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.

Tuolumne Me-wuk Indian Health Center, Inc. (NPI 1124286885)

Field	Value
Entity Type	Organization
Organization	Tuolumne Me-wuk Indian Health Center, Inc.
Address	19969 Greenley Rd
City	Sonora
State	CA
ZIP	95370
Taxonomy	Family Medicine Physician
NPI Enumerated	May 29, 2008

Payer Source	Total Paid
Medicaid	$46.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00003	N/A	65,790	$540	$35.4M
T1015	Clinic visit/encounter, all-inclusive	16,780	$570	$9.5M
G0467	Federally 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…	3,670	$440	$1.6M
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…	10,710	$20	$192.7K
98942	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in five spinal regions.	270	$210	$57.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	920	$50	$47.9K
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…	5,040	$10	$25.2K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	540	$30	$15K
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…	350	$10	$3.9K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	300	$10	$2.4K

Showing 1–10 of 46

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

Tuolumne Me-wuk Indian Health Center, Inc. — 0 of 16 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1,070	1,550	38,050	$190	$14.1M
00003	N/A	67	690	14,940	$260	$7.7M
G0467	Federally 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…	240	1,030	1,050	$70	$219.7K
90834	In 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…	1,089	1,950	500	$80	$179K
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…	2,263	13,300	640	$40	$169.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,689	4,230	210	$110	$135K
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…	1,925	14,520	760	$10	$122.8K
98942	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in five spinal regions.	49	80	440	$30	$79.6K
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…	4,096	5,870	180	$70	$73K
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…	2,121	5,590	180	$50	$62.4K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tuolumne Me-wuk Indian Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zachary Cooper	CA	Dermatology Physician	$1.1M	$0
Steve Jensen	CA	Podiatrist	$148.5K	$0
John Brunolli	CA	Physical Therapist	$85.2K	$0

Nearby Providers

Other providers in the same ZIP code as Tuolumne Me-wuk Indian Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sonora Community Hospital	CA	Rural Health Clinic/Center	$0	$41.3M
County Of Tuolumne	CA	Community/Behavioral Health Agency	$0	$23.9M
Sonora Community Hospital	CA	General Acute Care Hospital	$0	$22.8M
County Of Tuolumne	CA	Land Ambulance	$2.2M	$3M
Gerard Ardron	CA	Ophthalmology Physician	$1.3M	$0
Pericles Ioannides	CA	Radiation Oncology Physician	$532.7K	$0
Yousef Khelfa	CA	Hematology & Oncology Physician	$423.2K	$0
Timothy Hooper	CA	General Practice Physician	$366.7K	$970
Ariana Demers	CA	Sports Medicine (Orthopaedic Surgery) Physician	$295.6K	$0
Carla Doyle	CA	Hand Occupational Therapist	$154.7K	$124.7K

Tuolumne Me-wuk Indian Health Center, Inc. — Billing Profile & Reimbursement Data

Sign up for Tuolumne Me-wuk Indian Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

Tuolumne Me-wuk Indian Health Center, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References