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 Medical Center Of Modesto, Inc. (NPI 1184654923)

Field	Value
Entity Type	Organization
Organization	Doctors Medical Center Of Modesto, Inc.
Address	1441 Florida Ave
City	Modesto
State	CA
ZIP	95350
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$101.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

282 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	206,770	$180	$37.4M
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.	42,560	$170	$7.4M
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.	34,750	$110	$3.8M
99218	N/A	2,240	$1,400	$3.1M
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…	8,780	$350	$3.1M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	21,940	$120	$2.7M
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.	15,730	$170	$2.7M
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.	7,080	$360	$2.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10,070	$250	$2.5M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	4,120	$580	$2.4M

Showing 1–10 of 282

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 Medical Center Of Modesto, Inc. — 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

282 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	11	450	16,140	$90	$3.6M
0121	N/A	51	70	130	$4,600	$2.6M
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.	120	1,570	680	$110	$1.1M
L8699	Prosthetic implant, not otherwise specified	30	50	220	$1,790	$996.4K
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.	198	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…	75	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.	156	1,400	470	$80	$884.5K
0510	N/A	35	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	103	430	1,140	$90	$769.9K
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.	140	780	1,160	$130	$576.2K

Showing 1–10 of 282

Related Providers

Other providers that share a Tax Identification Number (TIN) with Doctors Medical Center Of Modesto, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Medical Center Of Modesto, Inc.	CA	General Acute Care Hospital	$0	$61.4M

Nearby Providers

Other providers in the same ZIP code as Doctors Medical Center Of Modesto, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Golden Valley Health Centers	CA	Internal Medicine Physician	$0	$79.4M
Valley Children's Medical Group	CA	Pediatrics Physician	$0	$65M
Northern California Cancer Center	CA	Medical Oncology Physician	$0	$40M
County Of Stanislaus	CA	Clinic/Center	$0	$27.4M
Cep America - California	CA	Emergency Medicine Physician	$0	$26.1M
Modesto Radiology Imaging, Inc.	CA	Diagnostic Radiology Physician	$2.3M	$10.7M
Khosrow Mehrany	CA	Specialist	$7.7M	$0
Aegis Treatment Centers, LLC	CA	Methadone Clinic	$780.3K	$23.7K
Thomas Wallace	CA	Critical Care Medicine (Internal Medicine) Physician	$634.3K	$0
Joselyn Deculing	CA	Nurse Practitioner	$566.2K	$0

Doctors Medical Center Of Modesto, Inc. — Billing Profile & Reimbursement Data

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Doctors Medical Center Of Modesto, Inc. — 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