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.

Redlands Community Hospital (NPI 1043354111)

Field	Value
Entity Type	Organization
Organization	Redlands Community Hospital
Address	350 Terracina Blvd
City	Redlands
State	CA
ZIP	92373
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$38.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

280 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	69,260	$50	$3.7M
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.	45,460	$60	$2.6M
L8699	Prosthetic implant, not otherwise specified	500	$4,300	$2.1M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	5,780	$340	$2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	26,390	$60	$1.7M
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.	7,130	$210	$1.5M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	8,970	$160	$1.4M
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	93,730	$10	$1.3M
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…	35,030	$30	$1M
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	2,490	$360	$894.6K

Showing 1–10 of 280

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

Redlands Community Hospital — 2 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

280 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	101	450	16,140	$90	$3.6M
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.	112	1,570	680	$110	$1.1M
L8699	Prosthetic implant, not otherwise specified	17	50	220	$1,790	$996.4K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	333	1,300	510	$100	$943K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	154	750	950	$50	$890K
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.	395	1,400	470	$80	$884.5K
0510	N/A	32	230	930	$40	$854K
G0378	Hospital observation service, per hour	44	200	550	$310	$605.9K
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.	138	780	1,160	$130	$576.2K
0762	N/A	18	160	770	$250	$419.8K

Showing 1–10 of 280

Nearby Providers

Other providers in the same ZIP code as Redlands Community Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Of Inland Empire	CA	Ambulance	$8.2M	$61.3M
Inland Psychiatric Medical Group, Inc.	CA	Psychiatry Physician	$0	$51.9M
Institute For Behavioral Health, Inc.	CA	Behavior Analyst	$0	$43.8M
Mohsen Mabudian	CA	Allergy & Immunology Physician	$2.5M	$64.2K
Ronald Shiell	CA	MOHS-Micrographic Surgery Physician	$2M	$0
Inland Surgery Center LP	CA	Ambulatory Surgical Clinic/Center	$507.9K	$1.1M
Mohitkumar Ardeshana	CA	Hospitalist Physician	$877.8K	$0
Jun Chiong	CA	Internal Medicine Physician	$675.4K	$0
April Fenster	CA	Physician Assistant	$414K	$0
Ingrid Trenkle	CA	Specialist	$393.7K	$0

Redlands Community Hospital — Billing Profile & Reimbursement Data

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Redlands Community Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References