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.

Clinica Sierra Vista (NPI 1629070461)

Field	Value
Entity Type	Organization
Organization	Clinica Sierra Vista
Address	8787 Hall Rd
City	Lamont
State	CA
ZIP	93241
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 11, 2005

Payer Source	Total Paid
Medicaid	$29.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

109 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	118,050	$190	$22.1M
00003	N/A	32,230	$230	$7.4M
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…	36,020	$1	$72K
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…	1,090	$30	$30.5K
0001A	N/A	340	$70	$22K
0002A	N/A	330	$70	$21.4K
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…	9,120	$1	$18.2K
0012A	N/A	150	$70	$10K
0011A	N/A	120	$60	$7.1K
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…	3,180	$1	$6.4K

Showing 1–10 of 109

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

Clinica Sierra Vista — 0 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

109 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	313	1,550	38,050	$190	$14.1M
00003	N/A	189	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	617	720	1,110	$110	$651.3K
G9008	Coordinated care fee, physician coordinated care oversight services	265	490	660	$70	$396.7K
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…	503	1,030	1,050	$70	$219.7K
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…	1,420	13,300	640	$40	$169.6K
J3490	Unclassified drugs	1,354	1,390	670	$20	$159.5K
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…	771	14,520	760	$10	$122.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	834	1,210	420	$30	$95.7K
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…	610	1,430	640	$30	$93.9K

Showing 1–10 of 109

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clinica Sierra Vista, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$64.9M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$33.8M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23.9M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23.3M
Clinica Sierra Vista	CA	Federally Qualified Health Center (FQHC)	$0	$23M
Abdul Haseeb	CA	Hematology & Oncology Physician	$4M	$0
Sanjay Srivatsa	CA	Cardiovascular Disease Physician	$1.2M	$0
Atul Aggarwal	CA	Interventional Cardiology Physician	$1.1M	$0
Mohammad Ashraf	CA	Internal Medicine Physician	$346.7K	$0
Sandeep Walia	CA	Ophthalmology Physician	$307.1K	$0

Clinica Sierra Vista — Billing Profile & Reimbursement Data

Sign up for Clinica Sierra Vista — Billing Profile & Reimbursement Data policy alerts

Clinica Sierra Vista — Billing Profile & Reimbursement Data

Sign up for Clinica Sierra Vista — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References