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.

Lucile Salter Packard Children's Hospital At Stanford (NPI 1467442749)

Field	Value
Entity Type	Organization
Organization	Lucile Salter Packard Children's Hospital At Stanford
Address	725 Welch Rd
City	Palo Alto
State	CA
ZIP	94304
Taxonomy	Children's Hospital
NPI Enumerated	October 26, 2005

Payer Source	Total Paid
Medicaid	$35.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

373 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0510	N/A	58,410	$40	$2.5M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	1,790	$1,100	$2M
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	2,890	$640	$1.8M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	34,560	$50	$1.8M
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	1,100	$1,240	$1.4M
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…	11,110	$110	$1.2M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	3,520	$330	$1.2M
0360	N/A	6,010	$190	$1.1M
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	2,790	$400	$1.1M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	11,680	$90	$1.1M

Showing 1–10 of 373

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

Lucile Salter Packard Children's Hospital At Stanford — 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

373 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81479	Use 81479 to report a molecular pathology procedure that does not have a specific code.	34	50	500	$160	$1.1M
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.	775	1,570	680	$110	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	17	40	200	$1,990	$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…	341	750	950	$50	$890K
0510	N/A	19	230	930	$40	$854K
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)…	241	250	800	$110	$625.7K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	27	150	580	$60	$608.7K
93247	After a patient has worn an electrocardiographic, or ECG recorder, for more than seven days, up to 15 days, to detect abnormal heart rates and rhythm, a processing center technician performs a…	9	20	520	$70	$563.9K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	10	10	410	$630	$560.7K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	51	50	320	$220	$542.5K

Showing 1–10 of 373

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lucile Salter Packard Children's Hospital At Stanford, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lpch Medical Group Div Of Lucile	CA	Children's Hospital	$0	$40.9M
Jongsoo Park	CA	Neurological Surgery Physician	$289.2K	$0
Emilie Cheung	CA	Orthopaedic Hand Surgery Physician	$194.8K	$0
Hans-christoph Becker	CA	Diagnostic Radiology Physician	$179K	$0
John Macarthur	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$160.6K	$0
Yueyang Guo	CA	Diagnostic Radiology Physician	$150.3K	$0
Jeffrey Yao	CA	Orthopaedic Hand Surgery Physician	$145.9K	$0
Venita Chandra	CA	Vascular Surgery Physician	$141.2K	$0
Bryan Lanzman	CA	Diagnostic Neuroimaging (Radiology) Physician	$135.7K	$0
Craig Comiter	CA	Urology Physician	$134.4K	$0

Nearby Providers

Other providers in the same ZIP code as Lucile Salter Packard Children's Hospital At Stanford, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Janet Hall	CA	Nurse Practitioner	$415.6K	$0
Anand Veeravagu	CA	Neurological Surgery Physician	$288.9K	$0
Erqi Pollom	CA	Radiation Oncology Physician	$184.4K	$0
Neil Friedman	CA	Ophthalmology Physician	$174K	$0
Yuan Rao	CA	Radiation Oncology Physician	$170.9K	$0
Jason Lee	CA	Vascular Surgery Physician	$141.6K	$0
Alexander Chin	CA	Radiation Oncology Physician	$126.4K	$0
Samer Eldika	CA	Gastroenterology Physician	$120.6K	$0
Douglas Liou	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$112.3K	$0
Michael Fischbein	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$108.6K	$0

Lucile Salter Packard Children's Hospital At Stanford — Billing Profile & Reimbursement Data

Sign up for Lucile Salter Packard Children's Hospital At Stanford — Billing Profile & Reimbursement Data policy alerts

Lucile Salter Packard Children's Hospital At Stanford — Billing Profile & Reimbursement Data

Sign up for Lucile Salter Packard Children's Hospital At Stanford — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References