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.

County Of Riverside (NPI 1023122967)

County Of Riverside is a federally qualified health center (fqhc) provider located in Indio, California. This profile covers 0 Medicare and 174 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	County Of Riverside
Address	47923 Oasis Street
City	Indio
State	CA
ZIP	92201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$35.9M
Medicare	$0

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

174 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	87,630	$310	$26.8M
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…	206,050	$10	$1.6M
90750	The provider injects an adjuvanted vaccine into a muscle to protect the patient against varicella zoster infection.	4,960	$180	$902.5K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	16,070	$40	$610.8K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	5,810	$100	$558K
90715	The provider uses this combination vaccine as a booster to help protect patients who are 7 years old or older from lockjaw, diphtheria, and whooping cough.	14,420	$40	$547.8K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	2,350	$220	$521K
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…	57,660	$10	$518.9K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	4,320	$100	$448.8K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	3,650	$110	$394.2K

Showing 1–10 of 174

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

County Of Riverside — 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

174 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	523	580	4,730	$250	$14.4M
T1015	Clinic visit/encounter, all-inclusive	437	1,550	38,050	$190	$14.1M
G9012	Other specified case management service not elsewhere classified	37	720	1,110	$110	$651.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,213	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	6	490	660	$70	$396.7K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	248	280	730	$90	$315.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	92	290	500	$110	$275.6K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	178	900	560	$70	$230.3K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	666	760	1,930	$20	$196K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	852	1,270	450	$20	$183.5K

Showing 1–10 of 174

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jfk Memorial Hospital, Inc.	CA	General Acute Care Hospital	$0	$61.7M
Doyle R. Nick, Dds, Inc.	CA	General Practice Dentistry	$0	$23.3M
Harry Lifschutz	CA	Vascular Surgery Physician	$1.5M	$320.1K
Luyen Pham	CA	Foot & Ankle Surgery Podiatrist	$108.2K	$410.4K
Steven Gunberg	CA	Diagnostic Radiology Physician	$312.7K	$0
Jonathan Kim	CA	Podiatrist	$214K	$41.9K
Vincent Kambe	CA	Physical Therapist	$159.8K	$0
Naeem Rana	CA	Critical Care Medicine (Internal Medicine) Physician	$97.1K	$0

County Of Riverside — 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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References