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.

University Of California Irvine (NPI 1598790529)

Field	Value
Entity Type	Organization
Organization	University Of California Irvine
Address	2441 W La Palma Ave
City	Anaheim
State	CA
ZIP	92801
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$27M
Medicare	$0

Medicaid: Complete Services Breakdown

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

119 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	127,920	$190	$24.2M
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…	81,740	$10	$735.7K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	15,980	$20	$367.5K
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…	19,480	$10	$253.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7,370	$20	$154.8K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	6,870	$20	$151.1K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	5,670	$30	$141.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3,480	$30	$94.1K
0002A	N/A	1,530	$50	$81.2K
0001A	N/A	1,470	$50	$66.2K

Showing 1–10 of 119

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

University Of California Irvine — 4 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

119 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	544	580	4,730	$250	$14.4M
T1015	Clinic visit/encounter, all-inclusive	281	1,550	38,050	$190	$14.1M
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.	1,337	1,570	680	$110	$1.1M
0521	N/A	52	70	3,300	$10	$573.5K
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…	260	1,030	1,050	$70	$219.7K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	743	760	1,930	$20	$196K
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…	663	13,300	640	$40	$169.6K
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.	1,609	1,720	1,360	$10	$165.3K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	556	1,040	660	$60	$147.7K
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…	2,141	4,230	210	$110	$135K

Showing 1–10 of 119

Related Providers

Other providers that share a Tax Identification Number (TIN) with University Of California Irvine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of California Irvine	CA	General Acute Care Hospital	$0	$153.1M
University Of California Irvine	CA	Federally Qualified Health Center (FQHC)	$0	$40M
Amar Amin	CA	Diagnostic Radiology Physician	$3.6M	$6.5K
Brian Kim	CA	Ophthalmology Physician	$2.6M	$8.9K
Vivian Laquer	CA	Dermatology Physician	$94.8K	$1.7M
Quoc Nguyen	CA	Otolaryngic Allergy Physician	$293.1K	$1.2M
Steven Davis	CA	Radiation Oncology Physician	$1.4M	$0
Lalita Pandit	CA	Hematology & Oncology Physician	$542.4K	$720.8K
Sherif Rezk	CA	Anatomic Pathology & Clinical Pathology Physician	$317.2K	$944.7K
Adam Rotunda	CA	MOHS-Micrographic Surgery Physician	$1.1M	$0

Nearby Providers

Other providers in the same ZIP code as University Of California Irvine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$56.2M
Pathology Associates Laboratory Of Southern California	CA	Clinical Medical Laboratory	$1.8M	$120.5K
Raveen Arora	CA	Cardiovascular Disease Physician	$1.3M	$34.1K
Chin Kim	CA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$1.1M	$251K
Samir Azzam	CA	Family Medicine Physician	$298.7K	$963.6K
Mohammad Farukhi	CA	Hospitalist Physician	$884.2K	$199.7K
Syam Vunnamadala	CA	Specialist	$270.9K	$423.4K
Herman Bell	CA	Family Medicine Physician	$521.7K	$0
Brian Riff	CA	Gastroenterology Physician	$419.6K	$0
Sylvia Abraham	CA	Family Nurse Practitioner	$388.3K	$0

University Of California Irvine — Billing Profile & Reimbursement Data

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University Of California Irvine — 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