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.

Dignity Health (NPI 1518018191)

Field	Value
Entity Type	Organization
Organization	Dignity Health
Address	333 Mercy Ave
City	Merced
State	CA
ZIP	95340
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 12, 2007

Payer Source	Total Paid
Medicaid	$106.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

401 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	171,470	$190	$31.7M
99281	The provider sees a patient for the lowest level emergency department visit.	237,370	$80	$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…	138,890	$30	$4M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	11,950	$230	$2.8M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	48,800	$50	$2.2M
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…	63,300	$30	$1.9M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	23,320	$80	$1.9M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	139,330	$10	$1.8M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	6,340	$280	$1.8M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	16,680	$90	$1.4M

Showing 1–10 of 401

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

Dignity Health — 12 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

401 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	178	1,550	38,050	$190	$14.1M
0450	N/A	257	450	16,140	$90	$3.6M
J9271	Injection, pembrolizumab, 1 mg	39	60	240	$4,460	$3.4M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	19	20	880	$600	$2.4M
Q5108	Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg	9	10	130	$3,020	$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.	816	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.	757	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…	184	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.	640	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	1	430	1,140	$90	$769.9K

Showing 1–10 of 401

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Muhammad Shabbir	CA	Family Medicine Physician	$497.5K	$0
Atul Roy	CA	Nephrology Physician	$485.6K	$0
Dennis Cesar	CA	Urology Physician	$475.8K	$0
Thavalinh Sphabmixay	CA	Family Medicine Physician	$225.6K	$0
James Rabago	CA	Family Medicine Physician	$197K	$0
William Entwistle	CA	Family Medicine Physician	$185.2K	$0
Nadir Adam	CA	Surgery Physician	$167.9K	$0
Murali Dharan	CA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$159.9K	$0
Ibrahim Azer	CA	Surgery Physician	$62.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Joaquin Emergency Medical Associates	CA	Emergency Medicine Physician	$0	$29.8M
Merced Ambulatory Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$2.8M	$4.1M
Vikram Lakireddy	CA	Cardiovascular Disease Physician	$4.8M	$0
Steven Hansen	CA	Diagnostic Radiology Physician	$1.2M	$0
David Pilkington	CA	Dermatology Physician	$755.2K	$440
Sunit Patel	CA	Specialist	$618.4K	$0
Mario Sablan	CA	Orthopaedic Surgery Physician	$617.2K	$0
Timothy Johnston	CA	Family Medicine Physician	$605.7K	$0
Aegis Treatment Centers, LLC	CA	Methadone Clinic	$588.6K	$2.3K
Gundala Reddy	CA	Anesthesiology Physician	$118.9K	$0

Dignity Health — Billing Profile & Reimbursement Data

Sign up for Dignity Health — Billing Profile & Reimbursement Data policy alerts

Dignity Health — Billing Profile & Reimbursement Data

Sign up for Dignity Health — 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