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.

North East Medical Services (NPI 1518911304)

Field	Value
Entity Type	Organization
Organization	North East Medical Services
Address	1520 Stockton Street
City	San Francisco
State	CA
ZIP	94133
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$142.5M
Medicare	$0

Key Findings

NORTH EAST MEDICAL SERVICES reports $142.5M in lifetime Medicaid revenue and has no Medicare billing on file, making its financial footprint effectively single-payer (Medicaid) at scale. Its NPI was enumerated on 2006-05-19 (~20 years ago), indicating roughly two decades of operations under its current provider identity.

Revenue is highly concentrated in a very small set of encounter/FQHC codes: the precomputed top three Medicaid codes account for 95.5% of the provider's Medicaid revenue. Specifically, T1015 generated $98.2M (69.2% of Medicaid revenue), 00003 generated $32M (22.5%), and G0467 generated $5.5M (3.8%), highlighting dependency on a few high-volume service lines.

The provider’s taxonomy as a Federally Qualified Health Center aligns with the code mix: T1015 (Clinic visit/encounter, all-inclusive) and G0467 (fqhc visit, established patient) together dominate revenue, which is consistent with an FQHC operating a high-volume, per-diem/bundled outpatient primary care model. This pattern suggests core operations are centered on broad clinic encounters and bundled FQHC services rather than episodic specialty procedures.

NORTH EAST MEDICAL SERVICES is a dominant statewide player on its top encounter codes: T1015 ranks #7 of 1550 providers in-state (100th percentile, extreme outlier) and G0467 ranks #1 of 1029 providers in-state (100th percentile, extreme outlier), while 00003 ranks #13 of 688 (98th percentile, notably above typical). These percentile ranks indicate the organization operates at an unusually large scale for FQHC/clinic encounter billing relative to peers.

Beyond core encounter billing, the provider shows large, concentrated volumes in ambulatory vision services and optical supplies: 92014 (36.7K claims, $588K revenue) ranks #8 of 2456 providers in-state (100th percentile, extreme outlier), and related codes such as 92004, 92340, and V2020 also rank in the top percentiles. This cluster of high-volume vision codes points to an integrated optometry/optical service line embedded within the FQHC footprint.

The claims mix includes substantial volumes of complementary and behavioral health services at state-leading levels: 97810 (acupuncture) has 113.5K claims and $567.6K revenue and ranks #1 of 645 providers (100th percentile, extreme outlier), while psychotherapy and psychiatric codes (90834, 90832, 90791) appear with meaningful revenue and high percentile ranks. Coupled with notable chiropractic (98940/98941) activity, this indicates a broad service array beyond primary medical visits, including behavioral health and complementary therapies.

Several high-volume items have low per-claim payments, which together produce material revenue due to claim counts — for example, T1015 shows 570.7K claims and 00003 shows 139.7K claims, and 99214 appears with 154.2K claims at $1 avg paid/claim for $154.2K revenue. These patterns are consistent with bundled or per-encounter reimbursement mechanisms typical of FQHCs and underscore operational reliance on volume rather than high unit payments.

While many top codes are extreme outliers, some care coordination and case-management codes sit in typical ranges: G9012 (17.3K claims, $2.4M revenue) ranks #48 of 718 providers (93rd percentile, typical) and G9008 ranks #89 of 492 providers (82nd percentile, typical). This mix of extreme outlier volumes for encounter and procedure codes alongside more typical percentile standings for oversight/coordination services suggests the center’s competitive advantage is scale in direct service delivery rather than in physician-coordinated oversight revenue streams.

Medicaid: Complete Services Breakdown

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

468 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	570,740	$170	$98.2M
00003	N/A	139,680	$230	$32M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	104,960	$50	$5.5M
G9012	Other specified case management service not elsewhere classified	17,340	$140	$2.4M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	36,750	$20	$588K
97810	The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute…	113,520	$10	$567.6K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	20,530	$30	$513.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,070	$60	$402.9K
G9008	Coordinated care fee, physician coordinated care oversight services	6,040	$50	$289.8K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	18,720	$10	$262.1K

Showing 1–10 of 468

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

North East Medical Services — 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

468 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	7	1,550	38,050	$190	$14.1M
00003	N/A	13	690	14,940	$260	$7.7M
S9977	Meals, per diem, not otherwise specified	16	20	3,320	$50	$3.5M
A0130	Non-emergency transportation: wheelchair van	261	350	8,830	$30	$1.2M
S5170	Home delivered meals, including preparation; per meal	31	40	3,010	$70	$872.1K
G9012	Other specified case management service not elsewhere classified	48	720	1,110	$110	$651.3K
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)…	96	250	800	$110	$625.7K
T2003	Non-emergency transportation; encounter/trip	19	150	1,610	$10	$502.3K
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	8	100	460	$100	$477.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,209	4,290	780	$140	$400.1K

Showing 1–10 of 468

Related Providers

Other providers that share a Tax Identification Number (TIN) with North East Medical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North East Medical Services	CA	Federally Qualified Health Center (FQHC)	$0	$59M
North East Medical Services	CA	Federally Qualified Health Center (FQHC)	$0	$47.5M
North East Medical Services	CA	Federally Qualified Health Center (FQHC)	$0	$38.8M
Daniel Taheri	CA	Dermatology Physician	$3.3M	$7.4K
Emily Charlson	CA	Ophthalmology Physician	$265.4K	$0
Derrick Adams	CA	Dermatology Physician	$242.4K	$0
Ki Hong Ho	CA	Otolaryngology Physician	$167.3K	$0
Aileen Xu	CA	Nurse Practitioner	$73.2K	$0
Susan Marks	CA	Diagnostic Radiology Physician	$72.3K	$0
Peir Gen Chiu	CA	General Practice Registered Nurse	$27.8K	$0

Nearby Providers

Other providers in the same ZIP code as North East Medical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Ko	CA	Internal Medicine Physician	$66.7K	$129.4K
Fusheng Wang	CA	Internal Medicine Physician	$88.9K	$91.9K
Jennifer Chen	CA	Family Medicine Physician	$75.5K	$0
Valerie Jackson	CA	Psychologist	$16.6K	$0
Irwin Chow	CA	Anesthesiology Physician	$13.2K	$0

North East Medical Services — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References