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.

Neighborhood Healthcare (NPI 1437335353)

Field	Value
Entity Type	Organization
Organization	Neighborhood Healthcare
Address	425 N Date St
City	Escondido
State	CA
ZIP	92025
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 10, 2008

Payer Source	Total Paid
Medicaid	$38.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

151 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	120,120	$170	$19.8M
00003	N/A	88,560	$210	$18.4M
G0467	Federally 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…	1,440	$20	$31.7K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	1,370	$20	$20.6K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	410	$30	$13.5K
0502F	No Summary found for this code	7,610	$1	$7.6K
93000	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…	210	$20	$4.8K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	3,350	$1	$3.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,080	$1	$2.1K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral…	430	$1	$1.3K

Showing 1–10 of 151

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

Neighborhood Healthcare — 0 of 14 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

151 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	305	1,550	38,050	$190	$14.1M
00003	N/A	37	690	14,940	$260	$7.7M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,271	4,290	780	$140	$400.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	218	390	250	$200	$220.4K
G0467	Federally 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…	444	1,030	1,050	$70	$219.7K
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…	707	760	1,930	$20	$196K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	167	1,950	500	$80	$179K
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…	116	13,300	640	$40	$169.6K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	52	160	190	$180	$141.3K
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…	1,534	4,230	210	$110	$135K

Showing 1–10 of 151

Related Providers

Other providers that share a Tax Identification Number (TIN) with Neighborhood Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborhood Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$160.1M
Neighborhood Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$125M
Neighborhood Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$46.7M
Neighborhood Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$33.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dap Health, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$28.6M
Empower Genomics Corp	CA	Clinical Medical Laboratory	$6.5M	$252.2K
Escondido Ca Endoscopy Asc LP	CA	Ambulatory Surgical Clinic/Center	$499.2K	$5.2M
Amar Amin	CA	Diagnostic Radiology Physician	$3.6M	$6.5K
Joshua Morrison-reyes	CA	Retina Specialist (Ophthalmology) Physician	$2M	$18.2K
Debra Hexom	CA	Family Nurse Practitioner	$1.8M	$0
Philip Bosch	CA	Urology Physician	$1.3M	$230
Mission Treatment Services, Inc.	CA	Methadone Clinic	$167.7K	$683.8K
Veni-express, Inc.	CA	Clinical Medical Laboratory	$487.1K	$221.9K
Jason Morris	CA	Foot & Ankle Surgery Podiatrist	$345.4K	$1.6K

Neighborhood Healthcare — Billing Profile & Reimbursement Data

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Neighborhood Healthcare — 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