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.

St. Joseph Health Northern California, LLC (NPI 1235218785)

Field	Value
Entity Type	Organization
Organization	St. Joseph Health Northern California, LLC
Address	1000 Trancas St
City	Napa
State	CA
ZIP	94558
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$22.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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
99281	The provider sees a patient for the lowest level emergency department visit.	33,780	$80	$2.7M
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.	36,330	$70	$2.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	55,660	$40	$2.2M
G9012	Other specified case management service not elsewhere classified	3,560	$360	$1.3M
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.	2,710	$340	$909.9K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	10,470	$80	$868.8K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	3,980	$160	$624.1K
97750	The provider evaluates the patient’s physical performance, such as the musculoskeletal and functional capacity of the patient, through tests and activities of daily living. The provider assesses the…	8,390	$70	$620.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,960	$80	$563.4K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	14,180	$40	$552.9K

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

St. Joseph Health Northern California, LLC — 2 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
0450	N/A	348	450	16,140	$90	$3.6M
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.	141	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.	1,218	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…	162	750	950	$50	$890K
99281	The provider sees a patient for the lowest level emergency department visit.	24	430	1,140	$90	$769.9K
G9012	Other specified case management service not elsewhere classified	181	720	1,110	$110	$651.3K
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.	285	780	1,160	$130	$576.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	238	660	1,490	$30	$417.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	196	510	3,760	$50	$383.4K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	45	90	740	$210	$382.4K

Showing 1–10 of 204

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Joseph Health Northern California, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph Health Northern California, LLC	CA	General Acute Care Hospital	$0	$48.7M
St. Joseph Health Northern California, LLC	CA	General Acute Care Hospital	$0	$28.7M
Rodney Swenson	CA	Family Medicine Physician	$550.6K	$0

Nearby Providers

Other providers in the same ZIP code as St. Joseph Health Northern California, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Napa County	CA	Community/Behavioral Health Agency	$0	$61.2M
Ole Health	CA	Federally Qualified Health Center (FQHC)	$0	$36.2M
American Medical Response West	CA	Ambulance	$5.4M	$17.9M
Lawrence Goldstein	CA	Vascular Surgery Physician	$2.5M	$0
David Kim	CA	Ophthalmology Physician	$1.8M	$0
Brittany Goss	CA	Rheumatology Physician	$826.7K	$0
Jason Huffman	CA	Orthopaedic Surgery of the Spine Physician	$771.2K	$0
Jacqueline Weisbein	CA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$513K	$0
Sam Ahn	CA	Allergy & Immunology (Internal Medicine) Physician	$504K	$0
Edmund Schumacher	CA	Podiatrist	$274.5K	$184.3K

St. Joseph Health Northern California, LLC — Billing Profile & Reimbursement Data

Sign up for St. Joseph Health Northern California, LLC — Billing Profile & Reimbursement Data policy alerts

St. Joseph Health Northern California, LLC — Billing Profile & Reimbursement Data

Sign up for St. Joseph Health Northern California, LLC — 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