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.

Antelope Valley Health Care District (NPI 1366419517)

Field	Value
Entity Type	Organization
Organization	Antelope Valley Health Care District
Address	1600 W Avenue J
City	Lancaster
State	CA
ZIP	93534
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicaid	$222.3M
Medicare	$0

Key Findings

ANTELOPE VALLEY HEALTH CARE DISTRICT reports $222.3M in lifetime Medicaid revenue and no Medicare billing on file, making it effectively a single-payer Medicaid billing entity at scale. Its NPI was enumerated on 2006-03-07 (~20 years ago), indicating long-standing presence in the market but concentrated exposure to Medicaid payment policy and utilization trends rather than a mixed Medicare/Medicaid payer base.

Revenue is highly concentrated in emergency department E/M services: the three ED E/M codes 99284, 99283, and 99285 together account for 65.3% of the provider’s total Medicaid revenue. Individually these codes generate $55.1M (99284, 30.8%), $37M (99283, 20.7%), and $24.8M (99285, 13.8%) of Medicaid revenue, signaling that ED visits are the primary revenue driver for this facility.

Operational profile is consistent with a high-volume acute-care emergency department rather than an outpatient clinic mix: 99284 has 110.3K claims, 99283 has 93.1K claims, and 99285 has 31.6K claims, and all three are described as ED evaluation and management visits at moderate, low, and high medical decision-making levels respectively. These claim counts plus large per-claim payments (e.g., $500 for 99284, $397 for 99283, $783 for 99285) underline the ED as the hospital’s core service line driving Medicaid revenue.

Competitive standing within California is dominant for several ED and ancillary codes: 99284 ranks #23 of 1395 providers in-state (98th percentile; extreme outlier) and 99283 ranks #20 of 1570 (99th percentile; extreme outlier), indicating volumes far above typical state activity for those codes. By contrast 99285 ranks #123 of 1297 (91th percentile; typical, unremarkable volume), suggesting the hospital is especially outsized for moderate- and low-complexity ED visits relative to peers but more typical for the highest-acuity ED billing.

Ancillary services and diagnostics align with acute ED throughput and observation care: high-volume lab and monitoring codes such as 80048 (111.3K claims, $5.2M, rank #12 of 1122, 99th percentile; extreme outlier) and 93005 (62.3K claims, $2.2M, rank #11 of 760, 99th percentile; extreme outlier) support frequent lab work and ECG monitoring. Imaging and CT utilization (74177: 12.7K claims, $2.9M; 70450: 16.2K claims, $1.8M) plus drug testing and COVID antigen testing (80307: 19.1K claims, $2.3M; 87426: 27.7K claims, $2.1M) further corroborate a high-throughput ED with substantial diagnostic throughput.

The hospital also shows very high utilization of infusion and injection services consistent with ED treatment patterns: 96374 (37.6K claims, $3.9M, rank #8 of 508, 99th percentile; notably above typical), 96372 (60K claims, $3.7M, rank #2 of 2379, 100th percentile; extreme outlier), and J7030 normal saline infusions (33.2K claims, $2.8M, rank #13 of 460, 97th percentile; notably above typical). These volumes indicate frequent on-site parenteral therapies and fluid resuscitation consistent with emergency care and observation.

Although observation billing is present, it represents a small share of Medicaid revenue relative to ED E/Ms: G0378 has 3.3K claims and $1.5M revenue (0.9% of Medicaid revenue, rank #35 of 198, 83th percentile; typical). The constellation of very large ED E/M revenues combined with smaller but consistent observation and inpatient-convertible services suggests the facility operates as a high-throughput ED with downstream observation and occasional inpatient conversion.

Strategic and financial risk implications follow from the payer mix and concentration: with no Medicare revenue on file and 65.3% of Medicaid revenue coming from three ED codes, the provider’s topline is highly sensitive to changes in Medicaid ED utilization, coding patterns, or state payment rates. The provider’s extreme-outlier rank positions for multiple ED and ancillary codes indicate regional dominance in volume that could advantage negotiation with payers but also concentrates exposure to policy or demand shocks affecting Medicaid-funded emergency care.

Medicaid: Complete Services Breakdown

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

341 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	110,290	$500	$55.1M
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.	93,100	$400	$37M
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.	31,630	$780	$24.8M
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.	28,660	$300	$8.6M
0450	N/A	108,500	$60	$6.6M
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	111,300	$50	$5.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	37,620	$100	$3.9M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	59,990	$60	$3.7M
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.	12,660	$230	$2.9M
J7030	Infusion, normal saline solution , 1000 cc	33,150	$80	$2.8M

Showing 1–10 of 341

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

Antelope Valley Health Care District — 15 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

341 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	51	450	16,140	$90	$3.6M
0121	N/A	64	70	130	$4,600	$2.6M
0206	N/A	9	40	80	$2,760	$1.1M
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	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.	123	1,300	510	$100	$943K
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.	23	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	78	430	1,140	$90	$769.9K
G0378	Hospital observation service, per hour	35	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.	70	780	1,160	$130	$576.2K
0160	N/A	20	150	560	$340	$557.7K

Showing 1–10 of 341

Nearby Providers

Other providers in the same ZIP code as Antelope Valley Health Care District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Antelope Valley Emergency Medical Associates Inc	CA	Emergency Medicine Physician	$0	$31.3M
American Medical Response Of Southern California	CA	Ambulance	$3.7M	$27M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$25.5M
Advanced Endoscopy And Pain Center LLC	CA	Ambulatory Surgical Clinic/Center	$972.5K	$4.4M
Embassy Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$1.9M	$55.5K
Antelope Valley Outpatient Imaging Center, LLC	CA	Diagnostic Radiology Physician	$1.4M	$182.8K
Apollo Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$488.9K	$648.9K
Mark Beller	CA	Diagnostic Radiology Physician	$1.1M	$510
Kanagaratnam Sivalingam	CA	Geriatric Medicine (Internal Medicine) Physician	$1M	$0
Thomas Nasser	CA	Physical Medicine & Rehabilitation Physician	$864.5K	$380

Antelope Valley Health Care District — Billing Profile & Reimbursement Data

Sign up for Antelope Valley Health Care District — Billing Profile & Reimbursement Data policy alerts

Antelope Valley Health Care District — Billing Profile & Reimbursement Data

Sign up for Antelope Valley Health Care District — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References