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 Proyecto Del Barrio, Inc. (NPI 1154730828)

Field	Value
Entity Type	Organization
Organization	El Proyecto Del Barrio, Inc.
Address	3942 Maine Ave
City	Baldwin Park
State	CA
ZIP	91706
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 7, 2014

Payer Source	Total Paid
Medicaid	$101.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

94 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	533,440	$180	$96M
00003	N/A	27,160	$210	$5.6M
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…	14,830	$10	$74.1K
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,…	13,250	$1	$39.7K
0012A	N/A	330	$70	$22.2K
0011A	N/A	290	$70	$19.2K
0002A	N/A	70	$70	$4.6K
0001A	N/A	40	$70	$2.8K
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…	200	$10	$2.8K
0072A	N/A	20	$70	$1.1K

Showing 1–10 of 94

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 Proyecto Del Barrio, Inc. — 1 of 12 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

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	10	1,550	38,050	$190	$14.1M
00003	N/A	219	690	14,940	$260	$7.7M
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	651	900	560	$70	$230.3K
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…	4,089	13,300	640	$40	$169.6K
D0120	Periodic oral evaluation - established patient	4,649	5,640	800	$50	$163.8K
D1120	Prophylaxis–child	4,188	5,260	680	$40	$137.9K
D1310	N/A	1,101	1,470	520	$40	$123.3K
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…	1,546	14,520	760	$10	$122.8K
H1001	Prenatal care, at-risk enhanced service; antepartum management	352	720	570	$30	$73.3K
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…	2,665	5,590	180	$50	$62.4K

Showing 1–10 of 94

Related Providers

Other providers that share a Tax Identification Number (TIN) with El Proyecto Del Barrio, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Leo Polosajian	CA	Clinical Cardiac Electrophysiology Physician	$6M	$1.6M
Frank Lusher	CA	Dermatology Physician	$241.3K	$2.2M
Vinh Tran	CA	Ophthalmology Physician	$2M	$43.1K
Farshad Malekmehr	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$1.6M	$0
Ramin Ganjianpour	CA	Specialist	$1.2M	$9.4K
Brian Leberthon	CA	Hematology & Oncology Physician	$333.1K	$542.4K
Piyush Jogani	CA	Gastroenterology Physician	$696.9K	$107.7K
Rabin Beral	CA	Podiatrist	$312.7K	$451.2K
Weber Chen	CA	Hematology & Oncology Physician	$468K	$86.9K
Hiren Shah	CA	Family Medicine Physician	$278.8K	$252.4K

Nearby Providers

Other providers in the same ZIP code as El Proyecto Del Barrio, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$75.9M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$27.5M
Central City Community Health Center Inc	CA	Federally Qualified Health Center (FQHC)	$0	$23.8M
Rescue Services International, Ltd	CA	Land Ambulance	$1.1M	$3.5M
John Lee	CA	Orthopaedic Surgery Physician	$127.2K	$0
William Chu	CA	Diagnostic Radiology Physician	$64.3K	$0
Angela Do	CA	Physician Assistant	$21.9K	$0
Donald Fong	CA	Ophthalmology Physician	$1K	$0

El Proyecto Del Barrio, Inc. — Billing Profile & Reimbursement Data

Sign up for El Proyecto Del Barrio, Inc. — Billing Profile & Reimbursement Data policy alerts

El Proyecto Del Barrio, Inc. — Billing Profile & Reimbursement Data

Sign up for El Proyecto Del Barrio, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References