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.

Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp (NPI 1619153251)

Field	Value
Entity Type	Organization
Organization	Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp
Address	420 34th St
City	Bakersfield
State	CA
ZIP	93301
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 14, 2008

Payer Source	Total Paid
Medicaid	$31.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 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.	166,540	$80	$13.8M
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.	112,150	$90	$10M
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.	86,660	$80	$6.6M
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…	7,730	$100	$764.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	55,700	$1	$167.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	530	$90	$44.8K
99281	The provider sees a patient for the lowest level emergency department visit.	250	$80	$20.8K
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,…	940	$20	$20.7K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	3,550	$1	$7.1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	960	$1	$960

Showing 1–10 of 19

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

Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp — 4 of 14 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

19 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.	27	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.	12	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.	10	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	311	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…	85	1,080	460	$110	$263.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	193	480	270	$110	$230.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	1,311	1,500	670	$10	$100.1K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	442	770	340	$40	$79.9K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	966	1,490	610	$20	$79.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	41	1,480	560	$10	$62.2K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Kern	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$473.5M
Bakersfield Memorial Hospital	CA	General Acute Care Hospital	$0	$170.7M
Dignity Health	CA	General Acute Care Hospital	$0	$109.2M
San Joaquin Community Hospital	CA	General Acute Care Hospital	$0	$107.6M
Hall Ambulance Service Inc	CA	Ambulance	$7.6M	$44.4M
County Of Kern	CA	Social Worker	$0	$41.4M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$33.8M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23.3M
Union Surgery Center, Inc	CA	Ambulatory Surgical Clinic/Center	$674.2K	$11.1M
Agnes Wu	CA	Anatomic Pathology & Clinical Pathology Physician	$262.4K	$2.5M

Pinnacle Emergency Physicians Of Bakersfield, A Professional Corp — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References