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.

St. Joseph Health Northern California, LLC (NPI 1134152549)

Field	Value
Entity Type	Organization
Organization	St. Joseph Health Northern California, LLC
Address	1165 Montgomery Dr
City	Santa Rosa
State	CA
ZIP	95405
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$48.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

305 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.	89,590	$80	$6.9M
99281	The provider sees a patient for the lowest level emergency department visit.	55,380	$80	$4.4M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	35,310	$70	$2.4M
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.	6,380	$340	$2.2M
99201	Deleted code, effective Jan. 1, 2021	29,140	$70	$2.1M
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.	7,220	$200	$1.4M
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…	13,750	$80	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	13,090	$80	$1.1M
0241U	N/A	7,070	$140	$982.5K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	20,660	$50	$971.2K

Showing 1–10 of 305

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

St. Joseph Health Northern California, LLC — 5 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

305 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	341	450	16,140	$90	$3.6M
J9271	Injection, pembrolizumab, 1 mg	50	60	240	$4,460	$3.4M
0456	N/A	13	10	2,250	$60	$1.4M
J2505	Injection, pegfilgrastim, 6 mg	26	30	220	$2,310	$1.2M
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.	25	1,570	680	$110	$1.1M
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…	93	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.	1,264	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	14	430	1,140	$90	$769.9K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	118	230	270	$840	$717.2K
G9012	Other specified case management service not elsewhere classified	482	720	1,110	$110	$651.3K

Showing 1–10 of 305

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Joseph Health Northern California, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph Health Northern California, LLC	CA	General Acute Care Hospital	$0	$28.7M
St. Joseph Health Northern California, LLC	CA	General Acute Care Hospital	$0	$22.3M
Rodney Swenson	CA	Family Medicine Physician	$550.6K	$0

Nearby Providers

Other providers in the same ZIP code as St. Joseph Health Northern California, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amy Shaw	CA	Family Medicine Physician	$1.7M	$0
Sanjay Dhar	CA	Cardiovascular Disease Physician	$637.3K	$0
Peter Chang Sing	CA	Clinical Cardiac Electrophysiology Physician	$493.5K	$3.9K
Steven Mitnick	CA	Anatomic Pathology & Clinical Pathology Physician	$466.6K	$0
Christian Athanassious	CA	Orthopaedic Surgery Physician	$395.3K	$0
John Hurwitz	CA	Internal Medicine Physician	$307K	$0
Vu Tran	CA	Sleep Medicine (Internal Medicine) Physician	$305.3K	$0
Michael Pezold	CA	Vascular Surgery Physician	$243.5K	$0
Kevin Satow	CA	Physical Medicine & Rehabilitation Physician	$96.1K	$128.1K
Dominic Mintalucci	CA	Orthopaedic Hand Surgery Physician	$222.8K	$0

St. Joseph Health Northern California, LLC — Billing Profile & Reimbursement Data

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St. Joseph Health Northern California, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References