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.

Sea Mar Community Health Centers (NPI 1851730691)

Field	Value
Entity Type	Organization
Organization	Sea Mar Community Health Centers
Address	228 W 1st St Ste L
City	Port Angeles
State	WA
ZIP	98362
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 14, 2013

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.

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	24,500	$110	$2.6M
D0140	Limited oral evaluation – problem focused	4,510	$20	$94.7K
D0150	Comprehensive oral evaluation – new or established patient	2,370	$30	$66.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,860	$40	$65.1K
D2392	Post 2 surface resin‑based composite	1,400	$40	$57.3K
D0210	Intraoral - complete series of radiographic images	1,800	$30	$55.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	1,430	$40	$51.5K
D0220	Intraoral - periapical first radiographic image	6,830	$10	$47.8K
D0120	Periodic oral evaluation - established patient	2,270	$20	$47.7K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	2,750	$20	$44.1K

Showing 1–10 of 27

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

Sea Mar Community Health Centers — 0 of 24 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	134	650	4,110	$250	$4.9M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	167	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	227	540	990	$60	$188.6K
D0120	Periodic oral evaluation - established patient	299	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	202	480	670	$50	$119.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	112	390	640	$50	$98.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	347	730	730	$20	$98.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	217	660	620	$30	$76.1K
D0150	Comprehensive oral evaluation – new or established patient	172	710	600	$30	$65.7K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	45	230	680	$30	$58.9K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sea Mar Community Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sea-mar Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$42.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$14.9M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$12.1M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$9.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$9.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.7M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Sea-mar Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$8M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$7.8M

Nearby Providers

Other providers in the same ZIP code as Sea Mar Community Health Centers, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clallam County Public Hospital District 2	WA	General Acute Care Hospital	$0	$68.8M
Specialty Services 2 LLC	WA	Substance Abuse Rehabilitation Facility	$0	$13M
Lower Elwha Klallam Tribe	WA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.7M
Olympic Medical Physicians	WA	Family Medicine Physician	$0	$7.8M
North Olympic Healthcare Network	WA	Federally Qualified Health Center (FQHC)	$0	$6M
North Olympic Healthcare Network	WA	Federally Qualified Health Center (FQHC)	$0	$5M
City Of Port Angeles	WA	Land Ambulance	$231.6K	$3.7M
Welch Vanbibber Haught Dds PC	WA	Dentist	$0	$2.9M
Baart Behavioral Health Services, Inc.	WA	Substance Use Disorder Rehabilitation Clinic/Center	$198.1K	$949.8K
Cammacks Pharmacies Inc	WA	Community/Retail Pharmacy	$165.9K	$463.5K

Sea Mar Community Health Centers — Billing Profile & Reimbursement Data

Sign up for Sea Mar Community Health Centers — Billing Profile & Reimbursement Data policy alerts

Sea Mar Community Health Centers — Billing Profile & Reimbursement Data

Sign up for Sea Mar Community Health Centers — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References