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.

Healthcare Partners Affiliates Medical Group (NPI 1659312593)

Field	Value
Entity Type	Organization
Organization	Healthcare Partners Affiliates Medical Group
Address	1120 W Washington Blvd
City	Los Angeles
State	CA
ZIP	90015
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 10, 2006

Payer Source	Total Paid
Medicaid	$37.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

222 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	89,100	$80	$7.2M
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…	42,370	$110	$4.6M
99203	The provider sees a new 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 provider…	17,160	$120	$2M
99204	The provider sees a new 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 provider…	9,210	$220	$2M
99441	N/A	28,370	$70	$1.8M
99442	N/A	12,360	$120	$1.4M
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	7,370	$190	$1.4M
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,…	16,590	$60	$995.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10,020	$100	$992.1K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	4,950	$190	$956.1K

Showing 1–10 of 222

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

Healthcare Partners Affiliates Medical Group — 10 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

222 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	89	310	190	$100	$301.4K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	356	900	560	$70	$230.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	247	780	350	$180	$200.7K
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…	274	2,110	1,330	$30	$200.7K
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.	432	520	1,470	$70	$193.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	260	2,670	540	$40	$183.4K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	184	410	180	$310	$178.8K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	98	130	280	$70	$173.8K
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…	267	13,300	640	$40	$169.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	87	570	210	$250	$160.5K

Showing 1–10 of 222

Related Providers

Other providers that share a Tax Identification Number (TIN) with Healthcare Partners Affiliates Medical Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Long Beach Memorial Medical	CA	General Acute Care Hospital	$0	$47.8M
Richard Park	CA	Internal Medicine Physician	$31.7M	$0
Jack Azad	CA	General Practice Physician	$17.2M	$0
Healthcare Partners Medical Group Coats Ltd.	NV	Family Medicine Physician	$0	$9.1M
John Saito	CA	Pediatric Pulmonology Physician	$468.7K	$6.5M
Geoffrey Trenkle	CA	Facial Plastic Surgery Physician	$517.4K	$6.5M
David Boyer	CA	Ophthalmology Physician	$5.6M	$3.4K
Khaled Tawansy	CA	Ophthalmology Physician	$2.8M	$2.4M
Rajiv Rathod	CA	Ophthalmology Physician	$4.3M	$670.6K

Nearby Providers

Other providers in the same ZIP code as Healthcare Partners Affiliates Medical Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dignity Community Care	CA	General Acute Care Hospital	$0	$116.4M
Pediatric And Family Medical Center	CA	Federally Qualified Health Center (FQHC)	$0	$45.2M
Pediatric And Family Medical Center	CA	Federally Qualified Health Center (FQHC)	$0	$39.6M
Pediatric And Family Medical Center	CA	Federally Qualified Health Center (FQHC)	$0	$26.3M
Michael Burnstine	CA	Ophthalmology Physician	$341.1K	$0
Christopher Lo	CA	Ophthalmology Physician	$274K	$0
David Samimi	CA	Ophthalmology Physician	$254.8K	$0
Luani Lee	CA	Nephrology Physician	$231.2K	$0
Marc Girsky	CA	Clinical Cardiac Electrophysiology Physician	$98.9K	$40
Dennis Holmes	CA	Surgery Physician	$26.7K	$0

Healthcare Partners Affiliates Medical Group — Billing Profile & Reimbursement Data

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Healthcare Partners Affiliates Medical Group — 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