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.

Doctors Hospital Of Riverside LLC (NPI 1124596382)

Field	Value
Entity Type	Organization
Organization	Doctors Hospital Of Riverside LLC
Address	3865 Jackson St
City	Riverside
State	CA
ZIP	92503
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 6, 2018

Payer Source	Total Paid
Medicaid	$37.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

225 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	68,800	$300	$20.7M
0450	N/A	45,850	$210	$9.8M
G0378	Hospital observation service, per hour	3,490	$360	$1.2M
0762	N/A	2,190	$300	$660.2K
Z7502	N/A	14,690	$40	$543.5K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	7,130	$70	$520.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	15,510	$30	$496.4K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	8,940	$50	$438.2K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,450	$160	$226.9K
96379	Use 96379 to report therapeutic, prophylactic, or diagnostic intravenous or intraarterial injection or infusion procedures that do not have a specific code.	25,610	$10	$179.2K

Showing 1–10 of 225

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

Doctors Hospital Of Riverside LLC — 4 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

225 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	147	450	16,140	$90	$3.6M
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.	48	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.	490	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…	465	750	950	$50	$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.	511	1,400	470	$80	$884.5K
0510	N/A	182	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	298	430	1,140	$90	$769.9K
G0378	Hospital observation service, per hour	33	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.	402	780	1,160	$130	$576.2K
0762	N/A	42	160	770	$250	$419.8K

Showing 1–10 of 225

Nearby Providers

Other providers in the same ZIP code as Doctors Hospital Of Riverside LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Riverside	CA	Community/Behavioral Health Agency	$0	$1.4B
Community Health Systems, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$51.2M
Nathan O Ogbatue	CA	Home Health Agency	$0	$36.1M
Sonia Dhoot	CA	Ophthalmology Physician	$1.5M	$0
John Carlson	CA	Ophthalmology Physician	$1.4M	$0
Richard Pesavento	CA	Ophthalmology Physician	$1.3M	$0
Chiayu Chen	CA	Cardiovascular Disease Physician	$599.9K	$0
Michelle Omura	CA	Diagnostic Radiology Physician	$80.2K	$0

Doctors Hospital Of Riverside LLC — Billing Profile & Reimbursement Data

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Doctors Hospital Of Riverside 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