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.

Port City Operating Company, LLC (NPI 1528190931)

Field	Value
Entity Type	Organization
Organization	Port City Operating Company, LLC
Address	1800 N California St
City	Stockton
State	CA
ZIP	95204
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$121.5M
Medicare	$0

Key Findings

This provider is effectively single‑payer: Medicare revenue is listed as none (no Medicare billing on file) while Medicaid revenue totals $121.5M, indicating its operations are primarily supported by state Medicaid contracting and patient volume rather than Medicare business. Analysts should treat Medicaid as the dominant and only material public payer in this profile.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 74.4% of total Medicaid revenue, led by 0450 ($54.8M, 51.4%), followed by 80053 ($13.7M, 12.9%) and 0250 ($10.8M, 10.1%). This concentration signals that a small set of services — two high-volume unspecified codes plus comprehensive metabolic panels — drive the majority of the provider’s Medicaid receipts.

The code mix points to a lab-centric and acute‑care operation. 80053 (CMP) appears as the second-largest revenue driver and other high-volume lab codes are present (G0480, 80048, 83880, 87631, 86850), while emergency department E/M codes (99284, 99283, 99285) and high volumes of basic imaging (71045, 71046) indicate concurrent ED and inpatient/outpatient diagnostic activity consistent with a General Acute Care Hospital. Together these items suggest core services are laboratory testing and ED/diagnostic throughput rather than elective specialty procedures.

PORT CITY OPERATING COMPANY, LLC is a statewide leader on several high‑volume lab codes: 0450 ranks #10 of 450 providers in-state (98th percentile; extreme outlier) and 0250 ranks #2 of 819 providers in-state (100th percentile; extreme outlier). 80053 also ranks highly at #56 of 1717 (97th percentile). These rank/percentile positions indicate the provider is a dominant in-state performer for key lab services and is far above typical state volume for those codes.

Operational scale is visible in sheer claim counts and low per‑claim averages for top lab drivers: 0450 shows 214K claims at $256 avg paid/claim and 0250 shows 133.2K claims at $81 avg paid/claim, producing the largest single-code revenues despite modest per‑claim payments. This pattern is consistent with a high-throughput clinical laboratory or central hospital lab operation where volume, not high unit prices, delivers revenue.

Emergency department activity contributes meaningfully but is secondary to lab revenue: 99284 (11.2K claims, $325 avg paid/claim, $3.7M, 3.4%), 99283 (8.8K claims, $314 avg paid/claim, $2.8M, 2.6%), and 99285 (8.7K claims, $273 avg paid/claim, $2.4M, 2.2%) together represent a visible ED footprint but remain a modest share of the $121.5M Medicaid total relative to the top lab codes. Ranks for these ED codes fall in typical state percentiles (around the 77th–80th percentiles), indicating routine ED volumes rather than outlier status.

Imaging and specialty services are present but not primary revenue drivers: chest radiography 71045 (35.1K claims, $28 avg paid/claim, $983.2K) and CT codes 70450 (10.9K claims, $59 avg paid/claim, $643.4K) and 74177 (8.6K claims, $76 avg paid/claim, $651.4K) show substantial utilization, while complex services like IMRT 77386 (1.7K claims, $361 avg paid/claim, $605.8K) appear in the mix but rank only #9 of 20 (58th percentile). This breadth suggests the hospital supports imaging and some oncology/radiation therapy capability but these areas are not the top Medicaid revenue sources.

The provider has an established NPI tenure: NPI enumerated (registered) 2007-03-12 (~19 years ago), which combined with dominant in‑state rankings on core lab codes suggests an entrenched Medicaid service role in Stockton, CA. For payers or competitors, the combination of long tenure and concentrated lab/ED volume signals reliability for high-volume Medicaid lab work and steady ED throughput rather than a diversified, Medicare‑oriented service mix.

Medicaid: Complete Services Breakdown

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

330 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	213,960	$260	$54.8M
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.	106,390	$130	$13.7M
0250	N/A	133,190	$80	$10.8M
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.	11,240	$330	$3.7M
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.	8,820	$310	$2.8M
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.	8,680	$270	$2.4M
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	21,050	$100	$2.2M
0762	N/A	3,250	$630	$2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	11,270	$140	$1.6M
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	10,070	$140	$1.4M

Showing 1–10 of 330

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

Port City Operating Company, LLC — 5 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

330 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	10	450	16,140	$90	$3.6M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	9	20	880	$600	$2.4M
0206	N/A	14	40	80	$2,760	$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.	363	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.	258	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…	111	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.	275	1,400	470	$80	$884.5K
0510	N/A	74	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	232	430	1,140	$90	$769.9K
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.…	187	230	270	$840	$717.2K

Showing 1–10 of 330

Nearby Providers

Other providers in the same ZIP code as Port City Operating Company, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response West	CA	Ambulance	$6.3M	$24.9M
Al Del Monte Inc	CA	Assisted Living Facility	$0	$22.8M
Stockton Cardiology Medical Group Complete Heart Care Inc	CA	Cardiovascular Disease Physician	$285.5K	$6.3M
Stockton Outpatient Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$2.6M	$2.1K
San Joaquin Laser And Surgery Center	CA	Ambulatory Surgical Clinic/Center	$643.9K	$1.4M
Ajithkumar Puthillath	CA	Specialist	$2M	$0
Aminder Mehdi	CA	Specialist	$2M	$0
Ramin Manshadi	CA	Cardiovascular Disease Physician	$1.3M	$0
Surrender Raina	CA	Cardiovascular Disease Physician	$1.3M	$0
Francis Isidoro	CA	Nuclear Imaging & Therapy Physician	$831.8K	$0

Port City Operating Company, LLC — Billing Profile & Reimbursement Data

Sign up for Port City Operating Company, LLC — Billing Profile & Reimbursement Data policy alerts

Port City Operating Company, LLC — Billing Profile & Reimbursement Data

Sign up for Port City Operating Company, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References