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.

University Of California San Francisco (NPI 1164512851)

University Of California San Francisco is a internal medicine physician provider located in San Francisco, California. This profile covers 0 Medicare and 213 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	University Of California San Francisco
Address	400 Parnassus Ave
City	San Francisco
State	CA
ZIP	94143
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$49.3M
Medicare	$0

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

213 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	72,320	$130	$9M
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…	91,240	$90	$7.8M
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.	23,860	$180	$4.2M
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.	19,030	$130	$2.4M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	170,170	$10	$2.2M
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	142,190	$10	$2M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	13,360	$140	$1.9M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	23,650	$80	$1.8M
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.	11,770	$140	$1.6M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	17,230	$90	$1.5M

Showing 1–10 of 213

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

University Of California San Francisco — 14 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

213 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	253	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.	156	1,300	510	$100	$943K
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.	269	1,400	470	$80	$884.5K
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.…	84	230	270	$840	$717.2K
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.	33	780	1,160	$130	$576.2K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	60	140	590	$120	$350.5K
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.	94	900	1,400	$60	$342.7K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	2	330	250	$260	$311.4K
Z4306	N/A	54	70	740	$50	$285.5K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	75	290	500	$110	$275.6K

Showing 1–10 of 213

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genetic Disease Screening Program, State Of Ca	CA	Clinical Medical Laboratory	$0	$182.6M
University Of California San Francisco Medical Center	CA	General Acute Care Hospital	$0	$54.1M
Ucsf Medical Group Business Services	CA	Internal Medicine Physician	$0	$47.2M
Haig Tcheurekdjian	OH	Allergy & Immunology Physician	$2.9M	$0
Soraya Rofagha	CA	Ophthalmology Physician	$1.6M	$0
Kent Adler	CA	Hematology & Oncology Physician	$1.3M	$0
Bradley Ekstrand	CA	Hematology & Oncology Physician	$1.3M	$0
Timothy Mccalmont	CA	Dermatopathology (Pathology) Physician	$1M	$0
Neal Bost	CA	Diagnostic Radiology Physician	$984.3K	$0
Lisa Chu	CA	Diagnostic Radiology Physician	$854.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hugh Mcswain	CA	Neuroradiology Physician	$235.3K	$292.6K
Aaron Clark	CA	Neurological Surgery Physician	$475.5K	$0
Christopher Ames	CA	Neurological Surgery Physician	$422.6K	$0
Ashley Lee	CA	Diagnostic Radiology Physician	$378.1K	$0
Vedat Deviren	CA	Orthopaedic Surgery Physician	$352.7K	$0
Lee Tan	CA	Neurological Surgery Physician	$333.7K	$0
Joshua Rabang	CA	Diagnostic Radiology Physician	$307.1K	$0
Alexander Theologis	CA	Orthopaedic Surgery Physician	$299.7K	$0
Isaac Neuhaus	CA	Dermatology Physician	$296.9K	$0
Jeffrey Barry	CA	Orthopaedic Surgery Physician	$288.5K	$0

University Of California San Francisco — Billing Profile & Reimbursement Data

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University Of California San Francisco — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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