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.

Renal Care Group Northwest, Inc. (NPI 1841736329)

Field	Value
Entity Type	Organization
Organization	Renal Care Group Northwest, Inc.
Address	5825 Tacoma Mall Blvd Ste 103
City	Tacoma
State	WA
ZIP	98409
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	January 9, 2017

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

45 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.	52,450	$50	$2.8M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	5,550	$80	$421.5K
A4657	Syringe, with or without needle, each	58,770	$1	$58.8K
J1756	Injection, iron sucrose, 1 mg	13,120	$1	$13.1K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	1,090	$10	$13.1K
J3490	Unclassified drugs	1,480	$1	$1.5K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	40	$10	$310
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	90	$1	$90
0011A	N/A	30	$0	$0
0012A	N/A	30	$0	$0

Showing 1–10 of 45

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

Renal Care Group Northwest, Inc. — 1 of 8 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

45 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.	20	100	27,900	$70	$2.1M
A4657	Syringe, with or without needle, each	8	90	6,530	$10	$211.5K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	10	80	1,500	$70	$175.1K
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…	117	270	2,880	$1	$100.6K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	74	130	180	$10	$52.3K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	97	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…	31	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…	48	100	210	$10	$23.7K
86704	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for total hepatitis B core antibodies. This test gives a total result of all immunoglobulin types.	37	70	110	$10	$22.7K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	29	130	640	$10	$20.2K

Showing 1–10 of 45

Related Providers

Other providers that share a Tax Identification Number (TIN) with Renal Care Group Northwest, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.4M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.3M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.8M

Nearby Providers

Other providers in the same ZIP code as Renal Care Group Northwest, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arris Health Services LLC	WA	Oxygen Equipment & Supplies (DME)	$0	$41.5M
Sound Integrated Health LLC	WA	Addiction Medicine (Internal Medicine) Physician	$0	$12.2M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$5.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$4.1M
Pacific Cataract And Laser Institute, Inc., P.C.	WA	Ambulatory Surgical Clinic/Center	$1.5M	$655.1K
Patrick Hogan	WA	Neurology Physician	$814K	$0
Eden Yoon	WA	Ophthalmology Physician	$597.7K	$0
Barry Huse	WA	Optometrist	$29.7K	$426.8K
Jay Haynie	WA	Optometrist	$394.5K	$0
Michael Seward	WA	Ophthalmology Physician	$146K	$0

Renal Care Group Northwest, Inc. — Billing Profile & Reimbursement Data

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Renal Care Group Northwest, Inc. — 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