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.

Dignity Health (NPI 1689769911)

Field	Value
Entity Type	Organization
Organization	Dignity Health
Address	2101 N Waterman Ave
City	San Bernardino
State	CA
ZIP	92404
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 3, 2006

Payer Source	Total Paid
Medicaid	$133.1M
Medicare	$0

Key Findings

This facility has no Medicare billing on file and reports lifetime Medicaid revenue of $133.1M, indicating it operates as effectively single-payer (Medicaid) in the claims data available. Analysts should treat Medicare activity as absent rather than low when modeling payer mix or reimbursement risk for this provider.

Revenue is highly concentrated in a very small set of codes: the top three Medicaid codes (0450, 99283, 0456) account for 80.1% of the provider's total Medicaid revenue. Specifically, 0450 generated $52.4M (42.1%), 99283 generated $30.2M (24.3%), and 0456 generated $17.1M (13.7%), highlighting material exposure to the financial performance and utilization patterns of these codes.

The code mix and volumes point to an emergency and outpatient-focused operating profile: 99283 (ED E/M, low-level decision making) has 73.6K claims and $30.2M revenue, while G0463 (hospital outpatient clinic visit) produced $9.5M (7.6%). High claim counts for E/M and outpatient visit codes alongside observation service reporting (G0378 at $1M) suggest the organization largely generates revenue through ED, observation, and outpatient assessment activity rather than inpatient Medicare-style DRG billing.

Competitive standing by code is strong in-state for several high-revenue items. The provider ranks #1 of 13 for 0456 (100th percentile), ranks #37 of 1570 for 99283 (98th percentile), and ranks #26 of 450 for 0450 (94th percentile), which positions it as a major statewide provider for those specific services and a likely referral or volume hub for those case types.

There are multiple extreme or near-extreme utilization outliers for ancillary and supply codes that merit operational review: 0241U (17.5K claims, $1.1M) ranks #4 of 210 providers in-state (99th percentile), 99070 (149.8K claims, $899.1K) ranks #8 of 509 (99th percentile), and J3490 (127.1K claims, $508.4K) ranks #10 of 1388 (99th percentile). These patterns indicate unusually high volumes of supplies, unclassified drug billing, and the specific 0241U item relative to peers, which should be considered when benchmarking cost structure or coding practices.

The distribution of ED E/M complexity skews toward lower-acuity visits: 99283 (73.6K claims) dominates compared with 99284 (11K claims) and 99285 (8.7K claims). That mix suggests the bulk of ED throughput is low-to-moderate decision-making encounters, which has implications for resource planning, length-of-stay expectations, and case-mix adjustments when comparing to other in-state hospitals.

Diagnostic and testing services are a substantive component of outpatient throughput, supporting the ED/outpatient profile: U0003 (SARS-CoV-2 testing) has 18.9K claims, 80053 (CMP) has 95.4K claims, 70450 (CT head) has 15.7K claims, and 74177 (CT abdomen/pelvis) has 9.4K claims. The presence of these high-volume lab and imaging codes indicates the provider operates significant on-site diagnostic capacity that complements its high ED and outpatient visit volumes.

The provider's NPI was enumerated on 2006-10-03 (~20 years ago), evidencing a long-tenured presence in the market. Combined with the Medicaid-only billing footprint and concentrated revenue mix, this tenure suggests an established Medicaid-facing hospital whose financial performance will be sensitive to utilization shifts or payment changes for a handful of high-impact codes.

Medicaid: Complete Services Breakdown

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

354 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	142,080	$370	$52.4M
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.	73,560	$410	$30.2M
0456	N/A	143,350	$120	$17.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	76,660	$120	$9.5M
Z7502	N/A	35,720	$40	$1.4M
L8699	Prosthetic implant, not otherwise specified	350	$3,400	$1.2M
0360	N/A	6,920	$170	$1.1M
0241U	N/A	17,460	$60	$1.1M
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.	11,030	$100	$1M
G0378	Hospital observation service, per hour	5,390	$190	$1M

Showing 1–10 of 354

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

Dignity Health — 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

354 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	26	450	16,140	$90	$3.6M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	304	390	1,270	$220	$1.5M
0456	N/A	1	10	2,250	$60	$1.4M
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.	37	1,570	680	$110	$1.1M
L8699	Prosthetic implant, not otherwise specified	23	50	220	$1,790	$996.4K
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.	257	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…	80	750	950	$50	$890K
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.	279	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	309	430	1,140	$90	$769.9K
G0378	Hospital observation service, per hour	19	200	550	$310	$605.9K

Showing 1–10 of 354

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern California Emergency Medicine	CA	Urgent Care Clinic/Center	$0	$33.7M
Inpatient Specialists Of California, PC	CA	Internal Medicine Physician	$0	$32.9M
Abria Del Cielo	CA	Assisted Living Facility	$0	$23.3M
John Evans	CA	Gastroenterology Physician	$337.3K	$720.5K
Linda Enriquez	CA	Anatomic Pathology & Clinical Pathology Physician	$886K	$0
Sun Kim	CA	Urology Physician	$434.6K	$7.5K
Rajiv Malik	CA	Hematology & Oncology Physician	$359.2K	$0
Yaser Slayyeh	CA	Specialist	$256.3K	$20.8K
Maira Simental	CA	Radiation Oncology Physician	$132.4K	$0
Brian Bearie	CA	Emergency Medicine Physician	$121.3K	$0

Dignity Health — Billing Profile & Reimbursement Data

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Dignity Health — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References