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.

Garfield Health Center (NPI 1760480610)

Field	Value
Entity Type	Organization
Organization	Garfield Health Center
Address	210 N Garfield Ave
City	Monterey Park
State	CA
ZIP	91754
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 13, 2005

Payer Source	Total Paid
Medicaid	$25.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

108 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	88,940	$170	$14.7M
00003	N/A	23,370	$180	$4.3M
G9012	Other specified case management service not elsewhere classified	22,020	$150	$3.4M
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	13,780	$110	$1.5M
G9008	Coordinated care fee, physician coordinated care oversight services	7,550	$140	$1M
97810	The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by hand during an initial 15 minute…	1,320	$180	$233.1K
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…	111,200	$1	$111.2K
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…	3,460	$20	$65.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	16,030	$1	$48.1K
97813	The provider uses solid, metallic, fine, single–use needles to pierce the skin and stimulate anatomical points on or in the skin by manipulating the needles by electrical stimulation for an initial…	130	$180	$23.7K

Showing 1–10 of 108

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

Garfield Health Center — 4 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

108 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	428	1,550	38,050	$190	$14.1M
00003	N/A	247	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	41	720	1,110	$110	$651.3K
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…	3,607	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	77	490	660	$70	$396.7K
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…	255	1,030	1,050	$70	$219.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,013	2,110	1,330	$30	$200.7K
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…	3,811	13,300	640	$40	$169.6K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	569	1,170	1,000	$20	$126.4K
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…	217	14,520	760	$10	$122.8K

Showing 1–10 of 108

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edwin Yau	CA	Family Medicine Physician	$2.2M	$0
Chia Chi Lai	CA	Gastroenterology Physician	$632.3K	$821.2K
Felix Chi-ming Yip	CA	Urology Physician	$1.2M	$4.1K
David Hsu	CA	Radiation Oncology Physician	$978.8K	$0
Dana Yuen	CA	Ophthalmology Physician	$500.4K	$398.3K
Dustin Lee	CA	Surgery Physician	$854.3K	$0
Hone Kaw	CA	Nephrology Physician	$760.1K	$43.1K
Singh Boun	CA	Family Medicine Physician	$734.7K	$7K
Quang Vo	CA	Surgery Physician	$707.6K	$0
Mordo Suchov	CA	Gastroenterology Physician	$684K	$0

Garfield Health Center — Billing Profile & Reimbursement Data

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Garfield Health Center — 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