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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAlameda Health System
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    Alameda Health System — Billing Profile & Reimbursement Data

    NPI 1104959089 · Oakland, CA · Federally Qualified Health Center (FQHC)

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    Alameda Health System is a federally qualified health center (fqhc) provider located in Oakland, California. This profile covers 0 Medicare and 166 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
    OrganizationAlameda Health System
    Address6955 Foothill Blvd Suite 200
    CityOakland
    StateCA
    ZIP94605
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedMarch 13, 2007

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

    Payer SourceTotal Paid
    Medicaid$64.6M
    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.

    166 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive188,330$280$52.9M
    00003N/A25,380$330$8.3M
    99213The 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…67,830$10$542.6K
    G0467Federally 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…7,600$60$478.7K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…5,650$40$214.7K
    90750The provider injects an adjuvanted vaccine into a muscle to protect the patient against varicella zoster infection.1,350$150$204.4K
    99214The 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…27,670$10$193.7K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…5,380$40$193.6K
    J1050Injection, medroxyprogesterone acetate, 1 mg1,030$170$177K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.750$140$103.4K

    Showing 1–10 of 166

    • More pages

    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

    166 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1551,55038,050$190$14.1M
    00003N/A22969014,940$260$7.7M
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.143360840$160$495.3K
    90837In 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…2,7154,290780$140$400.1K
    G9008Coordinated care fee, physician coordinated care oversight services286490660$70$396.7K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…534900560$70$230.3K
    G0467Federally 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…1121,0301,050$70$219.7K
    90834In 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…1,0671,950500$80$179K
    99214The 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…45013,300640$40$169.6K
    J3490Unclassified drugs1,2741,390670$20$159.5K

    Showing 1–10 of 166

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alameda Health SystemCAGeneral Acute Care Hospital$0$172.2M
    Alameda Health SystemCAFederally Qualified Health Center (FQHC)$0$57.8M
    Alameda Health SystemCAAssisted Living Facility$0$30.6M
    Alameda Health SystemCAFederally Qualified Health Center (FQHC)$0$26.9M
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Tushar RanchodCARetina Specialist (Ophthalmology) Physician$2.6M$0
    J JumperCARetina Specialist (Ophthalmology) Physician$2.6M$0
    Judy ChenCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Belmond Community HospitalIARural Health Clinic/Center$0$1.9M
    Caesar LuoCARetina Specialist (Ophthalmology) Physician$1.8M$0

    Nearby Providers

    Other providers in the same ZIP code as Alameda Health System, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alameda CountyCACommunity/Behavioral Health Agency$0$29.7M
    Phillip WrightCASpecialist$201.8K$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
    Alameda Health System — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California