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.

Pope's Kids Place (NPI 1790914109)

Field	Value
Entity Type	Organization
Organization	Pope's Kids Place
Address	230 Washington Way
City	Centralia
State	WA
ZIP	98531
Taxonomy	Home Health Agency
NPI Enumerated	July 7, 2009

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1030	Nursing care, in the home, by registered nurse, per diem	520	$19,110	$9.9M
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.	430	$40	$16.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	260	$20	$5.2K

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

Pope's Kids Place — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1030	Nursing care, in the home, by registered nurse, per diem	11	20	530	$1,620	$2.8M
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.	402	590	1,280	$50	$244.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	79	160	260	$20	$23.4K

Nearby Providers

Other providers in the same ZIP code as Pope's Kids Place, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$40.4M
N W Pediatric Center Inc P S	WA	Pediatrics Physician	$0	$19.1M
Cascade Community Healthcare	WA	Community/Behavioral Health Agency	$0	$14.2M
Kids Dental Of Centralia, P.C.	WA	General Practice Dentistry	$0	$8.9M
N W Pediatric Center Inc P S	WA	Pediatrics Physician	$0	$5.2M
Community Integrated Health Services, LLC	WA	Community/Behavioral Health Agency	$0	$4.8M
American Medical Response Ambulance Service Inc	WA	Ambulance	$925.9K	$3.7M
Huy Dang	WA	Podiatrist	$249.2K	$0
Floyd Smith	WA	Internal Medicine Physician	$236.4K	$0
Keith Birchard	WA	Orthopaedic Surgery Physician	$201.1K	$0

Pope's Kids Place — Billing Profile & Reimbursement Data

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Pope's Kids Place — Billing Profile & Reimbursement Data

Sign up for Pope's Kids Place — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References