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.

Pioneers Memorial Healthcare District (NPI 1073519443)

Field	Value
Entity Type	Organization
Organization	Pioneers Memorial Healthcare District
Address	207 W Legion Rd
City	Brawley
State	CA
ZIP	92227
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 21, 2005

Payer Source	Total Paid
Medicaid	$46.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

385 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	92,430	$60	$5.3M
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.	11,120	$230	$2.5M
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.	15,450	$140	$2.2M
87633	The 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…	5,290	$320	$1.7M
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.	21,690	$80	$1.6M
0241U	N/A	11,310	$140	$1.6M
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…	6,650	$230	$1.5M
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.	17,430	$90	$1.5M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	93,510	$10	$1.2M
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…	12,820	$90	$1.1M

Showing 1–10 of 385

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

Pioneers Memorial Healthcare District — 7 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

385 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	68	450	16,140	$90	$3.6M
0121	N/A	48	70	130	$4,600	$2.6M
81220	The 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…	64	110	190	$140	$1.6M
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.	219	1,570	680	$110	$1.1M
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.	200	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…	102	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.	241	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	340	430	1,140	$90	$769.9K
G9012	Other specified case management service not elsewhere classified	637	720	1,110	$110	$651.3K
G0378	Hospital observation service, per hour	39	200	550	$310	$605.9K

Showing 1–10 of 385

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pioneers Memorial Healthcare District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pioneers Memorial Healthcare District	CA	Rural Health Clinic/Center	$0	$28M
Vachaspathi Palakodeti	CA	Cardiovascular Disease Physician	$2.1M	$0
Issadora Lara	CA	Family Medicine Physician	$6.3K	$0

Nearby Providers

Other providers in the same ZIP code as Pioneers Memorial Healthcare District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach Air Medical Services LLC	CA	Air Ambulance	$19.3M	$79.1M
Clinicas De Salud Del Pueblo, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$34.8M
Sayed Monis	CA	Neurology Physician	$2.8M	$43.6K
Lorenzo Suarez	CA	Family Medicine Physician	$1.1M	$0
Christopher Lai	CA	Orthopaedic Surgery Physician	$440.8K	$0
Michael Krutzik	CA	Internal Medicine Physician	$291.4K	$0
Juan Velazquez	CA	Family Medicine Physician	$275.4K	$0
William Creighton	CA	Specialist	$72.2K	$3.9K
Vincent Chiu	CA	Anesthesiology Physician	$61.2K	$0
Oscar Lopez	CA	Gastroenterology Physician	$50.6K	$0

Pioneers Memorial Healthcare District — Billing Profile & Reimbursement Data

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Pioneers Memorial Healthcare District — 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