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 1972700284)

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

Payer Source	Total Paid
Medicaid	$16.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	92,190	$140	$12.9M
D0140	Limited oral evaluation – problem focused	16,970	$20	$373.3K
D0120	Periodic oral evaluation - established patient	15,370	$20	$368.9K
D2392	Post 2 surface resin‑based composite	6,150	$60	$362.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	9,060	$40	$344.1K
D0150	Comprehensive oral evaluation – new or established patient	11,280	$30	$304.6K
D2391	Resin‑based composite – one surface, posterior	4,720	$50	$217.2K
D0210	Intraoral - complete series of radiographic images	6,190	$30	$185.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,730	$40	$174.9K
D4341	Periodontal scaling and root planing - four or more teeth per quadrant	6,190	$20	$142.4K

Showing 1–10 of 40

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 — 5 of 25 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	25	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…	92	190	320	$70	$197.1K
D2392	Post 2 surface resin‑based composite	77	540	990	$60	$188.6K
D2150	Amalgam - two surfaces, primary or permanent	12	60	310	$50	$137.2K
D7230	N/A	37	50	340	$130	$132.9K
D0120	Periodic oral evaluation - established patient	86	920	690	$20	$131.3K
D2391	Resin‑based composite – one surface, posterior	68	480	670	$50	$119.5K
D1120	Prophylaxis–child	158	730	690	$20	$112.8K
D1351	Sealant - per tooth	198	400	1,120	$20	$103.9K
D2160	Amalgam - three surfaces, primary or permanent	13	20	230	$70	$102.2K

Showing 1–10 of 40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tri-cities Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tri-cities Community Health	WA	Federally Qualified Health Center (FQHC)	$0	$13.2M
Bruce Wilson	WA	Endocrinology, Diabetes & Metabolism Physician	$101K	$40.7K
Emad Abu-khieran	CA	Internal Medicine Physician	$5.6K	$0
Saul Valencia	WA	Family Medicine Physician	$3.9K	$0
Amanda Lang	MI	Optometrist	$2.2K	$190
Sonia Afshariyamchlou	WA	Endocrinology, Diabetes & Metabolism Physician	$2.3K	$0
Deepthi Rimmalapudi	CA	Endocrinology, Diabetes & Metabolism Physician	$2.2K	$0
Cheryl Hipolito	WA	Family Medicine Physician	$830	$0

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
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
Tri-cities Community Health	WA	Case Manager/Care Coordinator	$0	$4.6M
In-home Medical Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Sophia Chang	WA	Rheumatology Physician	$271.1K	$240
Vicki Haines	WA	Nurse Practitioner	$143.8K	$113.1K

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

Related Providers

Nearby Providers

Frequently Asked Questions

References