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.

Palomar Health (NPI 1700239779)

Field	Value
Entity Type	Organization
Organization	Palomar Health
Address	2185 Citracado Pkwy
City	Escondido
State	CA
ZIP	92029
Taxonomy	Psychiatric Hospital Unit
NPI Enumerated	July 14, 2016

Payer Source	Total Paid
Medicaid	$42.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9484	Crisis intervention mental health services, per hour	10,230	$4,130	$42.2M

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

Palomar Health — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	17	50	3,850	$1,830	$28.8M

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palomar Health	CA	General Acute Care Hospital	$0	$144.1M
Palomar Health	CA	General Acute Care Hospital	$0	$46.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pomerado Outpatient Surgical Center L P	CA	Ambulatory Surgical Clinic/Center	$991.5K	$0
Anatoly Bulkin	CA	Vascular Surgery Physician	$735.4K	$4.8K
Alexander Chang	CA	Surgery Physician	$300.2K	$670
Arush Patel	CA	Orthopaedic Hand Surgery Physician	$271.9K	$0
Julian Anthony	CA	Urology Physician	$202.4K	$0
Chunyang Wang	CA	Neurology Physician	$114.1K	$0
Brian Goelitz	CA	Vascular & Interventional Radiology Physician	$113.1K	$0
Lorra Sharp	CA	Orthopaedic Trauma Physician	$89.8K	$0
Pragya Gupta	CA	Interventional Pain Medicine Physician	$74.9K	$0
Danny Valentine	CA	Anesthesiology Physician	$45K	$0

Palomar Health — Billing Profile & Reimbursement Data

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Palomar Health — 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