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.

Clinica De Salud Del Valle De Salinas (NPI 1477694263)

Field	Value
Entity Type	Organization
Organization	Clinica De Salud Del Valle De Salinas
Address	219 N Sanborn Rd
City	Salinas
State	CA
ZIP	93905
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$27.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

107 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	147,480	$130	$19.5M
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…	111,760	$20	$2M
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…	44,480	$30	$1.2M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	8,580	$60	$540.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,320	$50	$484.7K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	6,300	$80	$472.7K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	4,320	$90	$375.8K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	25,500	$10	$306K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,460	$40	$277.6K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,470	$40	$207.9K

Showing 1–10 of 107

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

Clinica De Salud Del Valle De Salinas — 13 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

107 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	224	1,550	38,050	$190	$14.1M
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	148	250	120	$850	$378K
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…	248	13,300	640	$40	$169.6K
J3490	Unclassified drugs	634	1,390	670	$20	$159.5K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	101	1,040	660	$60	$147.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,798	2,840	490	$40	$139.6K
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…	933	4,230	210	$110	$135K
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…	215	14,520	760	$10	$122.8K
11981	The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.	132	220	130	$200	$88.3K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	36	320	590	$40	$75.5K

Showing 1–10 of 107

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clinica De Salud Del Valle De Salinas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinica De Salud Del Valle De Salinas	CA	Federally Qualified Health Center (FQHC)	$0	$29.4M
Clinica De Salud Del Valle De Salinas	CA	Federally Qualified Health Center (FQHC)	$0	$24.6M
Rasha Morad	MD	Internal Medicine Physician	$548.5K	$0
Ritoo Gagneja	CA	Family Medicine Physician	$28.9K	$0

Nearby Providers

Other providers in the same ZIP code as Clinica De Salud Del Valle De Salinas, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Monterey Behavioral Health	CA	Adolescent and Children Mental Health Clinic/Center	$0	$102.8M
County Of Monterey	CA	Family Medicine Physician	$0	$37.5M
Linnea Terranova	CA	Psychologist	$14.6K	$0

Clinica De Salud Del Valle De Salinas — Billing Profile & Reimbursement Data

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Clinica De Salud Del Valle De Salinas — 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