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.

The Vancouver Clinic Inc Ps (NPI 1992759427)

The Vancouver Clinic Inc Ps is a internal medicine physician provider located in Vancouver, Washington. This profile covers 0 Medicare and 231 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	The Vancouver Clinic Inc Ps
Address	700 Ne 87th Ave
City	Vancouver
State	WA
ZIP	98664
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$28.2M
Medicare	$0

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

231 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	102,510	$90	$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…	110,940	$70	$7.9M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	21,180	$50	$995.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,620	$100	$933.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,810	$90	$883.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,800	$100	$844.6K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	4,790	$160	$757.5K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	10,850	$50	$575K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,970	$110	$417.3K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	8,430	$40	$337.4K

Showing 1–10 of 231

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

The Vancouver Clinic Inc Ps — 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

231 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	99	110	5,950	$270	$2.6M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	134	140	2,830	$150	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	19	20	190	$1,670	$956.2K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	6	10	3,400	$70	$683.2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	71	100	3,660	$100	$635.7K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	73	70	2,010	$210	$620.1K
J0585	Injection, onabotulinumtoxina, 1 unit	35	40	1,040	$390	$518.8K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	91	120	2,040	$30	$464.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	91	120	2,020	$30	$441.1K
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…	17	1,820	480	$60	$379.6K

Showing 1–10 of 231

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Washington	WA	General Acute Care Hospital	$0	$129.5M
Harborview Medical Center	WA	General Acute Care Hospital	$0	$128.2M
Franciscan Medical Group	WA	Family Medicine Physician	$0	$92.6M
Fred Hutchinson Cancer Center	WA	General Acute Care Hospital	$0	$72.6M
The Association Of University Physicians	WA	Anesthesiology Physician	$0	$66.3M
Pacmed Clinics	WA	Multi-Specialty Clinic/Center	$0	$4.5M
The Vancouver Clinic Inc Ps	WA	Ambulatory Surgical Clinic/Center	$901.2K	$2.9M
North Kitsap Ambulatory Surgery Center, LLC	WA	Ambulatory Surgical Clinic/Center	$3.1M	$60.2K
David Zelman	NY	Diagnostic Radiology Physician	$580.2K	$563.4K
Zhihong Zhang	WA	Hematology & Oncology Physician	$1.1M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
South Sound Inpatient Physicians PLLC	WA	Internal Medicine Physician	$0	$17.6M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Emergency Medicine Associates PC	WA	Emergency Medicine Physician	$0	$11.1M
Rkso LLC	WA	Durable Medical Equipment & Medical Supplies	$0	$4.2M
Southwest Washington Regional Surgery Center, LLC	WA	Ambulatory Surgical Clinic/Center	$2.4M	$563K
Aliakbar Dadla	WA	Hematology & Oncology Physician	$613.3K	$0
Howard Nelson	WA	Diagnostic Radiology Physician	$429K	$0
David Valent	WA	Ophthalmology Physician	$333.3K	$0
Ramon Godoy	WA	Family Nurse Practitioner	$230.6K	$0

The Vancouver Clinic Inc Ps — Billing Profile & Reimbursement Data

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The Vancouver Clinic Inc Ps — 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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