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.

By The Bay Health (NPI 1255381547)

Field	Value
Entity Type	Organization
Organization	By The Bay Health
Address	17 E Sir Francis Drake Blvd
City	Larkspur
State	CA
ZIP	94939
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicaid	$24.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0658	N/A	3,700	$4,380	$16.2M
T2025	Waiver services; not otherwise specified (nos)	2,650	$1,170	$3.1M
T2022	Case management, per month	3,310	$750	$2.5M
Q5001	Hospice or home health care provided in patient's home/residence	6,620	$280	$1.8M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	4,280	$80	$342.2K
T2046	Hospice long term care, room and board only; per diem	20	$4,700	$112.7K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1,230	$40	$52.8K
S5110	Home care training, family; per 15 minutes	280	$10	$4K
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…	100	$40	$3.6K

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

By The Bay Health — 1 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	17	30	2,650	$360	$2.1M
0658	N/A	12	100	290	$760	$1.7M
T2022	Case management, per month	19	30	3,920	$180	$1.1M
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…	3,628	4,290	780	$140	$400.1K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	16	50	580	$100	$325.3K
T2046	Hospice long term care, room and board only; per diem	9	10	50	$350	$252.4K
S5110	Home care training, family; per 15 minutes	137	240	400	$80	$152.1K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	3	10	1,470	$30	$97K
Q5001	Hospice or home health care provided in patient's home/residence	12	730	130	$100	$85.6K

Nearby Providers

Other providers in the same ZIP code as By The Bay Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benedict Ancock	CA	Cardiovascular Disease Physician	$370.4K	$0
Vivek Iyer	CA	Clinical Cardiac Electrophysiology Physician	$344.6K	$0
Ramana Naidu	CA	Pain Medicine (Anesthesiology) Physician	$301.6K	$0
Adam Baumgarten	CA	Cardiovascular Disease Physician	$291.5K	$0
Brian Keeffe	CA	Cardiovascular Disease Physician	$278.9K	$0
Arvind Nishtala	CA	Cardiovascular Disease Physician	$261.4K	$0
Daniel Solomon	CA	Sports Medicine (Orthopaedic Surgery) Physician	$197.5K	$0
Anita Szady	CA	Advanced Heart Failure and Transplant Cardiology Physician	$176.3K	$0
Keith Denkler	CA	Plastic Surgery Physician	$174.1K	$0
Lisa Park	CA	Colon & Rectal Surgery Physician	$158.7K	$0

By The Bay Health — Billing Profile & Reimbursement Data

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By The Bay Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References