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.

Mission Area Health Associates (NPI 1457427411)

Field	Value
Entity Type	Organization
Organization	Mission Area Health Associates
Address	240 Shotwell St
City	San Francisco
State	CA
ZIP	94110
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 28, 2006

Payer Source	Total Paid
Medicaid	$26.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

111 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	126,670	$190	$23.8M
00003	N/A	5,480	$280	$1.5M
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…	5,920	$90	$550.8K
G9012	Other specified case management service not elsewhere classified	390	$580	$228.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	68,190	$1	$136.4K
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…	1,900	$70	$125.2K
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…	670	$100	$69.9K
90832	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…	1,370	$50	$64.2K
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…	16,460	$1	$49.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	200	$150	$30.6K

Showing 1–10 of 111

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

Mission Area Health Associates — 4 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

111 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	283	1,550	38,050	$190	$14.1M
00003	N/A	509	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	489	720	1,110	$110	$651.3K
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…	2,281	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…	277	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…	148	1,030	1,050	$70	$219.7K
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…	463	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…	815	13,300	640	$40	$169.6K
J3490	Unclassified drugs	952	1,390	670	$20	$159.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	416	14,520	760	$10	$122.8K

Showing 1–10 of 111

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City & County Of San Francisco	CA	General Acute Care Hospital	$0	$56.4M
City & County Of San Francisco	CA	Federally Qualified Health Center (FQHC)	$0	$56.3M
City & County Of San Francisco	CA	Federally Qualified Health Center (FQHC)	$0	$41.6M
City & County Of San Francisco	CA	Federally Qualified Health Center (FQHC)	$0	$34.9M
Jacobson Dental Corp	CA	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$27.9M
City & County Of San Francisco	CA	Federally Qualified Health Center (FQHC)	$0	$27.8M
Jay Wang	CA	Ophthalmology Physician	$2.2M	$0
Eric Lim	CA	Internal Medicine Physician	$220.8K	$74.6K
Sina Houshmand	CA	Diagnostic Radiology Physician	$108.1K	$0
Patrick Avila	CA	Gastroenterology Physician	$83.5K	$0

Mission Area Health Associates — Billing Profile & Reimbursement Data

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Mission Area Health Associates — 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