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.

Bakersfield Memorial Hospital (NPI 1467538520)

Field	Value
Entity Type	Organization
Organization	Bakersfield Memorial Hospital
Address	420 34th St
City	Bakersfield
State	CA
ZIP	93301
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$170.7M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid hospital: total Medicaid revenue is $170.7M while Medicare shows none (no Medicare billing on file), indicating Medicaid drives virtually all reported public-payer activity for this facility. Analysts should treat comparisons and risk models accordingly, since there is no Medicare revenue to balance or diversify the public-payer mix.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three codes account for 75.9% of Medicaid revenue, led by 99285 at 34.0%, 99283 at 30.0%, and 0450 at 12.0%. This concentration signals that a handful of high-volume service lines — especially emergency visits captured by 99285 and 99283 — are the primary revenue drivers for the hospital.

The code mix points to a very large emergency department operation: 99285 ($51.6M, 34.0%) and 99283 ($45.4M, 30.0%) together represent a dominant share of Medicaid revenue and correspond to high‑acuity and lower‑acuity ED evaluations respectively. Given those two codes’ roles in classifying ED visits, the hospital appears to function as a high-throughput emergency care center that likely handles both complex and routine ED presentations.

Competitive standing for emergency services is outsized statewide: 99285 ranks #9 of 1297 providers in CA (99th percentile; extreme outlier) and 99283 ranks #16 of 1570 providers in CA (99th percentile; extreme outlier). These rankings indicate the hospital is a major ED volume outlier in California and should be considered a dominant regional ED provider when modeling network capacity or negotiated rates.

Beyond the ED, endoscopy and colonoscopy services contribute meaningful ancillary revenue: 43239 ($5.7M, 3.8%, rank #48 of 782, 94th percentile) and 45384 ($2.8M, 1.9%, rank #3 of 29, 93rd percentile) are notably above typical state volumes, and several other colonoscopy codes (45380, 45385, 45378) appear in the top 25. This pattern suggests a sizable gastroenterology procedural volume supporting inpatient/outpatient workstreams in addition to the ED load.

Infusion and procedure throughput metrics are also elevated: 96365 ($1.2M, rank #10 of 524, 98th percentile; extreme outlier), 96372 ($787.6K, rank #4 of 2379, 100th percentile; extreme outlier) and 96367 ($877.6K, rank #7 of 279, 98th percentile; notably above typical) indicate a heavy volume of IV medication administration and post‑admission infusions. While oncology biologic J9271 (pembrolizumab) is present at $3.5M (2.3%) and a middling rank (#25 of 57, 57th percentile), the infusion-related codes point to operational emphasis on IV therapy capacity.

Operational throughput signals are reinforced by high counts of basic diagnostic and monitoring services: 93005 shows 61K claims ($671.2K, rank #13 of 760, 98th percentile) and G0463 appears at 25.9K claims ($1.1M, rank #26 of 267, 91th percentile), reflecting very high volumes of ECGs and hospital outpatient clinic visits. These volumes are consistent with a busy acute-care hospital handling large numbers of short observation and diagnostic encounters alongside its ED and procedural workload.

The hospital’s NPI has been enumerated since 2006-10-31 (~20 years ago), indicating a long-established presence in Bakersfield. Combined with the Medicaid revenue concentration and the facility’s extreme-state outlier rankings on multiple high-volume codes, the picture is of an entrenched regional acute-care provider with disproportionate Medicaid exposure and a service mix weighted toward emergency, infusion, and endoscopic procedures.

Medicaid: Complete Services Breakdown

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

332 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	140,500	$370	$51.6M
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.	111,870	$410	$45.4M
0450	N/A	80,940	$220	$18.1M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,230	$1,350	$5.7M
0762	N/A	5,780	$980	$5.6M
J9271	Injection, pembrolizumab, 1 mg	260	$13,440	$3.5M
45384	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…	2,400	$1,170	$2.8M
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.	5,670	$430	$2.4M
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,400	$1,230	$1.7M
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	1,450	$1,100	$1.6M

Showing 1–10 of 332

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

Bakersfield Memorial Hospital — 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

332 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	84	450	16,140	$90	$3.6M
J9271	Injection, pembrolizumab, 1 mg	25	60	240	$4,460	$3.4M
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.	16	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.	9	1,300	510	$100	$943K
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…	171	750	950	$50	$890K
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.	370	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	230	430	1,140	$90	$769.9K
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)…	167	250	800	$110	$625.7K
A9150	Non-prescription drugs	21	80	360	$180	$619K
G0378	Hospital observation service, per hour	71	200	550	$310	$605.9K

Showing 1–10 of 332

Nearby Providers

Other providers in the same ZIP code as Bakersfield Memorial Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Kern	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$473.5M
Dignity Health	CA	General Acute Care Hospital	$0	$109.2M
San Joaquin Community Hospital	CA	General Acute Care Hospital	$0	$107.6M
Hall Ambulance Service Inc	CA	Ambulance	$7.6M	$44.4M
County Of Kern	CA	Social Worker	$0	$41.4M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$33.8M
Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp	CA	Emergency Medicine Physician	$0	$31.4M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23.3M
Union Surgery Center, Inc	CA	Ambulatory Surgical Clinic/Center	$674.2K	$11.1M
Agnes Wu	CA	Anatomic Pathology & Clinical Pathology Physician	$262.4K	$2.5M

Bakersfield Memorial Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References