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.

Karuk Tribe (NPI 1730279423)

Field	Value
Entity Type	Organization
Organization	Karuk Tribe
Address	1515 S Oregon St
City	Yreka
State	CA
ZIP	96097
Taxonomy	General Practice Physician
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$30.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00003	N/A	31,310	$540	$16.8M
T1015	Clinic visit/encounter, all-inclusive	20,940	$540	$11.4M
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…	5,390	$410	$2.2M
Q3014	Telehealth originating site facility fee	70	$30	$1.8K
T1014	Telehealth transmission, per minute, professional services bill separately	140	$1	$140
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	20	$1	$40
0011A	N/A	120	$0	$0
0012A	N/A	100	$0	$0
0031A	N/A	10	$0	$0
0064A	N/A	20	$0	$0

Showing 1–10 of 37

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

Karuk Tribe — 0 of 6 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	999	1,550	38,050	$190	$14.1M
00003	N/A	192	690	14,940	$260	$7.7M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,940	4,290	780	$140	$400.1K
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…	157	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…	3,471	13,300	640	$40	$169.6K
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…	1,687	14,520	760	$10	$122.8K
Q3014	Telehealth originating site facility fee	263	340	390	$10	$71.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,829	2,180	180	$70	$67.9K
T1014	Telehealth transmission, per minute, professional services bill separately	196	290	330	$10	$55.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,952	2,120	140	$70	$51.4K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aditi Bhaduri	CA	Endocrinology, Diabetes & Metabolism Physician	$23K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siskiyou Hospital, Inc.	CA	Critical Access Hospital	$0	$74.9M
County Of Siskiyou	CA	Community/Behavioral Health Agency	$0	$29.5M
Michael Maloney	CA	Diagnostic Radiology Physician	$190.6K	$481.9K
Mathilde Moazazi	CA	Family Medicine Physician	$51.4K	$0
Jennifer Hall	CA	Emergency Medicine Physician	$38.3K	$0

Karuk Tribe — Billing Profile & Reimbursement Data

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Karuk Tribe — 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