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.

North East Medical Services (NPI 1326279852)

Field	Value
Entity Type	Organization
Organization	North East Medical Services
Address	2574 San Bruno Ave
City	San Francisco
State	CA
ZIP	94134
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 31, 2009

Payer Source	Total Paid
Medicaid	$59M
Medicare	$0

Medicaid: Complete Services Breakdown

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

133 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	320,620	$150	$46.8M
00003	N/A	49,930	$200	$9.8M
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…	13,730	$80	$1.2M
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…	9,190	$20	$183.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,710	$60	$173.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2,550	$50	$125K
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…	97,050	$1	$97K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	75,570	$1	$75.6K
0001A	N/A	1,200	$60	$70.6K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	540	$120	$62.6K

Showing 1–10 of 133

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

North East Medical Services — 4 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

133 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	55	1,550	38,050	$190	$14.1M
00003	N/A	112	690	14,940	$260	$7.7M
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…	56	1,030	1,050	$70	$219.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	359	1,950	500	$80	$179K
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…	980	13,300	640	$40	$169.6K
D0120	Periodic oral evaluation - established patient	5,249	5,640	800	$50	$163.8K
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…	2,266	4,230	210	$110	$135K
D1310	N/A	1,190	1,470	520	$40	$123.3K
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…	265	14,520	760	$10	$122.8K
V2784	Lens, polycarbonate or equal, any index, per lens	79	180	140	$10	$117.1K

Showing 1–10 of 133

Related Providers

Other providers that share a Tax Identification Number (TIN) with North East Medical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North East Medical Services	CA	Federally Qualified Health Center (FQHC)	$0	$142.5M
North East Medical Services	CA	Federally Qualified Health Center (FQHC)	$0	$47.5M
North East Medical Services	CA	Federally Qualified Health Center (FQHC)	$0	$38.8M
Daniel Taheri	CA	Dermatology Physician	$3.3M	$7.4K
Emily Charlson	CA	Ophthalmology Physician	$265.4K	$0
Derrick Adams	CA	Dermatology Physician	$242.4K	$0
Ki Hong Ho	CA	Otolaryngology Physician	$167.3K	$0
Aileen Xu	CA	Nurse Practitioner	$73.2K	$0
Susan Marks	CA	Diagnostic Radiology Physician	$72.3K	$0
Peir Gen Chiu	CA	General Practice Registered Nurse	$27.8K	$0

Nearby Providers

Other providers in the same ZIP code as North East Medical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justin Tin	CA	Dentist	$45.8K	$7.8M

North East Medical Services — Billing Profile & Reimbursement Data

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North East Medical Services — 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