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.

Valley Community Healthcare (NPI 1588740989)

Field	Value
Entity Type	Organization
Organization	Valley Community Healthcare
Address	6801 Coldwater Canyon Ave
City	North Hollywood
State	CA
ZIP	91605
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicaid	$37.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

193 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	257,130	$120	$31.6M
00003	N/A	14,210	$180	$2.5M
G9012	Other specified case management service not elsewhere classified	16,220	$40	$681.1K
90832	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…	37,400	$10	$411.4K
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…	199,770	$1	$399.5K
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…	8,230	$50	$378.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	135,900	$1	$271.8K
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.	12,490	$20	$224.9K
V2020	Frames, purchases	17,100	$10	$119.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,630	$60	$102.7K

Showing 1–10 of 193

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

Valley Community Healthcare — 10 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

193 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	83	1,550	38,050	$190	$14.1M
00003	N/A	358	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	50	720	1,110	$110	$651.3K
0521	N/A	70	70	3,300	$10	$573.5K
G9008	Coordinated care fee, physician coordinated care oversight services	128	490	660	$70	$396.7K
S4993	Contraceptive pills for birth control	133	210	1,290	$110	$295.6K
0519	N/A	10	10	110	$50	$285.3K
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…	101	1,030	1,050	$70	$219.7K
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…	1,639	1,950	500	$80	$179K
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…	197	13,300	640	$40	$169.6K

Showing 1–10 of 193

Nearby Providers

Other providers in the same ZIP code as Valley Community Healthcare, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern California Permanente Medical Group	CA	Clinical Medical Laboratory	$452.8K	$63.4M
Kan-di-ki LLC	CA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$2.2M	$13.5M
Amwest Inc.	CA	Land Ambulance	$2.8M	$5M
Asmik Cholakian	CA	Physician Assistant	$216.3K	$0
Margarita Mouradian	CA	Physician Assistant	$208.2K	$0

Valley Community Healthcare — Billing Profile & Reimbursement Data

Sign up for Valley Community Healthcare — Billing Profile & Reimbursement Data policy alerts

Valley Community Healthcare — Billing Profile & Reimbursement Data

Sign up for Valley Community Healthcare — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References