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.

Rcch Trios Health LLC (NPI 1831682806)

Rcch Trios Health LLC is a internal medicine physician provider located in Kennewick, Washington. This profile covers 0 Medicare and 112 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	Rcch Trios Health LLC
Address	3730 Plaza Way
City	Kennewick
State	WA
ZIP	99338
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 13, 2018

Payer Source	Total Paid
Medicaid	$14.6M
Medicare	$0

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

112 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	124,410	$40	$5.1M
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…	79,100	$50	$3.6M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	17,830	$60	$1.1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	15,780	$70	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,350	$70	$635.7K
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…	5,230	$60	$314K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	3,980	$70	$286.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	5,860	$40	$222.8K
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…	4,970	$40	$218.6K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	120	$1,580	$192.9K

Showing 1–10 of 112

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

Rcch Trios Health LLC — 10 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

112 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	74	100	2,830	$80	$3.8M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	4	10	560	$80	$613.5K
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…	25	1,820	480	$60	$379.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	81	130	890	$100	$337.8K
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.	21	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…	16	1,860	610	$40	$295.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	32	60	240	$380	$276.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	28	170	580	$30	$270.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	44	140	490	$40	$268.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	18	100	390	$260	$244.5K

Showing 1–10 of 112

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rcch Trios Health LLC	WA	General Acute Care Hospital	$0	$44.4M
Kennewick Public Hospital District	WA	General Acute Care Hospital	$0	$3.5M
Vivek Mangla	TX	Clinical Cardiac Electrophysiology Physician	$1.6M	$0
Nicholas Juan	WA	Pain Medicine (Anesthesiology) Physician	$570.2K	$0
Edward Kim	ID	Cardiovascular Disease Physician	$299.4K	$0
Aman Mongia	GA	Infectious Disease Physician	$288.2K	$0
Iyad Jamali	WA	Cardiovascular Disease Physician	$284.7K	$0
Vamsi Kanneganti	WA	Nephrology Physician	$218.6K	$0
Nadia Toshani	WA	Internal Medicine Physician	$191.1K	$0
Dennis Su	WA	Vascular Surgery Physician	$177.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yakim Valley Farm Workers Clinic	WA	Dental Clinic/Center	$0	$20.2M
William Waites	WA	Physician Assistant	$217K	$0
Michael Sherfey	WA	Orthopaedic Surgery Physician	$184.4K	$0
Travis Carter	WA	Podiatrist	$176K	$0
Joshua Spendlove	WA	Urology Physician	$135.3K	$0
Sridivya Kosuri	WA	Hospitalist Physician	$114.7K	$0
Michael Kolczynski	WA	Interventional Pain Medicine Physician	$113.9K	$0
Ethan Estoos	WA	Critical Care Medicine (Internal Medicine) Physician	$36.9K	$0
Matthew Schwartz	WA	Anesthesiology Physician	$15K	$0
Kristopher Jennings	WA	Certified Registered Nurse Anesthetist	$13.6K	$0

Rcch Trios Health LLC — Billing Profile & Reimbursement Data

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Rcch Trios Health LLC — 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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