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.

Western Sierra Medical Clinic, Inc. (NPI 1063496396)

Field	Value
Entity Type	Organization
Organization	Western Sierra Medical Clinic, Inc.
Address	844 Old Tunnel Rd
City	Grass Valley
State	CA
ZIP	95945
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 30, 2005

Payer Source	Total Paid
Medicaid	$27.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

136 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	166,330	$120	$20.6M
00003	N/A	23,400	$170	$4M
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…	143,260	$10	$1.3M
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…	31,450	$10	$408.9K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	21,930	$10	$197.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	17,200	$10	$120.4K
86769	The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…	8,460	$10	$118.4K
H1001	Prenatal care, at-risk enhanced service; antepartum management	3,440	$30	$103.1K
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…	6,830	$20	$102.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	4,510	$20	$85.6K

Showing 1–10 of 136

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

Western Sierra Medical Clinic, Inc. — 5 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

136 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	189	1,550	38,050	$190	$14.1M
00003	N/A	246	690	14,940	$260	$7.7M
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.	620	1,570	680	$110	$1.1M
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…	174	280	730	$90	$315.5K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	239	1,030	1,050	$70	$219.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	475	1,950	500	$80	$179K
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…	396	13,300	640	$40	$169.6K
J3490	Unclassified drugs	1,244	1,390	670	$20	$159.5K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	280	1,040	660	$60	$147.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,448	4,230	210	$110	$135K

Showing 1–10 of 136

Related Providers

Other providers that share a Tax Identification Number (TIN) with Western Sierra Medical Clinic, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mehran Moussavian	CA	Interventional Cardiology Physician	$3M	$67.3K

Nearby Providers

Other providers in the same ZIP code as Western Sierra Medical Clinic, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Nevada	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$88.3M
Chapa-de Indian Health Program, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$84.6M
Sierra Nevada Memorial-miners Hospital	CA	General Acute Care Hospital	$0	$23M
Grass Valley Outpatient Surgery Center LP	CA	Ambulatory Surgical Clinic/Center	$426.1K	$1.6M
Sierra Endoscopy Center, LLC	CA	Ambulatory Surgical Clinic/Center	$1.1M	$577.9K
Sierra Ambulatory Surgery Center	CA	Ambulatory Surgical Clinic/Center	$1.2M	$0
Jon Pritchett	CA	Family Medicine Physician	$1M	$0
Anna Wilson	CA	Diagnostic Radiology Physician	$762K	$59.2K
Kuldip Gill	CA	Geriatric Medicine (Internal Medicine) Physician	$807.6K	$0
Matthew Muellenhoff	CA	Procedural Dermatology Physician	$736.5K	$0

Western Sierra Medical Clinic, Inc. — Billing Profile & Reimbursement Data

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Western Sierra Medical Clinic, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References