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    OpenPayerNPI Medicare & MedicaidOak Valley Hospital District
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    Oak Valley Hospital District — Billing Profile & Reimbursement Data

    NPI 1346381415 · Oakdale, CA · General Acute Care Hospital

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    Oak Valley Hospital District is a general acute care hospital provider located in Oakdale, California. This profile covers 5 Medicare and 254 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOak Valley Hospital District
    Address350 S Oak Ave
    CityOakdale
    StateCA
    ZIP95361
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedFebruary 9, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$23.6M
    Medicare$685.1K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,120$420$471.1K
    A0425Ground mileage, per statute mile13,640$10$95.4K
    A0433Advanced life support, level 2 (als 2)80$620$48.6K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)130$360$44.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)120$220$25.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042776210620$450$997.4K
    A042883110370$240$426.7K
    A0429151220250$380$335.6K
    A0425972608,650$10$185.2K
    A0433228040$660$46.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    254 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0450N/A71,310$50$3.7M
    99213The 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…107,670$30$3.6M
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)11,020$160$1.8M
    99214The 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…31,030$50$1.5M
    99212The 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,…47,020$20$1.1M
    74177The 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.2,600$250$637.7K
    A0425Ground mileage, per statute mile13,020$50$625K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.28,820$20$432.4K
    70450The 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.3,040$120$359.1K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.5,580$60$345.7K

    Showing 1–10 of 254

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    254 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)562502,420$220$3.7M
    0450N/A10045016,140$90$3.6M
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)2553901,270$220$1.5M
    99283The 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.7311,570680$110$1.1M
    A0425Ground mileage, per statute mile1505803,120$30$963.2K
    99284The 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.8681,400470$80$884.5K
    99281The provider sees a patient for the lowest level emergency department visit.3044301,140$90$769.9K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)1761902,470$80$674.3K
    74177The 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.2907801,160$130$576.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.4176601,490$30$417.2K

    Showing 1–10 of 254

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    Nearby Providers

    Other providers in the same ZIP code as Oak Valley Hospital District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sound Physicians Emergency Medicine Of Southern California, P.C.CAEmergency Medicine Physician$0$23.5M
    Amin EsfahaniCADermatology Physician$368.4K$96.3K
    Seyed SadeghiCAEmergency Medicine Physician$61.8K$63.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Oak Valley Hospital District — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Oak Valley Hospital District — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California