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.

Pediatric And Family Medical Center (NPI 1386934875)

Field	Value
Entity Type	Organization
Organization	Pediatric And Family Medical Center
Address	1400 S Grand Ave
City	Los Angeles
State	CA
ZIP	90015
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 18, 2011

Payer Source	Total Paid
Medicaid	$26.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	102,090	$230	$23.1M
00003	N/A	11,260	$280	$3.1M
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…	2,690	$20	$40.4K
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…	36,610	$1	$36.6K
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…	1,060	$30	$33.9K
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…	3,310	$10	$16.5K
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,…	4,280	$1	$8.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	100	$30	$2.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	210	$10	$2.3K
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…	190	$10	$2.1K

Showing 1–10 of 62

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

Pediatric And Family Medical Center — 0 of 21 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	379	1,550	38,050	$190	$14.1M
00003	N/A	401	690	14,940	$260	$7.7M
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…	3,297	4,290	780	$140	$400.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	297	390	250	$200	$220.4K
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…	513	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…	361	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…	1,256	13,300	640	$40	$169.6K
D0120	Periodic oral evaluation - established patient	5,347	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…	2,104	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…	760	14,520	760	$10	$122.8K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pediatric And Family Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric And Family Medical Center	CA	Federally Qualified Health Center (FQHC)	$0	$71.8M
Pediatric And Family Medical Center	CA	Federally Qualified Health Center (FQHC)	$0	$45.2M
Pediatric And Family Medical Center	CA	Federally Qualified Health Center (FQHC)	$0	$39.6M

Nearby Providers

Other providers in the same ZIP code as Pediatric And Family Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dignity Community Care	CA	General Acute Care Hospital	$0	$116.4M
Healthcare Partners Affiliates Medical Group	CA	Internal Medicine Physician	$0	$37.7M
Michael Burnstine	CA	Ophthalmology Physician	$341.1K	$0
Christopher Lo	CA	Ophthalmology Physician	$274K	$0
David Samimi	CA	Ophthalmology Physician	$254.8K	$0
Luani Lee	CA	Nephrology Physician	$231.2K	$0
Marc Girsky	CA	Clinical Cardiac Electrophysiology Physician	$98.9K	$40
Dennis Holmes	CA	Surgery Physician	$26.7K	$0
Robert Zimmerman	CA	Radiation Oncology Physician	$11.7K	$0

Pediatric And Family Medical Center — Billing Profile & Reimbursement Data

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Pediatric And Family Medical 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

Related Providers

Nearby Providers

Frequently Asked Questions

References