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    OpenPayerNPI Medicare & MedicaidCounty Of Los Angeles
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    County Of Los Angeles — Billing Profile & Reimbursement Data

    NPI 1396756938 · Los Angeles, CA · General Acute Care Hospital

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    County Of Los Angeles is a general acute care hospital provider located in Los Angeles, California. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Los Angeles
    Address2051 Marengo St
    CityLos Angeles
    StateCA
    ZIP90033
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$216.5M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in the available files: there is no Medicare billing on file and all recorded federal payment activity comes from Medicaid, totaling $216.5M. The absence of Medicare revenue alongside substantial Medicaid receipts suggests the entity’s public reimbursement footprint is concentrated in state program billing rather than traditional Medicare fee‑for‑service streams.

    Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with T1015 alone representing $167.9M (77.5% of Medicaid revenue). This degree of concentration indicates that a single service line—clinic visits/encounters billed under T1015—is the primary revenue driver for this entity.

    The code mix points to outpatient clinic–style operations as the dominant service line. T1015 (Clinic visit/encounter, all‑inclusive) and G0467 (fqhc visit, established patient) are both visit‑level, bundled outpatient encounter codes, and 00003 (no description available) is the second largest contributor by dollars; together these suggest the provider functions primarily as a high‑volume clinic or ambulatory care site for Medicaid patients despite its General Acute Care Hospital taxonomy.

    T1015’s statewide competitive standing is solid but not singularly dominant: T1015 accounts for $167.9M from 167.4K claims, ranks #185 of 1550 providers in‑state and sits in the 88th percentile, which the peer data classifies as a typical, unremarkable volume for this code. That ranking indicates the provider is an established and above‑median participant for clinic visit volume statewide, but still within the range of many peer organizations.

    The second revenue driver, 00003, produced $47.5M from 42.9K claims with an average paid/claim of $1109 and ranks #139 of 688 providers in‑state (80th percentile; typical, unremarkable volume). This placement shows above‑median utilization relative to peers for that code, reinforcing that a small set of outpatient encounter codes capture most commercial Medicaid payments to the provider.

    G0467 plays only a marginal role in overall dollars: 4.2K claims, $259 avg paid/claim, $1.1M revenue (0.5% of Medicaid revenue) and rank #206 of 1029 providers in‑state (80th percentile; typical, unremarkable volume). The presence of G0467 indicates some FQHC‑style, established‑patient encounters are billed, but they represent a negligible share of total Medicaid revenue compared with the T1015 and 00003 lines.

    The provider’s NPI has long tenure: NPI enumerated (registered): 2006-08-10 (~20 years ago). Combined with $216.5M in Medicaid revenue and the concentrated code mix, this tenure suggests a sustained, Medicaid‑focused ambulatory billing profile rather than a recent or transient service arrangement.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive167,410$1,000$167.9M
    00003N/A42,860$1,110$47.5M
    G0467Federally 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…4,190$260$1.1M

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1851,55038,050$190$14.1M
    00003N/A13969014,940$260$7.7M
    G0467Federally 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…2061,0301,050$70$219.7K

    Nearby Providers

    Other providers in the same ZIP code as County Of Los Angeles, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Complete Care Community Health Center, IncCAPACE Provider Organization$0$72.6M
    County Of Los AngelesCAGeneral Acute Care Hospital$0$63.9M
    White Memorial Medical CenterCAGeneral Acute Care Hospital$0$62.3M
    White Memorial Community Health CenterCAPediatrics Physician$0$55.6M
    Keck Medical Center Of UscCAGeneral Acute Care Hospital$0$45M
    Usc Care Medical Group, IncCAGeneral Practice Physician$0$39.1M
    Usc-davita Dialysis Center LLCCAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$32.5M
    Altamed Health Services CorpCAFederally Qualified Health Center (FQHC)$0$23.9M
    Geoffrey TrenkleCAFacial Plastic Surgery Physician$517.4K$6.5M
    Cameron PoleCAOphthalmology Physician$4.5M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    County Of Los Angeles — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California