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.

Dignity Health (NPI 1427181007)

Field	Value
Entity Type	Organization
Organization	Dignity Health
Address	1555 Soquel Dr
City	Santa Cruz
State	CA
ZIP	95065
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 13, 2007

Payer Source	Total Paid
Medicaid	$33.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

210 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99281	The provider sees a patient for the lowest level emergency department visit.	106,220	$80	$8.3M
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.	6,150	$290	$1.8M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	25,270	$60	$1.6M
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.	7,140	$230	$1.6M
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	33,840	$50	$1.6M
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	800	$1,940	$1.6M
0241U	N/A	8,650	$130	$1.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,640	$90	$1M
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…	20,000	$50	$940K
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…	8,030	$100	$771.2K

Showing 1–10 of 210

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

Dignity Health — 5 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

210 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	315	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.	910	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…	357	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.	1,013	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	4	430	1,140	$90	$769.9K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	72	230	270	$840	$717.2K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	178	250	800	$110	$625.7K
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.	165	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.	146	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.	127	510	3,760	$50	$383.4K

Showing 1–10 of 210

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dientes Community Dental Care.	CA	Dentist	$0	$40.9M
American Medical Response West	CA	Ambulance	$3.1M	$3.8M
Amy Mcmullen	CA	Hematology & Oncology Physician	$3.5M	$0
Janet Wang	CA	Hematology & Oncology Physician	$2.4M	$0
Jay Meisel	CA	Radiation Oncology Physician	$1.9M	$0
Thaila Ramanujam	CA	Specialist	$1.9M	$0
Glenn Wong	CA	Hematology & Oncology Physician	$1.8M	$0
Santa Cruz Surgery Center	CA	Ambulatory Surgical Clinic/Center	$1.8M	$51.3K
Rohan Ahluwalia	CA	Hematology & Oncology Physician	$1.8M	$0
Benjamin Potkin	CA	Cardiovascular Disease Physician	$1.7M	$0

Dignity Health — Billing Profile & Reimbursement Data

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Dignity Health — 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