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.

Easterseals Northern California (NPI 1700105079)

Field	Value
Entity Type	Organization
Organization	Easterseals Northern California
Address	2730 Shadelands Drive, Bldg. 10
City	Walnut Creek
State	CA
ZIP	94598
Taxonomy	Behavior Analyst
NPI Enumerated	May 25, 2010

Payer Source	Total Paid
Medicaid	$50.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	314,920	$100	$30.2M
H0032	Mental health service plan development by non-physician	84,530	$120	$9.7M
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	92,020	$60	$5.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	27,890	$100	$2.7M
H2014	Skills training and development, per 15 minutes	8,120	$160	$1.3M
H0031	Mental health assessment, by non-physician	810	$900	$723.2K
H2000	Comprehensive multidisciplinary evaluation	400	$110	$42.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	10,070	$0	$0
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1,610	$0	$0

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

Easterseals Northern California — 2 of 7 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	36	200	3,070	$120	$4.5M
H2019	Therapeutic behavioral services, per 15 minutes	7	660	4,750	$140	$3.1M
90885	The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.	3	30	380	$90	$2M
H0032	Mental health service plan development by non-physician	11	980	1,080	$160	$1.5M
H0031	Mental health assessment, by non-physician	128	360	330	$180	$492.6K
H2014	Skills training and development, per 15 minutes	12	140	790	$120	$395.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	145	960	1,820	$50	$351.9K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	114	520	380	$40	$62.8K
H2000	Comprehensive multidisciplinary evaluation	105	420	150	$100	$49.5K

Nearby Providers

Other providers in the same ZIP code as Easterseals Northern California, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhpn, LLC	CA	Case Management Agency	$0	$350.7M
John Muir Health	CA	General Acute Care Hospital	$0	$32.4M
Bay Area Retina Associates	CA	Retina Specialist (Ophthalmology) Physician	$0	$30.4M
Aspen Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$5.7M	$2M
Sequoia Surgical Center LP	CA	Ambulatory Surgical Clinic/Center	$2.6M	$3.8M
Min-wei Lee	CA	Dermatology Physician	$390.1K	$5.1M
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Michael Sherman	CA	Hematology & Oncology Physician	$3.9M	$0
Rajiv Nagesetty	CA	Vascular Surgery Physician	$3.6M	$0
Patrick Gonzales	CA	Vascular & Interventional Radiology Physician	$2.7M	$0

Easterseals Northern California — Billing Profile & Reimbursement Data

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Easterseals Northern California — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References