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.

Shield California Health Care Center Inc (NPI 1275647299)

Field	Value
Entity Type	Organization
Organization	Shield California Health Care Center Inc
Address	3290 E Guasti Rd
City	Ontario
State	CA
ZIP	91761
Taxonomy	Parenteral & Enteral Nutrition Supplies (DME)
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$65.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T4541	Incontinence product, disposable underpad, large, each	256,950	$60	$14.4M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	161,820	$60	$8.9M
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	87,680	$60	$5.6M
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	83,620	$50	$4.4M
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	55,420	$70	$3.7M
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	34,260	$100	$3.3M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	13,190	$210	$2.8M
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	188,890	$10	$2.6M
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	5,660	$440	$2.5M
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	24,870	$90	$2.2M

Showing 1–10 of 82

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

Shield California Health Care Center Inc — 12 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

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	9	40	1,180	$290	$2.3M
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	31	30	420	$140	$2.2M
T4541	Incontinence product, disposable underpad, large, each	4	290	2,820	$50	$1.1M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	6	40	1,220	$120	$1M
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	4	230	2,740	$40	$860.2K
A4353	Intermittent urinary catheter, with insertion supplies	16	20	940	$470	$852.6K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	39	80	1,720	$90	$686.6K
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	8	20	180	$140	$630.4K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	6	40	750	$80	$628.5K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	4	200	1,580	$60	$555.9K

Showing 1–10 of 82

Nearby Providers

Other providers in the same ZIP code as Shield California Health Care Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brio Clinical Inc	CA	Clinical Medical Laboratory	$2.9M	$13M
Dominador Mansat	CA	Family Nurse Practitioner	$997.2K	$0
Alan Kuo	CA	Cardiovascular Disease Physician	$102.3K	$0

Shield California Health Care Center Inc — Billing Profile & Reimbursement Data

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Shield California Health Care Center 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

Nearby Providers

Frequently Asked Questions

References