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.

Northern California Cancer Center (NPI 1447539374)

Field	Value
Entity Type	Organization
Organization	Northern California Cancer Center
Address	1541 Florida Ave
City	Modesto
State	CA
ZIP	95350
Taxonomy	Medical Oncology Physician
NPI Enumerated	August 9, 2011

Payer Source	Total Paid
Medicaid	$40M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9264	Injection, paclitaxel protein-bound particles, 1 mg	6,490	$2,680	$17.4M
J9299	Injection, nivolumab, 1 mg	1,610	$5,050	$8.1M
J9395	Injection, fulvestrant, 25 mg	1,960	$1,190	$2.3M
J9271	Injection, pembrolizumab, 1 mg	260	$6,940	$1.8M
J9355	Injection, trastuzumab, excludes biosimilar, 10 mg	1,030	$1,590	$1.6M
J2997	Injection, alteplase recombinant, 1 mg	20,140	$70	$1.4M
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…	25,770	$50	$1.4M
J1453	Injection, fosaprepitant, 1 mg	2,110	$390	$824.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	14,950	$50	$807.2K
36593	The provider administers a drug, such as a tissue plasminogen activator (TPA), to dissolve a clot in an implanted venous access device or catheter.	20,060	$30	$521.6K

Showing 1–10 of 40

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

Northern California Cancer Center — 9 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	23	60	240	$4,460	$3.4M
J9299	Injection, nivolumab, 1 mg	4	20	810	$3,160	$3.1M
J9264	Injection, paclitaxel protein-bound particles, 1 mg	1	10	60	$2,520	$2.9M
J9355	Injection, trastuzumab, excludes biosimilar, 10 mg	4	20	260	$2,370	$1.2M
J0897	Injection, denosumab, 1 mg	43	90	160	$830	$415.2K
J9395	Injection, fulvestrant, 25 mg	1	10	430	$540	$364.9K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	66	500	3,580	$40	$230.4K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	14	520	1,470	$70	$193.2K
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…	2,309	2,670	540	$40	$183.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	13	320	610	$60	$162.5K

Showing 1–10 of 40

Nearby Providers

Other providers in the same ZIP code as Northern California Cancer Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Medical Center Of Modesto, Inc.	CA	General Acute Care Hospital	$0	$101.2M
Golden Valley Health Centers	CA	Internal Medicine Physician	$0	$79.4M
Valley Children's Medical Group	CA	Pediatrics Physician	$0	$65M
County Of Stanislaus	CA	Clinic/Center	$0	$27.4M
Cep America - California	CA	Emergency Medicine Physician	$0	$26.1M
Modesto Radiology Imaging, Inc.	CA	Diagnostic Radiology Physician	$2.3M	$10.7M
Khosrow Mehrany	CA	Specialist	$7.7M	$0
Aegis Treatment Centers, LLC	CA	Methadone Clinic	$780.3K	$23.7K
Thomas Wallace	CA	Critical Care Medicine (Internal Medicine) Physician	$634.3K	$0
Joselyn Deculing	CA	Nurse Practitioner	$566.2K	$0

Northern California Cancer Center — Billing Profile & Reimbursement Data

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Northern California Cancer Center — 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