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.

The Regents Of The University Of California (NPI 1235107566)

The Regents Of The University Of California is a internal medicine physician provider located in Los Angeles, California. This profile covers 0 Medicare and 204 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	The Regents Of The University Of California
Address	200 Medical Plaza
City	Los Angeles
State	CA
ZIP	90095
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 11, 2006

Payer Source	Total Paid
Medicaid	$35.9M
Medicare	$0

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

204 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	182,810	$40	$7.5M
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…	122,080	$50	$5.5M
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…	39,740	$110	$4.3M
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…	44,300	$60	$2.8M
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…	40,780	$60	$2.6M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	28,850	$70	$2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	55,220	$30	$1.4M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	147,430	$10	$1.3M
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…	42,200	$30	$1.3M
99204	The provider sees a new 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 provider…	11,090	$70	$743.2K

Showing 1–10 of 204

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

The Regents Of The University Of California — 16 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

204 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	1,180	1,400	470	$80	$884.5K
J0897	Injection, denosumab, 1 mg	29	90	160	$830	$415.2K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	157	360	880	$130	$408.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	474	510	3,760	$50	$383.4K
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…	58	140	590	$120	$350.5K
Z4306	N/A	59	70	740	$50	$285.5K
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…	4	1,080	460	$110	$263.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	198	230	310	$280	$247.2K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	204	290	2,010	$20	$243.3K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	413	500	3,580	$40	$230.4K

Showing 1–10 of 204

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regents Univ Of Calif Los Angeles	CA	General Acute Care Hospital	$0	$41.5M
Sujit Itty	AZ	Ophthalmology Physician	$6.2M	$11.3K
Brian Dicarlo	CA	Hematology & Oncology Physician	$4.7M	$0
Daniel Greenwald	CA	Medical Oncology Physician	$3.5M	$0
Samuel Slomowitz	CA	Hematology & Oncology Physician	$3.4M	$0
Bartosz Chmielowski	CA	Hematology & Oncology Physician	$3.2M	$0
Julian Davis	CA	Hematology & Oncology Physician	$2.7M	$0
Thomas Hanscom	CA	Ophthalmology Physician	$2.4M	$0
Maria Conrica Dawis	CA	Acute Care Nurse Practitioner	$2.4M	$0
Shahryar Ashouri	CA	Hematology & Oncology Physician	$2.2M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Louis Chang	CA	Ophthalmology Physician	$2.2M	$5.9M
Gad Heilweil	CA	Ophthalmology Physician	$1.9M	$0
Sarah Larson	CA	Hematology & Oncology Physician	$1.5M	$0
Andrew Breithaupt	CA	MOHS-Micrographic Surgery Physician	$1.5M	$0
Simon Gabriel	CA	Diagnostic Radiology Physician	$1.4M	$0
Jamshid Maddahi	CA	Specialist	$1.3M	$0
Sarah Daley	CA	Anatomic Pathology & Clinical Pathology Physician	$816.4K	$0
Rohit Dewan	CA	Diagnostic Radiology Physician	$783.7K	$0
Mahshid Mosallaei-benjamin	CA	Hematology & Oncology Physician	$762K	$0
Kathleen Ruchalski	CA	Diagnostic Radiology Physician	$734.9K	$0

The Regents Of The University Of California — Billing Profile & Reimbursement Data

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The Regents Of The University Of California — 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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