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.

St. Joseph Hospital Of Orange (NPI 1558575746)

Field	Value
Entity Type	Organization
Organization	St. Joseph Hospital Of Orange
Address	1100 W Stewart Dr
City	Orange
State	CA
ZIP	92868
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 9, 2007

Payer Source	Total Paid
Medicaid	$65.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

496 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	57,840	$240	$14.1M
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.…	2,720	$1,620	$4.4M
J9306	Injection, pertuzumab, 1 mg	850	$2,940	$2.5M
0450	N/A	131,680	$20	$2.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	44,360	$50	$2M
J0897	Injection, denosumab, 1 mg	2,190	$860	$1.9M
J9355	Injection, trastuzumab, excludes biosimilar, 10 mg	1,080	$1,710	$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.	8,320	$190	$1.6M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	44,660	$30	$1.4M
Z7502	N/A	33,670	$40	$1.3M

Showing 1–10 of 496

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

St. Joseph Hospital Of Orange — 9 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

496 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	94	730	25,970	$150	$4.5M
0450	N/A	31	450	16,140	$90	$3.6M
J9271	Injection, pembrolizumab, 1 mg	51	60	240	$4,460	$3.4M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	13	20	880	$600	$2.4M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	25	390	1,270	$220	$1.5M
J2505	Injection, pegfilgrastim, 6 mg	10	30	220	$2,310	$1.2M
J9355	Injection, trastuzumab, excludes biosimilar, 10 mg	2	20	260	$2,370	$1.2M
J9306	Injection, pertuzumab, 1 mg	5	10	290	$1,650	$1.2M
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.	393	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.	295	1,300	510	$100	$943K

Showing 1–10 of 496

Related Providers

Other providers that share a Tax Identification Number (TIN) with St. Joseph Hospital Of Orange, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jon Chaffee	CA	Psychiatry Physician	$130.3K	$8.3K

Nearby Providers

Other providers in the same ZIP code as St. Joseph Hospital Of Orange, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Falck Mobile Health Corp	CA	Land Ambulance	$25.5M	$127.7M
University Of California Irvine	CA	General Acute Care Hospital	$0	$153.1M
Children's Hospital Of Orange County	CA	Children's Hospital	$0	$53.7M
Emergency Medicine Specialists Of Orange County	CA	Emergency Medicine Physician	$0	$42.4M
Maxim Healthcare Services, Inc.	CA	Home Health Agency	$0	$37.3M
Premier Healthcare Services, LLC	CA	Home Health Agency	$0	$35M
Vital Smiles Alabama Ii PC	CA	Dentist	$0	$29.2M
Gordian Medical, Inc.	CA	Durable Medical Equipment & Medical Supplies	$0	$27.5M
Bio-medical Applications Of California, Inc.	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$24.6M
Acuity Behavior Solutions LLC	CA	Behavior Analyst	$0	$23.2M

St. Joseph Hospital Of Orange — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References