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.

Grays Harbor County Public Hospital District No. 1 (NPI 1942554183)

Grays Harbor County Public Hospital District No. 1 is a rural health clinic/center provider located in Elma, Washington. This profile covers 0 Medicare and 17 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	Grays Harbor County Public Hospital District No. 1
Address	600 E. Main Street
City	Elma
State	WA
ZIP	98541
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	November 8, 2012

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	39,260	$150	$5.9M
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…	31,400	$50	$1.6M
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…	3,270	$50	$160K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	2,980	$50	$143K
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…	940	$70	$63.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,100	$40	$41.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	290	$10	$1.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	10	$80	$1.2K
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	$10	$1.1K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	30	$20	$500

Showing 1–10 of 17

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

Grays Harbor County Public Hospital District No. 1 — 2 of 15 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	86	650	4,110	$250	$4.9M
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…	403	1,820	480	$60	$379.6K
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…	90	1,860	610	$40	$295.5K
Q3014	Telehealth originating site facility fee	121	140	330	$20	$108.7K
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…	120	560	140	$70	$88.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	141	700	180	$50	$59.3K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	62	80	60	$100	$41.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	12	250	110	$60	$41.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	289	300	440	$10	$29.5K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	103	130	440	$10	$26.3K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grays Harbor County Public Hospital District No 1	WA	Critical Access Hospital	$0	$50.1M
Grays Harbor County Public Hospital District No. 1	WA	Rural Health Clinic/Center	$0	$24.9M
Grays Harbor County Public Hospital District No. 1	WA	Rural Health Clinic/Center	$0	$6.2M
Sathish Kumar Cullath Harikrishnan	IL	Hospitalist Physician	$153.6K	$200.1K
Yong Shin	WA	Internal Medicine Physician	$208.3K	$0
Dominic Femiano	WA	Family Medicine Physician	$154.8K	$0
Byron Herpich	MN	Internal Medicine Physician	$151.4K	$0
Neha Didwaniya	WA	Internal Medicine Physician	$143.1K	$0
Fahad Younas	WA	Cardiovascular Disease Physician	$132.3K	$0
Ravikumar Singh	WA	Emergency Medicine Physician	$117.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Indian Treatment Center	WA	Substance Abuse Rehabilitation Facility	$0	$30.5M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$3.5M
Jamie Graves	WA	Physical Therapist	$63K	$0
Laura Brownsmith	WA	Family Nurse Practitioner	$21.4K	$0
Sonya Goodin	WA	Family Nurse Practitioner	$3.2K	$0
Edward Gonzalez	WA	Family Nurse Practitioner	$1.7K	$0

Grays Harbor County Public Hospital District No. 1 — Billing Profile & Reimbursement Data

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Grays Harbor County Public Hospital District No. 1 — 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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