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    OpenPayerNPI Medicare & MedicaidTeam Physicians Of Northern California Medical Gro…
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    Team Physicians Of Northern California Medical Group Inc — Billing Profile & Reimbursement Data

    NPI 1649692716 · Pleasanton, CA · Emergency Medicine Physician

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    Team Physicians Of Northern California Medical Group Inc is a emergency medicine physician provider located in Pleasanton, California. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationTeam Physicians Of Northern California Medical Group Inc
    Address5000 Hopyard Rd
    CityPleasanton
    StateCA
    ZIP94588
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJanuary 9, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$27M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The 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.182,340$80$14.4M
    99284The 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.145,660$60$8M
    99283The 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.66,710$40$2.3M
    99291Critical 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…11,570$100$1.2M
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.98,640$10$986.4K
    99282The 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.910$20$17.3K
    99406The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.1,630$10$14.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…110$70$8.3K
    99292Critical 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…60$110$6.4K
    99053The provider renders overnight services at a 24 hour facility.5,740$1$5.7K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99283The 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.511,570680$110$1.1M
    99285The 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.31,300510$100$943K
    99284The 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.141,400470$80$884.5K
    99291Critical 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…461,080460$110$263.5K
    99282The 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.151480270$110$230.6K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,5902,730190$90$100.3K
    71045In 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…1,2151,500670$10$100.1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.121,480560$10$62.2K
    99292Critical 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…7815070$80$35.8K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…5231,060140$30$29.6K

    Showing 1–10 of 13

    Nearby Providers

    Other providers in the same ZIP code as Team Physicians Of Northern California Medical Group Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cardionet, LLC.CAPhysiological Laboratory$112.2M$1M
    Axis Community Health IncCACommunity Health Clinic/Center$0$50.7M
    Amita SaggiCAPhysician Assistant$2.1M$0
    Minh DangCADermatology Physician$1.2M$0
    Hacienda Outpatient Surgery Center, LLCCAAmbulatory Surgical Clinic/Center$1.1M$0
    Ramford NgCACardiovascular Disease Physician$607.7K$0
    Young KangCASpecialist$411.2K$0
    Saba LahsaeiCAInternal Medicine Physician$372.4K$0
    Joseph GrantCAOrthopaedic Surgery of the Spine Physician$253.7K$0
    Hank FungCADermatology Physician$213.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Team Physicians Of Northern California Medical Group Inc — 5 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California