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.

Alameda Health System (NPI 1700087590)

Field	Value
Entity Type	Organization
Organization	Alameda Health System
Address	1411 E 31st Street
City	Oakland
State	CA
ZIP	94602
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 30, 2007

Payer Source	Total Paid
Medicaid	$172.2M
Medicare	$0

Key Findings

ALAMEDA HEALTH SYSTEM shows an effectively single‑payer Medicare/Medicaid footprint: there is no Medicare billing on file and total Medicaid revenue is $172.2M, indicating the provider’s reported revenue during the period is dominated by Medicaid rather than a mixed Medicare/Medicaid payer mix. This concentration suggests contracting and utilization reviews should prioritize Medicaid-product lines and reimbursement dynamics.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes — 0681 ($21.6M), 99284 ($13M), and J9271 ($11M) — account for 46.0% of the provider’s total Medicaid revenue. That level of concentration indicates that a few service lines (one unspecified by code 0681, ED E/M services, and high‑cost oncology drug administration) drive nearly half of reported Medicaid receipts.

The code mix points to a high‑volume acute care operation with heavy emergency department and inpatient activity: 99284 shows 199.9K claims and $13M revenue (13.1% of Medicaid revenue), and subsequent inpatient care codes 99231 (125.8K claims, $5.2M) and 99232/99233 also appear in the top 25. These volumes are consistent with large ED throughput and substantial inpatient census and should inform staffing, capacity, and ED-to-inpatient flow analyses.

ALAMEDA is a material provider of oncology/infusion services: J9271 (pembrolizumab) booked $11M across 821 claims (11.1% of Medicaid revenue) and other infusion/administration codes such as 96365/96374 and J1459 appear in the top 25. The presence of high‑cost biologic drug billing alongside multiple infusion administration codes indicates an established chemotherapy/immunotherapy infusion program contributing meaningfully to Medicaid revenue.

Imaging and diagnostics represent a meaningful revenue stream and high procedural volume: CT/MRI and cardiac diagnostics appear across the top codes — e.g., 74177 ($4.6M), 70450 ($3.6M), 71260 ($2.6M), 70553 ($1.8M), and the CMP 80053 (176.3K claims, $1.9M). Many of these imaging codes rank well above typical state volumes, implying in‑house advanced imaging capacity that supports both ED and inpatient care.

Billing for supplies and unclassified drugs is unusually large relative to peers: 99070 has 168.7K claims and $5.4M revenue (5.4% of Medicaid revenue) and J3490 has 79.4K claims and $2.1M revenue; both are flagged as extreme outliers or far above typical state volume. This pattern is consistent with high patient throughput and/or frequent use of billable supplies and unclassified drug entries in ED/inpatient encounters, and it may warrant focused review for payer contract design and cost containment.

Competitive standing within California is strong on multiple fronts: 0681 ranks #1 of 9 providers in‑state (100th percentile) and 99284 ranks #7 of 1395 providers in‑state (100th percentile, noted as an extreme outlier), while 99231 ranks #2 of 672 (100th percentile). These ranks indicate ALAMEDA is a dominant or major in‑state provider for several high‑volume acute care codes, particularly emergency and inpatient E/M services.

The provider is longstanding in enrollment and operations: the NPI was enumerated on 2007-05-30 (~19 years ago), indicating nearly two decades of presence in the market. Combined with the large Medicaid footprint and high percentile ranks on multiple codes, this tenure suggests an established operational scale that payers and competitors should account for when assessing network capacity or negotiating Medicaid agreements.

Medicaid: Complete Services Breakdown

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

698 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0681	N/A	1,340	$16,110	$21.6M
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.	199,910	$70	$13M
J9271	Injection, pembrolizumab, 1 mg	820	$13,410	$11M
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	168,680	$30	$5.4M
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	125,760	$40	$5.2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	21,110	$220	$4.6M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	19,370	$190	$3.6M
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.	34,250	$100	$3.3M
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	7,500	$350	$2.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	22,660	$100	$2.3M

Showing 1–10 of 698

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

Alameda Health System — 16 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

698 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	18	30	300	$260	$18M
0450	N/A	210	450	16,140	$90	$3.6M
J9271	Injection, pembrolizumab, 1 mg	12	60	240	$4,460	$3.4M
0681	N/A	1	10	40	$7,220	$2.4M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	12	110	190	$140	$1.6M
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.	93	1,570	680	$110	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	25	40	200	$1,990	$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.	113	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…	94	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.	7	1,400	470	$80	$884.5K

Showing 1–10 of 698

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alameda Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$64.6M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$57.8M
Alameda Health System	CA	Assisted Living Facility	$0	$30.6M
Alameda Health System	CA	Federally Qualified Health Center (FQHC)	$0	$26.9M
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Tushar Ranchod	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
J Jumper	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Judy Chen	CA	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Caesar Luo	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Rothschild	CA	Anesthesiology Physician	$106.3K	$0
Weining Du	CA	Anesthesiology Physician	$43.6K	$0
Geetha Tamaroon	CA	Internal Medicine Physician	$33.2K	$0
Eliza Hagen	CA	Neurology Physician	$3.9K	$0

Alameda Health System — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References