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.

John Muir Health (NPI 1740215219)

Field	Value
Entity Type	Organization
Organization	John Muir Health
Address	1601 Ygnacio Valley Rd
City	Walnut Creek
State	CA
ZIP	94598
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$32.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

260 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3490	Unclassified drugs	71,860	$190	$13.4M
0450	N/A	59,040	$40	$2.3M
0121	N/A	250	$8,220	$2M
82803	The lab analyst performs blood gas analysis to measure at least two of the listed parameters. He typically performs an arterial blood gas analysis, called an ABG, using arterial blood inserted into a…	1,140	$1,210	$1.4M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	3,670	$290	$1.1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,820	$190	$711.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	10,650	$60	$596.4K
0272	N/A	5,550	$100	$566K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2,820	$150	$426K
Q0162	Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage…	5,470	$70	$377.6K

Showing 1–10 of 260

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

John Muir Health — 1 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

260 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	119	450	16,140	$90	$3.6M
0121	N/A	26	70	130	$4,600	$2.6M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	17	20	880	$600	$2.4M
0123	N/A	13	20	130	$3,160	$1.9M
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.	650	1,570	680	$110	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	341	750	950	$50	$890K
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.	499	1,400	470	$80	$884.5K
0510	N/A	106	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	212	430	1,140	$90	$769.9K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	115	230	270	$840	$717.2K

Showing 1–10 of 260

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Muir Physician Network	CA	General Practice Physician	$0	$27.1M
Perkin Shiu	CA	Cardiovascular Disease Physician	$674K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhpn, LLC	CA	Case Management Agency	$0	$350.7M
Easterseals Northern California	CA	Behavior Analyst	$0	$50.1M
Bay Area Retina Associates	CA	Retina Specialist (Ophthalmology) Physician	$0	$30.4M
Aspen Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$5.7M	$2M
Sequoia Surgical Center LP	CA	Ambulatory Surgical Clinic/Center	$2.6M	$3.8M
Min-wei Lee	CA	Dermatology Physician	$390.1K	$5.1M
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Michael Sherman	CA	Hematology & Oncology Physician	$3.9M	$0
Rajiv Nagesetty	CA	Vascular Surgery Physician	$3.6M	$0
Patrick Gonzales	CA	Vascular & Interventional Radiology Physician	$2.7M	$0

John Muir Health — Billing Profile & Reimbursement Data

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John Muir 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