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.

Stanford Health Care (NPI 1437292927)

Stanford Health Care is a general acute care hospital provider located in Stanford, California. This profile covers 0 Medicare and 267 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Stanford Health Care
Address	300 Pasteur Drive
City	Stanford
State	CA
ZIP	94305
Taxonomy	General Acute Care Hospital
NPI Enumerated	February 14, 2007

Payer Source	Total Paid
Medicaid	$46.2M
Medicare	$0

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

267 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	74,080	$80	$5.6M
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.	42,460	$100	$4.4M
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…	77,480	$40	$2.8M
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…	43,920	$60	$2.6M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	73,090	$40	$2.6M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	43,120	$50	$2.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	21,500	$110	$2.3M
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.	36,160	$60	$2.2M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	187,580	$10	$2.1M
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	10,540	$180	$1.8M

Showing 1–10 of 267

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

Stanford Health Care — 20 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

267 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	201	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.	92	1,300	510	$100	$943K
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.	53	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	249	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.…	3	230	270	$840	$717.2K
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	780	1,160	$130	$576.2K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	18	360	840	$160	$495.3K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	236	360	880	$130	$408.5K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	253	270	950	$30	$378.2K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	67	140	590	$120	$350.5K

Showing 1–10 of 267

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ehsan Rahimy	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Stanford Life Flight	CA	Air Ambulance	$464.2K	$1.2M
Kim-son Nguyen	CA	Medical Oncology Physician	$1.5M	$0
Chivonne Harrigal	CA	Diagnostic Radiology Physician	$1.3M	$1.1K
Nadim Rayess	CA	Ophthalmology Physician	$1.2M	$0
Howard Harvin	CA	Body Imaging Physician	$684.8K	$0
Robert Mayle	CA	Orthopaedic Surgery Physician	$573.7K	$0
Cheena Ramrakhiani	CA	Cardiovascular Disease Physician	$498.7K	$0
John Kleimeyer	CA	Orthopaedic Surgery of the Spine Physician	$383.8K	$0
Todd Alamin	CA	Orthopaedic Surgery of the Spine Physician	$327K	$0

Stanford Health Care — Billing Profile & Reimbursement Data

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Stanford Health Care — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stanford Health Care	CA	General Acute Care Hospital	$0	$264.9M
Ira Schachar	CA	Retina Specialist (Ophthalmology) Physician	$3.9M	$4.1M
Khosrow Mehrany	CA	Specialist	$7.7M	$0
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Clement Chow	CA	Ophthalmology Physician	$3.8M	$0
Christianne Wa	CA	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Howard Chen	CA	Ophthalmology Physician	$2.8M	$0
Tushar Ranchod	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Tuow Ting	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
J Jumper	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0