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.

Health First Urgent Care, PLLC (NPI 1821633223)

Health First Urgent Care, PLLC is a urgent care clinic/center provider located in Richland, Washington. This profile covers 0 Medicare and 33 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	Health First Urgent Care, PLLC
Address	37 Columbia Point Dr
City	Richland
State	WA
ZIP	99352
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	November 10, 2019

Payer Source	Total Paid
Medicaid	$5.2M
Medicare	$0

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	7,090	$180	$1.3M
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…	12,600	$70	$907.1K
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…	14,450	$60	$895.8K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2,940	$300	$888.2K
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…	8,090	$70	$557.9K
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…	1,780	$80	$145.7K
87640	The lab analyst performs the technical lab test to look for Staphylococcus aureus nucleic acid using an amplified probe technique.	4,300	$30	$111.8K
87581	The lab analyst performs a test for Mycoplasma pneumonia, a bacteria, using amplified nucleic acid probe technique.	4,050	$30	$109.4K
87486	The lab analyst performs a test for Chlamydia pneumoniae using amplified nucleic acid probe technique. Chlamydia pneumoniae also known as TWAR, Taiwan Acute Respiratory agent, commonly causes mild…	4,050	$30	$109.3K
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…	650	$110	$69.8K

Showing 1–10 of 33

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

Health First Urgent Care, PLLC — 5 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

33 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…	25	100	1,940	$70	$1M
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…	545	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…	180	1,860	610	$40	$295.5K
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…	523	540	130	$90	$128.6K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	160	210	690	$40	$114.5K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	26	30	220	$40	$103.3K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	39	60	730	$60	$102.1K
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…	13	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…	101	530	80	$90	$87.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	194	220	1,570	$10	$83.7K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kadlec Regional Medical Center	WA	General Acute Care Hospital	$0	$151.5M
William Waites	WA	Physician Assistant	$217K	$0
Dennis Ang	WA	Nurse Practitioner	$151.1K	$0
Joseph Webb	WA	Physician Assistant	$149K	$0
Eric Lowe	WA	Physician Assistant	$142K	$0
Stephen Smiley	ID	Family Medicine Physician	$60.5K	$0
Michael Driver	WA	Emergency Medicine Physician	$59.1K	$0
Zachary Mcnair	WA	Physician Assistant	$51.1K	$0
John Rogers	WA	Family Nurse Practitioner	$39.9K	$0
Charles Nelson	WA	Family Medicine Physician	$34.8K	$740

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gill, Ritchie, Walker PLLC	WA	Ambulatory Surgical Clinic/Center	$0	$10.7M
City Of Richland	WA	Ambulance	$679.8K	$7.8M
Ortc, LLC	WA	Methadone Clinic	$0	$6.2M
American Medical Response Ambulance Service Inc	WA	Ambulance	$1.1M	$3M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.8M
Tri-city Orthodontics, LLC	WA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.9M
Alexey Ryskin	WA	Pain Medicine (Anesthesiology) Physician	$2.3M	$990
Sidney Smith	WA	Dermatology Physician	$2.1M	$0
Cheryl Lee	WA	Ophthalmology Physician	$1.5M	$0
Kadlec Regional Medical Center	WA	Ambulatory Surgical Clinic/Center	$571.3K	$815.5K

Health First Urgent Care, PLLC — Billing Profile & Reimbursement Data

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Health First Urgent Care, 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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