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.

Fresno Community Hospital And Medical Center (NPI 1104906569)

Field	Value
Entity Type	Organization
Organization	Fresno Community Hospital And Medical Center
Address	2823 Fresno St
City	Fresno
State	CA
ZIP	93721
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$37.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

682 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	294,190	$20	$6.8M
J3490	Unclassified drugs	200,950	$20	$4.4M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	46,110	$90	$4.1M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	42,670	$90	$3.6M
80047	The lab analyst performs a basic metabolic panel (BMP) test in which he measures the blood level of eight chemicals identified in the descriptor including ionized calcium, sodium, potassium,…	175,040	$10	$2.5M
Z7502	N/A	26,190	$40	$995K
Z9725	N/A	15,420	$40	$663.1K
0360	N/A	14,350	$40	$545.5K
G0378	Hospital observation service, per hour	1,850	$290	$537.8K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	5,380	$90	$500.5K

Showing 1–10 of 682

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

Fresno Community Hospital And Medical Center — 14 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

682 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	598	730	25,970	$150	$4.5M
0450	N/A	3	450	16,140	$90	$3.6M
H2019	Therapeutic behavioral services, per 15 minutes	393	660	4,750	$140	$3.1M
0681	N/A	7	10	40	$7,220	$2.4M
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…	13	110	190	$140	$1.6M
J2505	Injection, pegfilgrastim, 6 mg	12	30	220	$2,310	$1.2M
J9355	Injection, trastuzumab, excludes biosimilar, 10 mg	12	20	260	$2,370	$1.2M
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	19	20	240	$1,870	$1.2M
0206	N/A	7	40	80	$2,760	$1.1M
J0178	Injection, aflibercept, 1 mg	112	120	380	$970	$1.1M

Showing 1–10 of 682

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fresno Community Hospital And Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Khoi Le	CA	Clinical Cardiac Electrophysiology Physician	$2.2M	$357.5K
Rohit Sundrani	CA	Cardiovascular Disease Physician	$1.3M	$0
Charles Sohn	CA	Interventional Cardiology Physician	$1M	$0
Chandrasekar Palaniswamy	CA	Clinical Cardiac Electrophysiology Physician	$1M	$0
Shailesh Shetty	CA	Cardiovascular Disease Physician	$657.8K	$0
Perminder Bhatia	CA	Neurology Physician	$606.9K	$0
Manminder Bhullar	CA	Interventional Cardiology Physician	$347.6K	$0
John Ambrose	CA	Cardiovascular Disease Physician	$64.9K	$0

Nearby Providers

Other providers in the same ZIP code as Fresno Community Hospital And Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kwph Enterprises Inc	CA	Land Ambulance	$11.1M	$66.3M
Vallarine Dental, LLC	CA	Ambulatory Surgical Clinic/Center	$0	$38.2M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23.9M
Ajit Khaira	CA	Internal Medicine Physician	$168.5K	$0
Onyedikachi Michaels	CA	Internal Medicine Physician	$96.1K	$0
Patrick Tran	CA	Internal Medicine Physician	$89.1K	$0
Sukhdeep Athwal	CA	Anesthesiology Physician	$77.5K	$0
Ashwin Bhatt	CA	Anesthesiology Physician	$71K	$0
Debra Stotts	CA	Certified Registered Nurse Anesthetist	$35K	$0
William Dominic	CA	Trauma Surgery Physician	$26.3K	$0

Fresno Community Hospital And Medical Center — Billing Profile & Reimbursement Data

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Fresno Community Hospital And Medical Center — 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