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.

Tiburcio Vasquez Health Center, Inc. (NPI 1720405491)

Field	Value
Entity Type	Organization
Organization	Tiburcio Vasquez Health Center, Inc.
Address	16110 E 14th St
City	San Leandro
State	CA
ZIP	94578
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 19, 2014

Payer Source	Total Paid
Medicaid	$29.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

101 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	128,160	$170	$21.3M
00003	N/A	28,070	$240	$6.8M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	96,230	$1	$192.5K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	10,290	$20	$164.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	1,390	$100	$132.3K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,760	$30	$127.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	28,080	$1	$112.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	28,640	$1	$57.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,350	$40	$52.5K
0011A	N/A	370	$70	$24.5K

Showing 1–10 of 101

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

Tiburcio Vasquez Health Center, Inc. — 5 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

101 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	280	1,550	38,050	$190	$14.1M
00003	N/A	212	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	576	720	1,110	$110	$651.3K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	452	1,030	1,050	$70	$219.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	444	13,300	640	$40	$169.6K
J3490	Unclassified drugs	1,317	1,390	670	$20	$159.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	802	4,230	210	$110	$135K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	271	14,520	760	$10	$122.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	282	1,430	640	$30	$93.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	3,213	5,870	180	$70	$73K

Showing 1–10 of 101

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tiburcio Vasquez Health Center, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$27.3M

Nearby Providers

Other providers in the same ZIP code as Tiburcio Vasquez Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alameda County	CA	Community/Behavioral Health Agency	$0	$33.3M
Alameda Health System	CA	Assisted Living Facility	$0	$30.6M
San Leandro Surgery Center Ltd	CA	Ambulatory Surgical Clinic/Center	$1.9M	$31.2K
Ostap Melnyk	CA	Hematology & Oncology Physician	$584.6K	$0
Varinder Phangureh	CA	Vascular Surgery Physician	$255.4K	$0
Robert Gingery	CA	Vascular Surgery Physician	$159.8K	$0
Vladimir Titov	CA	Internal Medicine Physician	$144K	$0
Orrin Franko	CA	Orthopaedic Surgery Physician	$100.5K	$0
Andrew Stein	CA	Specialist	$94.9K	$0
Mike Marsh	CA	Hand Occupational Therapist	$81.7K	$0

Tiburcio Vasquez Health Center, Inc. — Billing Profile & Reimbursement Data

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Tiburcio Vasquez Health Center, Inc. — 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