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.

Kpc Global Medical Centers, Inc. (NPI 1114239068)

Field	Value
Entity Type	Organization
Organization	Kpc Global Medical Centers, Inc.
Address	1117 E Devonshire Ave
City	Hemet
State	CA
ZIP	92543
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 8, 2010

Payer Source	Total Paid
Medicaid	$29.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

244 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	96,180	$50	$4.8M
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.	54,300	$50	$2.8M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	24,960	$60	$1.5M
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.	11,680	$130	$1.5M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	18,270	$60	$1.1M
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.	5,280	$210	$1.1M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	32,770	$30	$852K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	27,780	$30	$833.3K
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.	58,430	$10	$759.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	64,420	$10	$579.8K

Showing 1–10 of 244

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

Kpc Global Medical Centers, Inc. — 3 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

244 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	64	450	16,140	$90	$3.6M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	351	390	1,270	$220	$1.5M
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.	86	1,570	680	$110	$1.1M
L8699	Prosthetic implant, not otherwise specified	34	50	220	$1,790	$996.4K
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.	452	1,300	510	$100	$943K
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.	447	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	348	430	1,140	$90	$769.9K
G0378	Hospital observation service, per hour	75	200	550	$310	$605.9K
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.	190	780	1,160	$130	$576.2K
0762	N/A	45	160	770	$250	$419.8K

Showing 1–10 of 244

Nearby Providers

Other providers in the same ZIP code as Kpc Global Medical Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborhood Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$160.1M
Hemet Valley Ambulance Service Inc	CA	Ambulance	$2.6M	$15.5M
Kishore Sehgal	CA	Hematology & Oncology Physician	$4.1M	$0
Evelyn Mendoza	CA	Specialist	$3.2M	$0
Stanley Schinke	CA	Specialist	$2.8M	$0
Gerard Carvalho	CA	Otolaryngology Physician	$133.8K	$764.8K
Kpc Biotech, Inc	CA	Clinical Medical Laboratory	$40.7K	$755.1K
Robert Harford	CA	Dermatology Physician	$550.7K	$7.6K
John Desnoyers	CA	Emergency Medicine Physician	$227.5K	$141.9K
James Tsai	CA	Hematology & Oncology Physician	$177.3K	$0

Kpc Global Medical Centers, Inc. — Billing Profile & Reimbursement Data

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Kpc Global Medical Centers, 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

Nearby Providers

Frequently Asked Questions

References