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.

San Joaquin Emergency Medical Associates (NPI 1588960413)

San Joaquin Emergency Medical Associates is a emergency medicine physician provider located in Merced, California. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	San Joaquin Emergency Medical Associates
Address	333 Mercy Ave
City	Merced
State	CA
ZIP	95340
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 10, 2011

Payer Source	Total Paid
Medicaid	$29.8M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	118,740	$100	$12.1M
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.	90,820	$130	$12M
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.	50,390	$60	$3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	16,370	$140	$2.2M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	59,810	$10	$418.7K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	440	$110	$46.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,270	$30	$43.3K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	440	$20	$7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	70	$60	$4.3K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	30	$130	$3.9K

Showing 1–10 of 18

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

San Joaquin Emergency Medical Associates — 4 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	96	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.	26	1,300	510	$100	$943K
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.	19	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	425	430	1,140	$90	$769.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	27	1,080	460	$110	$263.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,828	2,840	490	$40	$139.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,968	4,230	210	$110	$135K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	512	2,730	190	$90	$100.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	546	670	180	$40	$66.7K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	1,436	1,980	110	$160	$66.3K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Huber	CA	Family Medicine Physician	$141.5K	$0
Nicholas Schulack	NV	Emergency Medicine Physician	$130.9K	$0
Chijioke Kalu	IN	Family Medicine Physician	$89.2K	$0
Thomas Fiero	IL	Emergency Medicine Physician	$87.7K	$0
Timothy Walbridge	IN	Internal Medicine Physician	$84.3K	$0
Kyle Hirsh	CO	Internal Medicine Physician	$55.3K	$0
Wayne Jones	PA	Emergency Medicine Physician	$49.3K	$1.8K
Kathy Short	KY	Family Medicine Physician	$44.4K	$0
Christopher John	PA	Physician Assistant	$24.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dignity Health	CA	General Acute Care Hospital	$0	$106.5M
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
James Rabago	CA	Family Medicine Physician	$197K	$0

San Joaquin Emergency Medical Associates — Billing Profile & Reimbursement Data

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San Joaquin Emergency Medical Associates — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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