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.

Emergency Medicine Specialists Of Orange County (NPI 1740214733)

Field	Value
Entity Type	Organization
Organization	Emergency Medicine Specialists Of Orange County
Address	1100 West Stewart Dr
City	Orange
State	CA
ZIP	92868
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$42.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	226,210	$70	$16.1M
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.	177,870	$80	$14.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	92,970	$90	$7.9M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	22,060	$140	$3.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1,490	$90	$138.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	14,900	$10	$119.2K
99220	N/A	1,470	$40	$59K
G9920	Screening performed and negative	2,450	$10	$29.4K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	2,450	$10	$12.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	130	$60	$8.5K

Showing 1–10 of 26

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

Emergency Medicine Specialists Of Orange County — 5 of 20 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	2	1,570	680	$110	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	23	1,300	510	$100	$943K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	2	1,400	470	$80	$884.5K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	19	1,080	460	$110	$263.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	116	480	270	$110	$230.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	936	2,730	190	$90	$100.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	531	1,500	670	$10	$100.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	839	1,490	610	$20	$79.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	185	1,480	560	$10	$62.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	424	1,280	120	$90	$56.6K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Emergency Medicine Specialists Of Orange County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Falck Mobile Health Corp	CA	Land Ambulance	$25.5M	$127.7M
University Of California Irvine	CA	General Acute Care Hospital	$0	$153.1M
St. Joseph Hospital Of Orange	CA	General Acute Care Hospital	$0	$65.9M
Children's Hospital Of Orange County	CA	Children's Hospital	$0	$53.7M
Maxim Healthcare Services, Inc.	CA	Home Health Agency	$0	$37.3M
Premier Healthcare Services, LLC	CA	Home Health Agency	$0	$35M
Vital Smiles Alabama Ii PC	CA	Dentist	$0	$29.2M
Gordian Medical, Inc.	CA	Durable Medical Equipment & Medical Supplies	$0	$27.5M
Bio-medical Applications Of California, Inc.	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$24.6M
Acuity Behavior Solutions LLC	CA	Behavior Analyst	$0	$23.2M

Emergency Medicine Specialists Of Orange County — Billing Profile & Reimbursement Data

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Emergency Medicine Specialists Of Orange County — 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