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.

Edward Mcclay (NPI 1497727465)

Field	Value
Entity Type	Individual
Organization	Edward Mcclay
Address	838 Nordahl Rd Ste 300
City	San Marcos
State	CA
ZIP	92069
Taxonomy	Medical Oncology Physician
NPI Enumerated	February 3, 2006

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

60 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9298	Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg	6,240	$140	$892.3K
J9271	Injection, pembrolizumab, 1 mg	19,000	$40	$817K
J9299	Injection, nivolumab, 1 mg	19,040	$20	$457K
78816	The patient is injected with a radiopharmaceutical tracer called FDG (fluoro–deoxyglucose, a radioactive substance containing glucose) about one hour before the imaging is scheduled to begin. The…	140	$1,480	$209.4K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	110	$1,470	$159.9K
J0881	Injection, darbepoetin alfa, 1 microgram (non-esrd use)	65,000	$1	$130K
J0897	Injection, denosumab, 1 mg	6,120	$20	$116.3K
J1449	Injection, eflapegrastim-xnst, 0.1 mg	3,560	$30	$92.7K
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	2,390	$40	$86K
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…	720	$100	$72.8K

Showing 1–10 of 60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 60 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Edward Mcclay — 2 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. state median

60 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9298	3	10	6,410	$140	$1.1M
J9271	41	140	13,100	$40	$653.5K
J9299	25	40	21,000	$20	$538.5K
J1569	29	40	4,560	$40	$303.5K
J1449	15	20	6,340	$30	$167.2K
78815	231	590	70	$740	$104.1K
J0897	264	1,030	3,060	$20	$91.4K
J0881	16	80	19,020	$1	$80.6K
J3490	135	320	80	$190	$49.2K
82306	289	490	100	$30	$44.2K

Showing 1–10 of 60

Related Providers

Other providers that share a Tax Identification Number (TIN) with Edward Mcclay, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Medical Associates Of The Medical University Of South Carol	SC	Family Medicine Physician	$0	$56.6M
Harbinder Brar	CA	Maternal & Fetal Medicine Physician	$0	$31.3M
Musc Community Physicians	SC	Internal Medicine Physician	$0	$16.7M
University Medical Associates	SC	Pediatrics Physician	$0	$9.2M
Ravi Rao	CA	Hematology & Oncology Physician	$6.6M	$0
Nikolas London	CA	Ophthalmology Physician	$6.4M	$0
University Medical Associates Of The Medical University Of South Carol	SC	Obstetrics & Gynecology Physician	$0	$6.1M
Dexter Estrada	CA	Hematology & Oncology Physician	$5.6M	$0
Musc Community Physicians	SC	Family Medicine Physician	$0	$5.6M
University Medical Associates Of The Medical University Of South Carol	SC	Diagnostic Radiology Physician	$0	$5.4M

Nearby Providers

Other providers in the same ZIP code as Edward Mcclay, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North County Health Project Inc	CA	Federally Qualified Health Center (FQHC)	$0	$125.9M
San Diego Health Alliance	CA	Methadone Clinic	$113.9K	$543K
Arvin Mirow	CA	Psychiatry Physician	$189.3K	$0

Edward Mcclay — Billing Profile & Reimbursement Data

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Edward Mcclay — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References