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.

Clinica Sierra Vista (NPI 1245234673)

Field	Value
Entity Type	Organization
Organization	Clinica Sierra Vista
Address	9525 Camino Media
City	Bakersfield
State	CA
ZIP	93311
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicaid	$64.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

196 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	461,310	$50	$20.8M
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…	155,300	$50	$8.1M
G9012	Other specified case management service not elsewhere classified	47,420	$140	$6.5M
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	46,460	$90	$4.2M
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,…	109,620	$30	$3.3M
G9008	Coordinated care fee, physician coordinated care oversight services	18,490	$120	$2.3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	11,390	$160	$1.8M
99392	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…	22,190	$60	$1.4M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	24,740	$50	$1.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	15,560	$60	$995.8K

Showing 1–10 of 196

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

Clinica Sierra Vista — 24 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

196 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1,545	1,550	38,050	$190	$14.1M
G9012	Other specified case management service not elsewhere classified	20	720	1,110	$110	$651.3K
A9150	Non-prescription drugs	48	80	360	$180	$619K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,381	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	31	490	660	$70	$396.7K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	109	250	120	$850	$378K
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…	563	900	560	$70	$230.3K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	166	1,030	1,050	$70	$219.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	602	760	1,930	$20	$196K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	161	410	130	$430	$193.6K

Showing 1–10 of 196

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clinica Sierra Vista, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$33.8M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$29.7M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23.9M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23.3M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23M
Abdul Haseeb	CA	Hematology & Oncology Physician	$4M	$0
Sanjay Srivatsa	CA	Cardiovascular Disease Physician	$1.2M	$0
Atul Aggarwal	CA	Interventional Cardiology Physician	$1.1M	$0
Mohammad Ashraf	CA	Internal Medicine Physician	$346.7K	$0
Sandeep Walia	CA	Ophthalmology Physician	$307.1K	$0

Nearby Providers

Other providers in the same ZIP code as Clinica Sierra Vista, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pankaj Shukla	CA	Internal Medicine Physician	$718.6K	$229.3K
Anuj Chawla	CA	Retina Specialist (Ophthalmology) Physician	$908.4K	$0
Scott Davis	CA	Foot Surgery Podiatrist	$557.5K	$0
Paramvir Rahal	CA	Gastroenterology Physician	$286.8K	$157.1K
Lorraine Ash	CA	Diagnostic Radiology Physician	$403K	$0
Ravinderjit Singh	CA	Family Medicine Physician	$174.9K	$199.2K
Alfred Coppola	CA	Orthopaedic Surgery Physician	$227.2K	$62.1K
Timothy Galan	CA	Orthopaedic Surgery Physician	$191.4K	$0
Krishna Kylasa	CA	Diagnostic Radiology Physician	$181.6K	$0
Justin Lee	CA	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$171.6K	$0

Clinica Sierra Vista — Billing Profile & Reimbursement Data

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Clinica Sierra Vista — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References