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 Health Northern California, LLC (NPI 1609858950)

St. Joseph Health Northern California, LLC is a general acute care hospital provider located in Eureka, California. This profile covers 0 Medicare and 323 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	St. Joseph Health Northern California, LLC
Address	2700 Dolbeer St
City	Eureka
State	CA
ZIP	95501
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 14, 2005

Payer Source	Total Paid
Medicaid	$28.7M
Medicare	$0

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

323 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	49,660	$100	$4.7M
99281	The provider sees a patient for the lowest level emergency department visit.	46,420	$80	$3.7M
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.	3,570	$310	$1.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	21,100	$40	$780.8K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4,200	$180	$771.9K
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…	7,850	$90	$729.7K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	6,690	$110	$702.8K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,420	$80	$690.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,850	$210	$610.5K
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…	14,250	$40	$527.4K

Showing 1–10 of 323

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 Health Northern California, LLC — 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

323 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	393	450	16,140	$90	$3.6M
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.	97	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.	1,039	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…	166	750	950	$50	$890K
99281	The provider sees a patient for the lowest level emergency department visit.	15	430	1,140	$90	$769.9K
G9012	Other specified case management service not elsewhere classified	218	720	1,110	$110	$651.3K
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.	252	780	1,160	$130	$576.2K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	112	660	1,490	$30	$417.2K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	171	510	3,760	$50	$383.4K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	86	140	590	$120	$350.5K

Showing 1–10 of 323

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Humboldt County Behavioral Health	CA	Community/Behavioral Health Agency	$0	$45.4M
County Of Humboldt	CA	Community/Behavioral Health Agency	$0	$39.5M
Humboldt County Behavioral Health	CA	Community/Behavioral Health Agency	$0	$37.3M
Open Door Community Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$30.1M
Open Door Community Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$25.9M
Open Door Community Health Centers	CA	Federally Qualified Health Center (FQHC)	$0	$24.4M
City Ambulance Of Eureka Inc	CA	Ambulance	$2.2M	$9.5M
Alliance Healthcare Services Inc	CA	Mobile Radiology Clinic/Center	$946.2K	$2.1M
Michael Palmer	CA	Surgery Physician	$766.5K	$0
Donald Wheeler	CA	Diagnostic Radiology Physician	$671.1K	$0

St. Joseph Health Northern California, LLC — Billing Profile & Reimbursement Data

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St. Joseph Health Northern California, LLC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Joseph Health Northern California, LLC	CA	General Acute Care Hospital	$0	$48.7M
St. Joseph Health Northern California, LLC	CA	General Acute Care Hospital	$0	$22.3M
Rodney Swenson	CA	Family Medicine Physician	$550.6K	$0