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.

Antelope Valley Emergency Medical Associates Inc (NPI 1225054257)

Antelope Valley Emergency Medical Associates Inc is a emergency medicine physician provider located in Lancaster, California. This profile covers 0 Medicare and 25 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	Antelope Valley Emergency Medical Associates Inc
Address	1600 W Avenue J
City	Lancaster
State	CA
ZIP	93534
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicaid	$31.3M
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	204,130	$60	$12.9M
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.	140,900	$90	$12.8M
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.	90,540	$40	$3.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	7,720	$120	$926.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	60,990	$10	$609.9K
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.	4,480	$20	$103K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	530	$60	$29.9K
12002	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.6 to 7.5 cm in…	300	$60	$18.6K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	350	$50	$17.6K
99281	The provider sees a patient for the lowest level emergency department visit.	1,430	$10	$17.1K

Showing 1–10 of 25

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

Antelope Valley Emergency Medical Associates Inc — 4 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

25 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.	23	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.	8	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.	6	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	197	430	1,140	$90	$769.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	86	1,080	460	$110	$263.5K
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.	53	480	270	$110	$230.6K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	648	750	720	$40	$94.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	31	1,480	560	$10	$62.2K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	190	500	140	$50	$38.2K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	41	130	120	$50	$32.8K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Antelope Valley Health Care District	CA	General Acute Care Hospital	$0	$222.3M
American Medical Response Of Southern California	CA	Ambulance	$3.7M	$27M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$25.5M
Advanced Endoscopy And Pain Center LLC	CA	Ambulatory Surgical Clinic/Center	$972.5K	$4.4M
Embassy Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$1.9M	$55.5K
Antelope Valley Outpatient Imaging Center, LLC	CA	Diagnostic Radiology Physician	$1.4M	$182.8K
Apollo Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$488.9K	$648.9K
Mark Beller	CA	Diagnostic Radiology Physician	$1.1M	$510
Kanagaratnam Sivalingam	CA	Geriatric Medicine (Internal Medicine) Physician	$1M	$0
Thomas Nasser	CA	Physical Medicine & Rehabilitation Physician	$864.5K	$380

Antelope Valley Emergency Medical Associates Inc — Billing Profile & Reimbursement Data

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Antelope Valley Emergency Medical Associates 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

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