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.

Canyon Pinole Surgery Center, LP (NPI 1497791040)

Field	Value
Entity Type	Organization
Organization	Canyon Pinole Surgery Center, LP
Address	1700 San Pablo Ave
City	Pinole
State	CA
ZIP	94564
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 21, 2006

Payer Source	Total Paid
Medicare	$582.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	180	$1,150	$207.2K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	70	$980	$67.7K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	30	$2,200	$61.6K
67904	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…	50	$1,020	$51.8K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	40	$1,190	$47.4K
J1096	Dexamethasone, lacrimal ophthalmic insert, 0.1 mg	450	$100	$44.4K
31200	In this procedure, the provider makes an intranasal incision to gain access into the anterior ethmoid sinus. The provider then removes all diseased contents from the anterior ethmoid sinus.	10	$2,860	$37.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	80	$300	$24.6K
67917	During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…	20	$990	$19.7K
31239	Dacryocystorhinostomy (DCR) reduces or eliminates tearing or recurrent infections of the lacrimal system of the eye. The procedure involves the construction of a new pathway for tears to exit the…	10	$800	$10.3K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Canyon Pinole Surgery Center, LP — 0 of 12 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

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	357	1,250	90	$690	$122.8K
J1096	9	20	290	$100	$89.7K
65820	42	110	20	$1,150	$42.5K
67904	19	60	30	$700	$37K
66982	161	510	30	$800	$32K
15823	36	190	30	$640	$30.9K
31200	1	10	10	$1,760	$22.8K
66821	225	950	40	$270	$18.4K
67917	18	40	20	$540	$11.3K
31239	4	10	10	$720	$10.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Canyon Pinole Surgery Center, LP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
M Elder D D S A Professional Corporation	CA	Oral and Maxillofacial Surgery (Dentist)	$0	$39.6M
Chao Ho	CA	Internal Medicine Physician	$249.2K	$266.1K
Scott Lee	CA	Ophthalmology Physician	$416.6K	$0
Stuart Gourlay	CA	Surgery Physician	$121K	$0
Jeanne Roder	CA	Speech-Language Pathologist	$26.2K	$0

Canyon Pinole Surgery Center, LP — Billing Profile & Reimbursement Data

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Canyon Pinole Surgery Center, LP — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References