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.

Kenneth Oates (NPI 1962401208)

Field	Value
Entity Type	Individual
Organization	Kenneth Oates
Address	1401 S Laventure Rd
City	Mount Vernon
State	WA
ZIP	98274
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicare	$66K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	20	$990	$16.7K
J7331	Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	840	$20	$13.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	160	$50	$8.6K
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…	120	$60	$7K
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	$80	$5.8K
J7324	Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	50	$100	$4.6K
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…	40	$110	$4.3K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	70	$30	$2.4K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	50	$30	$1.3K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	40	$20	$840

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Kenneth Oates — 0 of 11 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	261	320	30	$1,190	$46.3K
J7331	3	10	840	$10	$16.4K
99214	6,398	10,860	100	$80	$13.6K
J7324	12	20	60	$100	$7.3K
99213	2,765	9,690	60	$60	$6.5K
99204	1,797	4,750	30	$110	$5.2K
20610	88	790	50	$50	$3.3K
73564	163	520	50	$30	$1.7K
73562	243	560	40	$20	$1.2K
73030	394	710	40	$10	$1.1K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Public Hospital Dist No 1 Skagit	WA	General Acute Care Hospital	$0	$88.6M
Public Hospital Dist No 1 Skagit	WA	General Practice Physician	$0	$24.7M
Skagit Pediatrics, LLP	WA	Pediatrics Physician	$0	$6M
Eye Associates Surgery Center Inc	WA	Ambulatory Surgical Clinic/Center	$839.9K	$44.4K
Proliance Surgeons Inc P S	WA	Ambulatory Surgical Clinic/Center	$793.8K	$0
Stacia Smith	WA	Orthopaedic Surgery Physician	$324.7K	$0
Dawei Lu	WA	Orthopaedic Surgery of the Spine Physician	$264.1K	$0
Navdeep Dhaliwal	WA	Internal Medicine Physician	$248.8K	$12.2K
Carlindo Da Reitz Pereira	WA	Ophthalmology Physician	$230.4K	$0
Michal Whiton	WA	Radiation Oncology Physician	$229.5K	$0

Kenneth Oates — Billing Profile & Reimbursement Data

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Kenneth Oates — 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