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.

Rady Children's Hospital San Diego (NPI 1669617197)

Field	Value
Entity Type	Organization
Organization	Rady Children's Hospital San Diego
Address	3020 Childrens Way
City	San Diego
State	CA
ZIP	92123
Taxonomy	Pediatrics Physician
NPI Enumerated	December 12, 2008

Payer Source	Total Paid
Medicaid	$77.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

589 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	81,490	$130	$10.3M
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…	148,580	$60	$9.2M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	25,050	$170	$4.1M
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.	141,730	$30	$3.7M
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…	245,040	$10	$3.2M
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.	71,990	$40	$3.1M
Z4306	N/A	59,920	$50	$3M
Z4305	N/A	30,240	$100	$3M
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	35,530	$80	$2.9M
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…	31,840	$60	$1.9M

Showing 1–10 of 589

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

Rady Children's Hospital San Diego — 20 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

589 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	146	450	16,140	$90	$3.6M
0123	N/A	5	20	130	$3,160	$1.9M
0456	N/A	4	10	2,250	$60	$1.4M
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	16	50	80	$150	$1.2M
0206	N/A	23	40	80	$2,760	$1.1M
T4541	Incontinence product, disposable underpad, large, each	171	290	2,820	$50	$1.1M
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.	5	1,570	680	$110	$1.1M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	24	40	1,220	$120	$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.	227	1,300	510	$100	$943K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	189	750	950	$50	$890K

Showing 1–10 of 589

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rady Children's Hospital San Diego, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rady Children's Hospital San Diego	CA	Children's Hospital	$0	$69.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Atul Jain	CA	Ophthalmology Physician	$3.5M	$0
Iain Macewan	CA	Radiation Oncology Physician	$2.2M	$0
Carl Rossi	CA	Radiation Oncology Physician	$1.6M	$0
Steven Davis	CA	Radiation Oncology Physician	$1.4M	$0
Andrew Chang	CA	Radiation Oncology Physician	$481.3K	$0
Brian Chou	CA	Radiation Oncology Physician	$345.3K	$0
Kyle Ryan	CA	Physical Medicine & Rehabilitation Physician	$187.1K	$0
Yunxiang Liu	CA	Ophthalmology Physician	$127.2K	$0

Nearby Providers

Other providers in the same ZIP code as Rady Children's Hospital San Diego, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sharp Memorial Hospital	CA	General Acute Care Hospital	$0	$133.7M
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$93.1M
American Medical Response Ambulance Service Inc	CA	Ambulance	$9.6M	$65.4M
Serene Health	CA	Mental Health Counselor	$0	$60.5M
Rac & Associates, Inc.	CA	Durable Medical Equipment & Medical Supplies	$0	$58.2M
Anesthesia Service Medical Group	CA	Anesthesiology Physician	$0	$31M
Balboa Nephrology Medical Group, Inc.	CA	Nephrology Physician	$0	$25.9M
Centro De Salud De La Comunidad De San Ysidro, Inc.	CA	Dental Clinic/Center	$0	$22.3M
Walter Nahm	CA	Dermatology Physician	$3.1M	$0
Healthcare In Motion	CA	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$982.4K	$590.4K

Rady Children's Hospital San Diego — Billing Profile & Reimbursement Data

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Rady Children's Hospital San Diego — 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