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.

Sharp Chula Vista Medical Center (NPI 1396728630)

Field	Value
Entity Type	Organization
Organization	Sharp Chula Vista Medical Center
Address	751 Medical Center Ct
City	Chula Vista
State	CA
ZIP	91911
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 21, 2005

Payer Source	Total Paid
Medicaid	$137.6M
Medicare	$0

Key Findings

SHARP CHULA VISTA MEDICAL CENTER reports $137.6M in lifetime Medicaid revenue and has no Medicare billing on file, making its public claims profile effectively single-payer (Medicaid)-driven. The absence of Medicare activity means analyses of this facility should be framed around Medicaid utilization and state-level competitive dynamics rather than federal fee-for-service patterns.

Revenue is highly concentrated in a few codes: the precomputed top 3 Medicaid codes account for 50.5% of the provider’s total Medicaid revenue, driven chiefly by 99283 ($28.5M, 24.9%), 0450 ($20.1M, 17.5%), and 74177 ($9.3M, 8.1%). This concentration indicates that a small set of ED and imaging services generate the majority of billings to Medicaid.

The code mix points to a heavy emergency department and acute imaging focus: 99283 is the single largest revenue source and 99284/99285 also appear in the top codes, while 74177 and 74176 indicate substantial CT abdomen/pelvis utilization. High-volume lab and monitoring codes (80053, 85025, 93005, 84484) further support an operational profile centered on acute inpatient and emergency diagnostics with on-site lab capacity.

On state competitive standing, the provider ranks strongly for several high-impact codes: 99283 ranks #65 of 1570 providers in-state (96th percentile), 74177 ranks #71 of 783 (91st percentile), and 80053 ranks #46 of 1717 (97th percentile). These placements show SHARP CHULA VISTA is a major Medicaid-volume participant in ED visits, abdominal/pelvic CT imaging, and comprehensive metabolic panels relative to peers in California.

For a subset of service lines the facility is an outlier: 93005 (ECG without interpretation) is an extreme outlier at rank #12 of 760 providers in-state (99th percentile), and 99499 (unlisted E/M) ranks #6 of 307 (98th percentile), both described as notably above typical state volume. Such outsized ranks suggest unusually high throughput or billing frequency for these specific services within the state Medicaid population.

Obstetrics and perinatal services appear meaningful in the mix: 59025 (fetal heart rate monitoring) and 76815 (limited fetal ultrasound) both rank in high percentiles (#29 of 560, 95th percentile; #13 of 765, 98th percentile respectively), indicating a busy maternity/obstetric diagnostic caseload billed to Medicaid. This complements the ED and imaging emphasis and suggests inpatient maternal-neonatal activity contributes materially to Medicaid revenue.

Infusion and procedure administration codes show above-typical throughput: 96374, 96375, and 96361 all fall in the upper state percentiles (95th, 94th, and 94th respectively), indicating frequent IV medication administration and fluid management billed to Medicaid. These patterns are consistent with substantial ED and inpatient procedure volumes rather than primarily outpatient clinic activity.

The provider’s NPI tenure (enumerated 2005-11-21, ~21 years ago) indicates long-established operations in the market; combined with the Medicaid revenue scale and multiple high-percentile ranks, this longevity supports the conclusion that SHARP CHULA VISTA is a well-established, Medicaid-focused acute care hospital with concentrated revenue drivers in ED evaluation/management, CT imaging, and inpatient diagnostics.

Medicaid: Complete Services Breakdown

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

307 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.	61,880	$460	$28.5M
0450	N/A	69,240	$290	$20.1M
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.	12,560	$740	$9.3M
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	24,410	$300	$7.2M
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.	120,250	$40	$4.9M
0360	N/A	4,490	$1,060	$4.8M
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.	15,180	$260	$4M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	61,040	$60	$3.5M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	5,070	$680	$3.5M
0206	N/A	270	$11,580	$3.2M

Showing 1–10 of 307

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

Sharp Chula Vista Medical Center — 8 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

307 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	102	450	16,140	$90	$3.6M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	373	390	1,270	$220	$1.5M
0206	N/A	16	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.	65	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.	294	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…	109	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.	287	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	314	430	1,140	$90	$769.9K
G0378	Hospital observation service, per hour	150	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.	71	780	1,160	$130	$576.2K

Showing 1–10 of 307

Nearby Providers

Other providers in the same ZIP code as Sharp Chula Vista Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cardiovascular Institute Of San Diego Inc	CA	Cardiovascular Disease Physician	$0	$129.2M
California Retina Associates, LP	CA	Ophthalmology Physician	$0	$42.5M
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$24.1M
Sasha Salloum Md Inc A Professional Medical Corporation	CA	Vascular Surgery Physician	$0	$24M
Surgery Center Of California -llc	CA	Ambulatory Surgical Clinic/Center	$1.4M	$2.9M
Mehran Moussavian	CA	Interventional Cardiology Physician	$3M	$67.3K
Alexander Salloum	CA	Vascular Surgery Physician	$2.8M	$0
Marilyn Norton	CA	Hematology & Oncology Physician	$1.6M	$1.4K
San Diego Treatment Services, LLC	CA	Methadone Clinic	$391.4K	$1.2M
Milind Parikh	CA	Cardiovascular Disease Physician	$746.5K	$0

Sharp Chula Vista Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References