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.

Resolutioncare, PC (NPI 1194121681)

Field	Value
Entity Type	Organization
Organization	Resolutioncare, PC
Address	1875 S Grant St Ste 760
City	San Mateo
State	CA
ZIP	94402
Taxonomy	Specialist
NPI Enumerated	November 10, 2014

Payer Source	Total Paid
Medicaid	$27.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	27,020	$630	$16.9M
G9012	Other specified case management service not elsewhere classified	33,380	$270	$8.9M
T2024	Service assessment/plan of care development, waiver	1,250	$620	$777.5K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,780	$100	$172.3K
99489	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,260	$120	$147.1K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	2,250	$40	$87.6K
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…	860	$80	$71.4K
G9008	Coordinated care fee, physician coordinated care oversight services	140	$100	$14.4K
T1014	Telehealth transmission, per minute, professional services bill separately	950	$10	$11.3K
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…	10	$50	$650

Showing 1–10 of 12

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

Resolutioncare, PC — 3 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	2	30	2,650	$360	$2.1M
G9012	Other specified case management service not elsewhere classified	30	720	1,110	$110	$651.3K
G9008	Coordinated care fee, physician coordinated care oversight services	365	490	660	$70	$396.7K
T2024	Service assessment/plan of care development, waiver	9	80	90	$510	$309.5K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	70	310	190	$100	$301.4K
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…	13,036	13,300	640	$40	$169.6K
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…	1,105	4,230	210	$110	$135K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	131	160	180	$70	$74.5K
T1014	Telehealth transmission, per minute, professional services bill separately	87	290	330	$10	$55.4K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	8	60	90	$60	$33.9K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Resolutioncare, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kent Adler	CA	Hematology & Oncology Physician	$1.3M	$0
Bradley Ekstrand	CA	Hematology & Oncology Physician	$1.3M	$0
Karen Chee	CA	Hematology & Oncology Physician	$273.8K	$0
Autumn Eglitis	CA	Hospice and Palliative Medicine (Family Medicine) Physician	$84.2K	$0
Jan Clements	CA	Gerontology Nurse Practitioner	$3.6K	$890

Resolutioncare, PC — Billing Profile & Reimbursement Data

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Resolutioncare, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References