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.

Svmhs Clinics (NPI 1093158347)

Svmhs Clinics is a multi-specialty clinic/center provider located in Salinas, California. This profile covers 0 Medicare and 316 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	Svmhs Clinics
Address	505 E Romie Ln Ste A
City	Salinas
State	CA
ZIP	93901
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	April 16, 2013

Payer Source	Total Paid
Medicaid	$34.2M
Medicare	$0

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

316 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	149,650	$60	$9.1M
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…	113,480	$30	$3.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50,550	$40	$1.8M
99204	The provider sees a new 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 provider…	11,640	$130	$1.5M
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…	15,580	$90	$1.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	27,270	$50	$1.4M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10,680	$100	$1M
99203	The provider sees a new 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 provider…	8,060	$90	$693.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	18,740	$40	$656K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	10,860	$60	$608.1K

Showing 1–10 of 316

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

Svmhs Clinics — 16 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

316 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	162	230	270	$840	$717.2K
G9012	Other specified case management service not elsewhere classified	178	720	1,110	$110	$651.3K
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.	194	780	1,160	$130	$576.2K
J0585	Injection, onabotulinumtoxina, 1 unit	104	110	260	$590	$407.4K
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…	2,131	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	434	490	660	$70	$396.7K
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.	245	900	1,400	$60	$342.7K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	102	330	250	$260	$311.4K
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…	151	290	500	$110	$275.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	215	1,080	460	$110	$263.5K

Showing 1–10 of 316

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horng Bruce Lin	CA	Vascular & Interventional Radiology Physician	$1.7M	$0
Michael Basse	CA	Diagnostic Radiology Physician	$1.4M	$0
Yang Liu	PA	Hematology & Oncology Physician	$827.8K	$0
Nicolas Kissell	CA	Endocrinology, Diabetes & Metabolism Physician	$475K	$0
Leonard Renfer	CA	Urology Physician	$363.2K	$0
Christopher Oh	CA	Nuclear Cardiology Physician	$347.3K	$0
Harlan Grogin	CA	Clinical Cardiac Electrophysiology Physician	$314.3K	$0
Phillip King	CA	Internal Medicine Physician	$307.1K	$0
Brian Inlow	CA	Foot & Ankle Surgery Podiatrist	$284.2K	$0
Evan Moser	MO	Diagnostic Radiology Physician	$270.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salinas Valley Memorial Healthcare System	CA	General Acute Care Hospital	$0	$119M
County Of Monterey Behavioral Health	CA	Clinical Child & Adolescent Psychologist	$0	$41.1M
Central Coast Pediatric Dental Group	CA	Pediatric Dentistry	$0	$26.4M
American Medical Response West	CA	Ambulance	$4.8M	$9.8M
Vantage Surgery Center, L P	CA	Ambulatory Surgical Clinic/Center	$2.8M	$645K
Monterey Peninsula Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$924.4K	$2.1M
David Greene	CA	Radiation Oncology Physician	$2.3M	$119.1K
Kevin Chen	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Advanced Medical Surgery Center A Medical Corporation	CA	Ambulatory Surgical Clinic/Center	$1.6M	$39.7K
Reza Iranmanesh	CA	Ophthalmology Physician	$1.7M	$0

Svmhs Clinics — Billing Profile & Reimbursement Data

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Svmhs Clinics — 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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