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 California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California 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. California (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.

Children's Hospital & Research Center At Oakland (NPI 1003961251)

Field	Value
Entity Type	Organization
Organization	Children's Hospital & Research Center At Oakland
Address	747 52nd St
City	Oakland
State	CA
ZIP	94609
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$161.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

610 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	176,220	$290	$50.2M
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	212,120	$40	$9.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	97,080	$80	$7.6M
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	1,370	$3,180	$4.4M
0510	N/A	68,840	$50	$3.2M
0450	N/A	38,420	$70	$2.8M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1,390	$1,980	$2.8M
Z5946	N/A	890	$2,720	$2.4M
Q3014	Telehealth originating site facility fee	64,900	$40	$2.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	39,820	$60	$2.3M

Showing 1–10 of 610

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Children's Hospital & Research Center At Oakland — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

610 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	542	580	4,730	$250	$14.4M
T1015	Clinic visit/encounter, all-inclusive	173	1,550	38,050	$190	$14.1M
0450	N/A	161	450	16,140	$90	$3.6M
G9002	Coordinated care fee, maintenance rate	30	40	4,330	$310	$3M
0123	N/A	7	20	130	$3,160	$1.9M
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	2	20	220	$2,520	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	529	1,570	680	$110	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	5	40	200	$1,990	$1M
V5140	Binaural, behind the ear	30	50	170	$1,310	$916.7K
J3380	Injection, vedolizumab, intravenous, 1 mg	6	10	60	$1,640	$902.6K

Showing 1–10 of 610

Nearby Providers

Other providers in the same ZIP code as Children's Hospital & Research Center At Oakland, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sutter Bay Hospitals	CA	General Acute Care Hospital	$0	$46.8M
La Clinica De La Raza Inc	CA	Federally Qualified Health Center (FQHC)	$0	$29.7M
The Surgery Center Of Alta Bates Summit Medical Center, LLC	CA	Ambulatory Surgical Clinic/Center	$3.4M	$0
481 Asc Project LLC	CA	Ambulatory Surgical Clinic/Center	$2.7M	$180.1K
Tuow Ting	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Dialysis Access Center A Medical Corporation	CA	Ambulatory Surgical Clinic/Center	$1.5M	$367.2K
Jesse Jung	CA	Ophthalmology Physician	$1.7M	$0
Soraya Rofagha	CA	Ophthalmology Physician	$1.6M	$0
Eugene Lit	CA	Ophthalmology Physician	$1.5M	$0
Soon Lee	CA	Ophthalmology Physician	$1.3M	$0

Children's Hospital & Research Center At Oakland — Billing Profile & Reimbursement Data

Sign up for Children's Hospital & Research Center At Oakland — Billing Profile & Reimbursement Data policy alerts

Children's Hospital & Research Center At Oakland — Billing Profile & Reimbursement Data

Sign up for Children's Hospital & Research Center At Oakland — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References