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.

Altamed Health Services Corp. (NPI 1629283197)

Field	Value
Entity Type	Organization
Organization	Altamed Health Services Corp.
Address	4650 W Sunset Blvd
City	Los Angeles
State	CA
ZIP	90027
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 10, 2007

Payer Source	Total Paid
Medicaid	$305.5M
Medicare	$0

Key Findings

ALTAMED HEALTH SERVICES CORP. is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $305.5M in lifetime Medicaid revenue, with an NPI enumerated on 2007-05-10 (~19 years ago), indicating long-standing participation in public programs. The absence of Medicare revenue makes this a single-payer (Medicaid) operational profile for analysts evaluating payer exposure and contracting leverage.

Revenue is extremely concentrated in a single Medicaid code: the top 3 Medicaid codes account for 98.5% of the provider's total Medicaid revenue, and T1015 alone represents $298.8M (98.1% of Medicaid revenue). This concentration signals that the all-inclusive clinic encounter represented by T1015 drives the business and dominates financial performance.

The code mix and FQHC taxonomy align: heavy billing of T1015 (T1015 – Clinic visit/encounter, all-inclusive) together with large volumes of pediatric preventive codes (99393, 99392, 99394, 99391) and vaccines suggests an FQHC-style, comprehensive primary care operation delivering bundled clinic visits, routine well-child care, and immunizations. The predominance of T1015 implies visits are billed as inclusive clinic encounters rather than fee-for-service episodic visits.

ALTAMED is a dominant statewide performer for key primary-care and preventive codes: T1015 ranks #1 of 1550 providers in-state (100th percentile; extreme outlier), and several pediatric preventive and vaccine codes (e.g., 99393, 99392, 99394, 90686, 90651, 90633, 90670) sit at or near top state ranks (many labeled extreme outlier or 100th percentile). This pattern indicates market leadership in delivering high-volume pediatric and vaccine services within California Medicaid.

Service-line breadth beyond primary care is visible but secondary to T1015: high-volume vision (92014, 92004), hearing (92551 with 103.6K claims and $207.2K revenue, ranked #2 of 2691 providers; 100th percentile; extreme outlier), and screening codes (G9920) show the provider supplies wraparound ancillary services commonly integrated in community health centers. These ancillary lines add access and preventive value but represent a small share of revenue relative to T1015.

Behavioral health and developmental screening are notable parts of the clinical mix: 90834 (14.4K claims, $287.6K revenue) ranks in the 98th percentile (notably above typical state volume), and 96110 (8.3K claims, $414.8K revenue) sits in the 96th percentile. The presence of psychiatric evaluation (90791) and psychotherapy codes suggests integrated mental-health services co-located with primary care.

From a competitive-risk perspective, ALTAMED’s dominance on T1015 makes it a major Medicaid primary-care hub but also creates revenue concentration risk: any change to how all-inclusive clinic encounters are covered or reimbursed could materially affect its revenue base. Conversely, the provider’s statewide top ranks for many preventive and vaccine codes underscore strategic value to payers seeking broad, high-capacity pediatric and immunization networks.

For payer contracting and network decisions, note the provider’s single-payer orientation: with no Medicare billing on file, negotiation dynamics and utilization patterns will be driven by Medicaid policy, rates, and population health programs in California. Analysts should treat ALTAMED as a large, long-tenured Medicaid-centric FQHC with exceptional volume in bundled clinic visits and pediatric preventive services rather than a mixed Medicare/Medicaid ambulatory provider.

Medicaid: Complete Services Breakdown

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

141 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	718,310	$420	$298.8M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	52,040	$10	$728.5K
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…	47,290	$20	$709.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	31,660	$20	$601.5K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	27,990	$20	$587.7K
G9920	Screening performed and negative	63,660	$10	$572.9K
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…	8,300	$50	$414.8K
90834	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…	14,380	$20	$287.6K
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…	14,710	$20	$264.7K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	103,580	$1	$207.2K

Showing 1–10 of 141

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

Altamed Health Services Corp. — 22 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

141 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	1,550	38,050	$190	$14.1M
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	11	20	220	$2,520	$1.3M
G9012	Other specified case management service not elsewhere classified	409	720	1,110	$110	$651.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	166	390	250	$200	$220.4K
90834	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…	49	1,950	500	$80	$179K
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…	61	13,300	640	$40	$169.6K
H0033	Oral medication administration, direct observation	124	130	340	$70	$159.7K
J3490	Unclassified drugs	802	1,390	670	$20	$159.5K
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…	729	4,230	210	$110	$135K
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…	18	14,520	760	$10	$122.8K

Showing 1–10 of 141

Related Providers

Other providers that share a Tax Identification Number (TIN) with Altamed Health Services Corp., 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	$141.9M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$104.6M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$71.1M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$67.5M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$56.2M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$56.2M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$53.6M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$50.7M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$43.5M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$40.3M

Nearby Providers

Other providers in the same ZIP code as Altamed Health Services Corp., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Childrens Hospital Of Los Angeles	CA	Children's Hospital	$0	$137M
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$66.4M
Asian Pacific Health Care Venture, Inc.	CA	Community Health Clinic/Center	$0	$54M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$48.2M
Los Angeles County Department Of Mental Health	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$45.3M
Kaiser Foundation Hospitals	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$27.4M
Children's Hospital Los Angeles Medical Group, Inc.	CA	Multi-Specialty Clinic/Center	$0	$24.6M
Ovik Avetisyan	CA	Durable Medical Equipment & Medical Supplies	$0	$23.8M
Lance Chapman	CA	MOHS-Micrographic Surgery Physician	$1.4M	$0
Vincent Bennett	CA	Emergency Medicine Physician	$1.2M	$0

Altamed Health Services Corp. — Billing Profile & Reimbursement Data

Sign up for Altamed Health Services Corp. — Billing Profile & Reimbursement Data policy alerts

Altamed Health Services Corp. — Billing Profile & Reimbursement Data

Sign up for Altamed Health Services Corp. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References