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.

Camino Health Center (NPI 1366560393)

Field	Value
Entity Type	Organization
Organization	Camino Health Center
Address	30300 Camino Capistrano
City	San Juan Capistrano
State	CA
ZIP	92675
Taxonomy	Community Health Clinic/Center
NPI Enumerated	March 27, 2007

Payer Source	Total Paid
Medicaid	$29.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

88 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	97,890	$190	$18.8M
00003	N/A	35,250	$250	$8.7M
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,…	45,540	$10	$409.9K
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…	39,310	$10	$393.1K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,350	$90	$214.1K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	11,220	$10	$112.2K
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…	7,830	$10	$109.6K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	3,180	$30	$95.3K
G9920	Screening performed and negative	5,830	$20	$87.5K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	4,210	$20	$84.2K

Showing 1–10 of 88

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

Camino Health Center — 3 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

88 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	393	1,550	38,050	$190	$14.1M
00003	N/A	176	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	594	720	1,110	$110	$651.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,641	4,290	780	$140	$400.1K
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…	465	1,030	1,050	$70	$219.7K
59400	In this global service, the provider and nonphysician healthcare providers in the practice provide all of the antepartum care, admission to the hospital for delivery, labor management, including…	23	60	40	$970	$187.7K
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…	948	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…	1,611	13,300	640	$40	$169.6K
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…	672	4,230	210	$110	$135K
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…	720	14,520	760	$10	$122.8K

Showing 1–10 of 88

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Nichols Institute	CA	Clinical Medical Laboratory	$5.6M	$39.9M
Pmdtc, LLC	CA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.3M	$2.6M
Maria Theresa Baylon	CA	Physical Therapist	$848.7K	$0
William Chang	CA	Pulmonary Disease Physician	$389.1K	$426K
Alerra, LLC	CA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$398.3K	$290K
Sanjivan Kohli	CA	Pulmonary Disease Physician	$504.4K	$0
Yen-hui Soong	CA	Pulmonary Disease Physician	$365.5K	$0
Ralf Reuland	CA	Family Medicine Physician	$151.8K	$0
Eric Loo	CA	Anatomic Pathology & Clinical Pathology Physician	$27K	$0

Camino Health Center — Billing Profile & Reimbursement Data

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Camino Health Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References