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 1710065933)

Field	Value
Entity Type	Organization
Organization	Rady Children's Hospital San Diego
Address	3020 Childrens Way # 5002
City	San Diego
State	CA
ZIP	92123
Taxonomy	Children's Hospital
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$69.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

495 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	90,940	$90	$8.2M
J0585	Injection, onabotulinumtoxina, 1 unit	4,720	$1,240	$5.8M
0450	N/A	73,510	$80	$5.6M
Z7500	N/A	159,400	$30	$5.4M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	100,340	$40	$4.2M
0113	N/A	1,740	$1,890	$3.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	1,500	$1,800	$2.7M
0123	N/A	1,210	$1,540	$1.9M
0510	N/A	40,800	$40	$1.4M
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	9,580	$130	$1.3M

Showing 1–10 of 495

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 — 6 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

495 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	98	450	16,140	$90	$3.6M
0123	N/A	4	20	130	$3,160	$1.9M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	350	390	1,270	$220	$1.5M
0456	N/A	6	10	2,250	$60	$1.4M
90378	Immunoglobulin is a very complex protein that is produced by certain cells in the body to protect it from various types of infections and produce passive immunity. RSV–IgIM (respiratory syncytial…	5	20	220	$2,520	$1.3M
0206	N/A	40	40	80	$2,760	$1.1M
T4541	Incontinence product, disposable underpad, large, each	248	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.	22	1,570	680	$110	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	13	40	200	$1,990	$1M
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	38	40	1,220	$120	$1M

Showing 1–10 of 495

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	Pediatrics Physician	$0	$77.3M
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