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.

Vista Community Clinic (NPI 1295822658)

Field	Value
Entity Type	Organization
Organization	Vista Community Clinic
Address	1000 Vale Terrace Dr
City	Vista
State	CA
ZIP	92084
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$117.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

223 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	637,370	$130	$82.9M
00003	N/A	123,250	$200	$24.4M
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…	433,940	$1	$1.7M
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…	203,040	$10	$1.6M
G9920	Screening performed and negative	77,240	$10	$1M
G9008	Coordinated care fee, physician coordinated care oversight services	3,130	$310	$954.3K
G9012	Other specified case management service not elsewhere classified	7,830	$110	$829.8K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	1,930	$370	$715.7K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	26,510	$10	$291.6K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	39,650	$10	$237.9K

Showing 1–10 of 223

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

Vista Community Clinic — 19 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

223 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	5	1,550	38,050	$190	$14.1M
00003	N/A	17	690	14,940	$260	$7.7M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	36	60	2,510	$190	$3.5M
G9012	Other specified case management service not elsewhere classified	108	720	1,110	$110	$651.3K
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…	719	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	133	490	660	$70	$396.7K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	7	250	120	$850	$378K
J7298	Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg	39	90	60	$740	$268.1K
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…	149	1,030	1,050	$70	$219.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,363	1,500	410	$100	$209.4K

Showing 1–10 of 223

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vista Community Clinic	CA	Federally Qualified Health Center (FQHC)	$0	$37M
Vista Community Clinic	CA	Federally Qualified Health Center (FQHC)	$0	$23.6M
Mehran Moussavian	CA	Interventional Cardiology Physician	$3M	$67.3K
Milind Parikh	CA	Cardiovascular Disease Physician	$746.5K	$0

Vista Community Clinic — Billing Profile & Reimbursement Data

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Vista Community Clinic — 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

Frequently Asked Questions

References