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.

Prime Healthcare Services - St Francis LLC (NPI 1114547114)

Field	Value
Entity Type	Organization
Organization	Prime Healthcare Services - St Francis LLC
Address	3630 E Imperial Hwy
City	Lynwood
State	CA
ZIP	90262
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 20, 2020

Payer Source	Total Paid
Medicaid	$27.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

263 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	90,790	$50	$4.1M
0121	N/A	570	$5,590	$3.2M
0214	N/A	440	$4,820	$2.1M
Z7502	N/A	27,310	$40	$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.	5,310	$180	$929.8K
0122	N/A	550	$1,620	$884.5K
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.	8,490	$100	$849K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	16,600	$50	$747K
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.	2,090	$320	$660.4K
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…	25,910	$20	$595.9K

Showing 1–10 of 263

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

Prime Healthcare Services - St Francis LLC — 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

263 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	70	450	16,140	$90	$3.6M
0121	N/A	14	70	130	$4,600	$2.6M
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.	621	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.	425	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…	330	750	950	$50	$890K
0214	N/A	5	30	160	$2,730	$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.	503	1,400	470	$80	$884.5K
0510	N/A	110	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	123	430	1,140	$90	$769.9K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	87	250	800	$110	$625.7K

Showing 1–10 of 263

Nearby Providers

Other providers in the same ZIP code as Prime Healthcare Services - St Francis LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shane Manalang	CA	Physician Assistant	$2M	$0
Shahin Pourrabbani	CA	Surgery Physician	$1.1M	$0
Christopher Marrocco	CA	Vascular Surgery Physician	$948.9K	$0
Amirhossein Zangiabadi	CA	Neurology Physician	$274.7K	$0
Kimberly Ely	CA	Physician Assistant	$190K	$0
Samia Khwaja	CA	Nephrology Physician	$66.5K	$0
Halline Overby	CA	Hematology & Oncology Physician	$43K	$0

Prime Healthcare Services - St Francis LLC — Billing Profile & Reimbursement Data

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Prime Healthcare Services - St Francis LLC — 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