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.

Lake County Tribal Health Consortium, Inc. (NPI 1215327804)

Field	Value
Entity Type	Organization
Organization	Lake County Tribal Health Consortium, Inc.
Address	359 Lakeport Blvd
City	Lakeport
State	CA
ZIP	95453
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 3, 2015

Payer Source	Total Paid
Medicaid	$28.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	51,460	$550	$28.5M
0520	N/A	340	$110	$37.6K
36416	In this procedure, the provider pricks the patient’s finger, heel, or ear with a pointed instrument and collects specimen of droplets of blood by pressing the pricking site.	1,270	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	840	$0	$0
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	320	$0	$0
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	360	$0	$0
83655	The lab analyst performs a test to measure the amount of lead in the patient specimen. A typical aim of the test is to check for lead exposure.	380	$0	$0
85014	The lab analyst determines the volume percent of red blood cells, called hematocrit, contained in a whole blood specimen.	1,070	$0	$0
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	1,280	$0	$0
86703	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for antibodies to HIV 1 or HIV 2. This code applies to a single result for either antibody.	110	$0	$0

Showing 1–10 of 50

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

Lake County Tribal Health Consortium, Inc. — 0 of 2 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	655	1,550	38,050	$190	$14.1M
0520	N/A	11	20	2,070	$230	$1.7M
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…	3,008	13,300	640	$40	$169.6K
J3490	Unclassified drugs	1,260	1,390	670	$20	$159.5K
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…	2,013	14,520	760	$10	$122.8K
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…	4,147	5,590	180	$50	$62.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,482	2,380	350	$20	$50.3K
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,…	1,645	5,600	440	$10	$44.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	488	1,950	440	$20	$41.7K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	561	1,520	320	$20	$37.4K

Showing 1–10 of 50

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lake County Tribal Health Consortium, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lake County Tribal Health Consortium Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$140.6M

Nearby Providers

Other providers in the same ZIP code as Lake County Tribal Health Consortium, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sutter Bay Hospitals	CA	Critical Access Hospital	$0	$39.5M
Mendocino Community Health Clinic, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$23.7M
Gregory Hadfield	CA	Medical Physician Assistant	$439.9K	$0
Kinston Cummings	CA	Physician Assistant	$206.9K	$0
Keith Donald	CA	Surgery Physician	$104.9K	$76.3K
Matthew Mcquaid	CA	Foot & Ankle Surgery Podiatrist	$167.4K	$0
Fareed Asfour	CA	Infectious Disease Physician	$31.1K	$0

Lake County Tribal Health Consortium, Inc. — Billing Profile & Reimbursement Data

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Lake County Tribal Health Consortium, Inc. — Billing Profile & Reimbursement Data

Sign up for Lake County Tribal Health Consortium, 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