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.

Marin General Hospital (NPI 1396725677)

Field	Value
Entity Type	Organization
Organization	Marin General Hospital
Address	250 Bon Air Rd
City	Greenbrae
State	CA
ZIP	94904
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 20, 2006

Payer Source	Total Paid
Medicaid	$46.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

236 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	55,150	$100	$5.7M
99281	The provider sees a patient for the lowest level emergency department visit.	39,880	$130	$5.3M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	7,180	$540	$3.9M
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.	3,950	$530	$2.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	24,700	$70	$1.6M
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	5,660	$250	$1.4M
70450	The 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.	3,900	$290	$1.1M
99201	Deleted code, effective Jan. 1, 2021	4,140	$260	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,100	$130	$1M
0241U	N/A	7,100	$140	$1M

Showing 1–10 of 236

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

Marin General Hospital — 4 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

236 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	332	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.	81	1,570	680	$110	$1.1M
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…	270	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.	1,005	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	21	430	1,140	$90	$769.9K
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.	235	780	1,160	$130	$576.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	568	660	1,490	$30	$417.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	175	510	3,760	$50	$383.4K
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	335	410	1,130	$70	$372K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	138	340	970	$40	$343.6K

Showing 1–10 of 236

Nearby Providers

Other providers in the same ZIP code as Marin General Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Marin	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$64.6M
Russell Davis	CA	Podiatrist	$414.6K	$579.7K
Bobbie Head	CA	Specialist	$892.4K	$0
Ilkcan Cokgor	CA	Neurology Physician	$623.3K	$0
Longs Drug Stores California LLC	CA	Pharmacy	$573.4K	$0
Douglas Obrien	CA	Physician Assistant	$573.3K	$0
Benjamin Nichols	CA	Dermatology Physician	$513.1K	$0
Alex Metzger	CA	Hematology & Oncology Physician	$484.3K	$0
Anne Cummings	CA	Internal Medicine Physician	$349.1K	$0
Natalya Lvoff	CA	Diagnostic Radiology Physician	$336.8K	$0

Marin General Hospital — Billing Profile & Reimbursement Data

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Marin General Hospital — 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