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.

Lodi Memorial Hospital Association Inc (NPI 1316938301)

Lodi Memorial Hospital Association Inc is a general acute care hospital provider located in Lodi, California. This profile covers 0 Medicare and 290 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Lodi Memorial Hospital Association Inc
Address	975 S Fairmont Ave
City	Lodi
State	CA
ZIP	95240
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 31, 2005

Payer Source	Total Paid
Medicaid	$36.8M
Medicare	$0

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

290 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	127,320	$50	$6M
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.	7,610	$230	$1.7M
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…	17,520	$70	$1.3M
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	16,750	$70	$1.2M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	6,870	$150	$1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14,570	$70	$976.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	8,170	$100	$784.3K
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…	32,110	$20	$642.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	10,740	$60	$633.6K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	12,430	$50	$609.2K

Showing 1–10 of 290

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

Lodi Memorial Hospital Association Inc — 6 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

290 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	37	450	16,140	$90	$3.6M
0456	N/A	11	10	2,250	$60	$1.4M
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.	495	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.	386	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…	86	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.	396	1,400	470	$80	$884.5K
0510	N/A	48	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	248	430	1,140	$90	$769.9K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	35	250	800	$110	$625.7K
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.	131	780	1,160	$130	$576.2K

Showing 1–10 of 290

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travers Mcloughlin	CA	Radiation Oncology Physician	$1.6M	$0
Ramin Manshadi	CA	Cardiovascular Disease Physician	$1.3M	$0
Thomas Sorbera	GA	Urology Physician	$125.1K	$0
James Nozaki	GU	Family Medicine Physician	$121.4K	$0
Naeem Rana	CA	Critical Care Medicine (Internal Medicine) Physician	$97.1K	$0
Waleed Ibrahim	CA	Gastroenterology Physician	$68.3K	$0
Richard Sevilla	CA	Nurse Practitioner	$24.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ronaldo Opinga Dmd Inc	CA	General Practice Dentistry	$0	$26.6M
Ezell Askew	CA	Interventional Pain Medicine Physician	$619.7K	$0
Mark Hoff	CA	Family Medicine Physician	$262.5K	$0
Rajeev Shukla	CA	Internal Medicine Physician	$204.1K	$0
Joseph Gayagoy	CA	Internal Medicine Physician	$180.1K	$0
James Hoff	CA	Internal Medicine Physician	$172.3K	$0
Elvira Milano	CA	Anatomic Pathology & Clinical Pathology Physician	$164.8K	$0
Ripsy Jassal	CA	Family Medicine Physician	$92.1K	$0
Siddique Chaudhary	CA	Critical Care Medicine (Internal Medicine) Physician	$76.8K	$0

Lodi Memorial Hospital Association Inc — Billing Profile & Reimbursement Data

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Lodi Memorial Hospital Association 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

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