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.

Tri-cities Community Health (NPI 1881891190)

Field	Value
Entity Type	Organization
Organization	Tri-cities Community Health
Address	715 W Court St
City	Pasco
State	WA
ZIP	99301
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	June 29, 2007

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	18,960	$170	$3.3M
T1002	Rn services, up to 15 minutes	9,320	$70	$671.2K
T1017	Targeted case management, each 15 minutes	5,610	$50	$263.6K
S9482	Family stabilization services, per 15 minutes	3,920	$60	$239.4K
96152	N/A	2,420	$80	$198.8K
S9470	Nutritional counseling, dietitian visit	260	$50	$14K
S9436	Childbirth preparation/lamaze classes, non-physician provider, per session	10	$40	$550

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

Tri-cities Community Health — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	160	650	4,110	$250	$4.9M
T1002	Rn services, up to 15 minutes	10	60	1,140	$100	$493.3K
S9470	Nutritional counseling, dietitian visit	12	20	1,110	$40	$127.7K
S9482	Family stabilization services, per 15 minutes	7	30	1,740	$40	$110K
96152	N/A	7	40	240	$70	$84.2K
T1017	Targeted case management, each 15 minutes	11	80	410	$30	$74.4K
S9436	Childbirth preparation/lamaze classes, non-physician provider, per session	9	10	30	$50	$6.3K

Nearby Providers

Other providers in the same ZIP code as Tri-cities Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lourdes Hospital LLC	WA	Critical Access Hospital	$0	$34M
Tri-cities Community Health	WA	Dentist	$0	$16.1M
Tri-cities Community Health	WA	Federally Qualified Health Center (FQHC)	$0	$13.2M
City Of Pasco	WA	Land Ambulance	$450.5K	$12M
Thompson. Ferguson. Steinhart. James, PLLC	WA	Dentist	$0	$12.3M
Lourdes Hospital LLC	WA	Internal Medicine Physician	$0	$8.7M
House, Lee, Mast, Mcdonald And Nelson, PC	WA	Pediatric Dentistry	$0	$6.2M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.1M
In-home Medical Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Sophia Chang	WA	Rheumatology Physician	$271.1K	$240

Tri-cities Community Health — Billing Profile & Reimbursement Data

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Tri-cities Community Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References