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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEmanate Health Medical Center
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    Emanate Health Medical Center — Billing Profile & Reimbursement Data

    NPI 1063441293 · West Covina, CA · General Acute Care Hospital

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    Emanate Health Medical Center is a general acute care hospital provider located in West Covina, California. This profile covers 0 Medicare and 393 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEmanate Health Medical Center
    Address1115 S Sunset Ave
    CityWest Covina
    StateCA
    ZIP91790
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJuly 1, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$23.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    393 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0450N/A129,470$40$5.4M
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.10,410$80$874K
    70450The 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.10,320$80$773.9K
    Z7502N/A18,180$40$691K
    99199Use this code to report other medicine services or procedures for which there is no specific code available.27,500$20$632.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…36,200$20$615.3K
    93005The 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…33,480$20$602.7K
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…2,650$230$600.6K
    74177The 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.3,780$150$548.5K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.11,450$40$469.5K

    Showing 1–10 of 393

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    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    393 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0450N/A3445016,140$90$3.6M
    0121N/A3970130$4,600$2.6M
    81220The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…79110190$140$1.6M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)3773901,270$220$1.5M
    99283The 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.3961,570680$110$1.1M
    99285The 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.4431,300510$100$943K
    0214N/A1830160$2,730$890K
    99284The 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.5621,400470$80$884.5K
    0510N/A30230930$40$854K
    99281The provider sees a patient for the lowest level emergency department visit.304301,140$90$769.9K

    Showing 1–10 of 393

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Emanate Health Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zahida BhuttoCACardiovascular Disease Physician$221.6K$165.8K
    Neil DohertyCACardiovascular Disease Physician$249K$0

    Nearby Providers

    Other providers in the same ZIP code as Emanate Health Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altamed Health Services CorpCAFederally Qualified Health Center (FQHC)$0$83.6M
    East Valley Community Health Center, Inc.CAFederally Qualified Health Center (FQHC)$0$34.5M
    Premier Healthcare Services, LLCCAHome Health Agency$0$28.7M
    Philip NgaiCAGlaucoma Specialist (Ophthalmology) Physician$1.2M$0
    Catherine Noel-uyloanCAGeneral Practice Physician$1.2M$0
    Brian LeberthonCAHematology & Oncology Physician$333.1K$542.4K
    Harold GomezCALicensed Practical Nurse$45.2K$825.1K
    Bac NguyenCAOtolaryngology Physician$521.6K$117.4K
    Joseph LinCAOphthalmology Physician$187K$0
    Gerald GrossmanCADiagnostic Radiology Physician$130.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Emanate Health Medical Center — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California