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.

Dignity Health (NPI 1356389878)

Field	Value
Entity Type	Organization
Organization	Dignity Health
Address	1650 Creekside Dr
City	Folsom
State	CA
ZIP	95630
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$45.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

162 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	29,100	$340	$9.8M
A9150	Non-prescription drugs	22,870	$290	$6.5M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	29,080	$210	$6M
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.	19,050	$180	$3.4M
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.	20,850	$140	$2.9M
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"	7,720	$340	$2.6M
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.	7,510	$280	$2.1M
80053	The 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.	43,080	$30	$1.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,710	$200	$937.1K
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.	4,180	$220	$912.1K

Showing 1–10 of 162

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

Dignity Health — 2 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

162 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	181	450	16,140	$90	$3.6M
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.	229	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.	276	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…	287	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.	222	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	237	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)…	182	250	800	$110	$625.7K
A9150	Non-prescription drugs	4	80	360	$180	$619K
G0378	Hospital observation service, per hour	173	200	550	$310	$605.9K
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.	226	780	1,160	$130	$576.2K

Showing 1–10 of 162

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dignity Health	CA	General Acute Care Hospital	$0	$97.3M
Dignity Community Care	CA	General Acute Care Hospital	$0	$86.1M
Dignity Health	CA	General Acute Care Hospital	$0	$45.5M

Nearby Providers

Other providers in the same ZIP code as Dignity Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Master-care Inc	CA	Case Manager/Care Coordinator	$0	$26.5M
David No	CA	Dermatology Physician	$869.2K	$0
Hisham Soliman	CA	Psychiatry Physician	$696.6K	$0
Shawn Palmer	CA	Ophthalmology Physician	$364.3K	$0
Praise Tinungki	CA	Psychiatric/Mental Health Nurse Practitioner	$291K	$0
Victor Baquero	CA	Family Medicine Physician	$243K	$0
Cecille Taylor	CA	Ophthalmology Physician	$235.1K	$0
Mansoor Javeed	CA	Hematology & Oncology Physician	$234.6K	$0
Robert Pecha	CA	Specialist	$216.1K	$0
Sholeh Rahimi	CA	Specialist	$203.4K	$0

Dignity Health — Billing Profile & Reimbursement Data

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Dignity Health — 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