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.

Adam Pourcho (NPI 1851603161)

Field	Value
Entity Type	Individual
Organization	Adam Pourcho
Address	1600 E Jefferson St Ste 600
City	Seattle
State	WA
ZIP	98122
Taxonomy	Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI Enumerated	July 2, 2010

Payer Source	Total Paid
Medicare	$45.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	150	$100	$15.2K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	170	$70	$11.4K
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…	70	$110	$7.8K
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…	110	$60	$6.6K
76881	In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…	60	$40	$2.5K
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…	20	$110	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Adam Pourcho — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,273	10,860	100	$80	$13.6K
J7323	10	50	70	$100	$9.6K
20611	24	170	50	$80	$6.9K
99213	2,983	9,690	60	$60	$6.5K
99204	3,695	4,750	30	$110	$5.2K
76881	8	50	30	$40	$1.7K

Nearby Providers

Other providers in the same ZIP code as Adam Pourcho, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	WA	Clinical Medical Laboratory	$25M	$186.7M
Swedish Health Services	WA	General Acute Care Hospital	$0	$125.3M
Pediatrix Medical Group Of Washington Inc Ps	WA	Neonatal-Perinatal Medicine Physician	$0	$20M
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky	WA	Non-Surgical Family Planning Clinic/Center	$0	$18.7M
Advanced Lifeline Services Inc	WA	Certified Respiratory Therapist	$0	$11.1M
Seattle Emergency Physicians Services Inc Ps	WA	Emergency Medicine Physician	$0	$7.2M
Performance Modalities Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
The Polyclinic PLLC	WA	Ambulatory Surgical Clinic/Center	$838.3K	$3.5K
Jason Lee	WA	Vascular Surgery Physician	$574.1K	$0
Seattle Hand Surgery Group PC	WA	Ambulatory Surgical Clinic/Center	$322.1K	$0

Adam Pourcho — Billing Profile & Reimbursement Data

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Adam Pourcho — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References