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.

El Centro Regional Medical Center (NPI 1144300476)

Field	Value
Entity Type	Organization
Organization	El Centro Regional Medical Center
Address	385 W Main St
City	El Centro
State	CA
ZIP	92243
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$49.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

77 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	293,420	$140	$39.9M
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…	291,500	$20	$4.4M
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…	99,950	$20	$1.9M
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…	18,270	$100	$1.9M
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,…	19,560	$10	$273.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,130	$80	$170.4K
H1001	Prenatal care, at-risk enhanced service; antepartum management	2,150	$80	$167.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	4,270	$40	$158.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,150	$30	$124.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,430	$40	$120.2K

Showing 1–10 of 77

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

El Centro Regional Medical Center — 7 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

77 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	70	1,550	38,050	$190	$14.1M
Z7500	N/A	164	180	620	$20	$237.4K
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…	33	1,030	1,050	$70	$219.7K
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…	528	760	1,930	$20	$196K
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…	709	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…	57	13,300	640	$40	$169.6K
J3490	Unclassified drugs	655	1,390	670	$20	$159.5K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	335	1,040	660	$60	$147.7K
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…	403	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…	38	14,520	760	$10	$122.8K

Showing 1–10 of 77

Related Providers

Other providers that share a Tax Identification Number (TIN) with El Centro Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Centro Regional Medical Center	CA	General Acute Care Hospital	$0	$49.5M
El Centro Regional Medical Center	CA	Rural Health Clinic/Center	$0	$27.7M

Nearby Providers

Other providers in the same ZIP code as El Centro Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Imperial	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$42.4M
Clinicas De Salud Del Pueblo, Inc	CA	Federally Qualified Health Center (FQHC)	$0	$31.9M
Imperial County Behavioral Health Services	CA	Adolescent and Children Mental Health Clinic/Center	$0	$24.8M
Imperial County Behavioral Health Services	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23.2M
Imperial County Behavioral Health Services	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.3M
Athar Ansari	CA	Interventional Cardiology Physician	$4.4M	$0
Mohsen El Ramah	CA	Nephrology Physician	$2.7M	$0
Brawley Endoscopy & Surgery Med Ctr	CA	Endoscopy Clinic/Center	$430.4K	$1.4M
Andres Jacobo-alatriste	CA	Neurology Physician	$1.5M	$23.6K
Medical Treatment Center	CA	Methadone Clinic	$344.7K	$818.8K

El Centro Regional Medical Center — Billing Profile & Reimbursement Data

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El Centro Regional Medical Center — 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