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.

Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653)

Field	Value
Entity Type	Organization
Organization	Children's Hospital Los Angeles Medical Group, Inc.
Address	4650 Sunset Blvd
City	Los Angeles
State	CA
ZIP	90027
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$24.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

177 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	133,200	$50	$7.1M
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.	56,440	$70	$4.1M
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.	35,800	$100	$3.6M
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…	40,330	$40	$1.7M
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…	17,480	$70	$1.1M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	8,830	$90	$812.1K
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…	21,780	$30	$631.6K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	5,420	$80	$450K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	5,920	$70	$391K
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…	6,740	$60	$377.4K

Showing 1–10 of 177

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

Children's Hospital Los Angeles Medical Group, Inc. — 7 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

177 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	219	450	16,140	$90	$3.6M
0123	N/A	2	20	130	$3,160	$1.9M
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.	7	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.	109	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…	318	750	950	$50	$890K
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.	90	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	374	430	1,140	$90	$769.9K
G0378	Hospital observation service, per hour	137	200	550	$310	$605.9K
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.	541	780	1,160	$130	$576.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	448	510	3,760	$50	$383.4K

Showing 1–10 of 177

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Hospital Los Angeles Medical Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Hospital Of Los Angeles	CA	Children's Hospital	$0	$137M
Joe Pastrano	CA	Diagnostic Radiology Physician	$269.1K	$0
Shaheen Umar	WA	Neuroradiology Physician	$82.9K	$137.1K
Tadesse Eshetu	KY	Neuroradiology Physician	$202.5K	$0
Daniel Susanto	WA	Neuroradiology Physician	$173.4K	$0
David Lee	CA	Diagnostic Radiology Physician	$141K	$0
Nathan Mortensen	CA	Diagnostic Radiology Physician	$109.4K	$0
Jim Kim	CA	Transplant Surgery Physician	$101.3K	$0
Quin Liu	CA	Pediatric Gastroenterology Physician	$100K	$0
Daniel Allison	CA	Orthopaedic Surgery Physician	$97.3K	$0

Nearby Providers

Other providers in the same ZIP code as Children's Hospital Los Angeles Medical Group, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp.	CA	Federally Qualified Health Center (FQHC)	$0	$305.5M
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$66.4M
Asian Pacific Health Care Venture, Inc.	CA	Community Health Clinic/Center	$0	$54M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$48.2M
Los Angeles County Department Of Mental Health	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$45.3M
Kaiser Foundation Hospitals	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$27.4M
Ovik Avetisyan	CA	Durable Medical Equipment & Medical Supplies	$0	$23.8M
Lance Chapman	CA	MOHS-Micrographic Surgery Physician	$1.4M	$0
Vincent Bennett	CA	Emergency Medicine Physician	$1.2M	$0
Rafayel Gevorkian	CA	Adolescent Medicine (Internal Medicine) Physician	$589K	$139.8K

Children's Hospital Los Angeles Medical Group, Inc. — Billing Profile & Reimbursement Data

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Children's Hospital Los Angeles Medical Group, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References