pathology PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$860.5K	$17.8M
Northwest Regional Council	WA	Transportation Broker	$0	$11.4M
Lake Whatcom Residential & Treatment Center	WA	Community/Behavioral Health Agency	$0	$10.3M
Total Renal Care, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.9M
Catholic Community Services Of Western Washington	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.8M

Planned Parenthood Of Greater Washington And North Idaho — Billing Profile & Reimbursement Data

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Planned Parenthood Of Greater Washington And North Idaho — 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