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.

Southern California Permanente Medical Group (NPI 1770515280)

Southern California Permanente Medical Group is a health maintenance organization provider located in Baldwin Park, California. This profile covers 0 Medicare and 289 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Southern California Permanente Medical Group
Address	1011 Baldwin Park Blvd
City	Baldwin Park
State	CA
ZIP	91706
Taxonomy	Health Maintenance Organization
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$27.5M
Medicare	$0

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

289 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	91,510	$80	$7.3M
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.	35,290	$90	$3.2M
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…	104,820	$20	$1.6M
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	23,160	$50	$1.1M
92227	The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing clinical staff’s location. The clinical staff analyzes the images remotely and prepares a report. The…	83,190	$10	$915.1K
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.	19,860	$40	$854K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	17,290	$50	$812.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4,550	$170	$755.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	103,350	$10	$620.1K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	5,580	$110	$602.5K

Showing 1–10 of 289

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

Southern California Permanente Medical Group — 12 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

289 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	73	110	190	$140	$1.6M
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.	241	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.	357	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.	154	1,400	470	$80	$884.5K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	294	340	340	$300	$846K
99281	The provider sees a patient for the lowest level emergency department visit.	202	430	1,140	$90	$769.9K
81329	The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,…	36	60	400	$40	$748.5K
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.	267	780	1,160	$130	$576.2K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	101	360	840	$160	$495.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	571	660	1,490	$30	$417.2K

Showing 1–10 of 289

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Proyecto Del Barrio, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$101.8M
Kaiser Foundation Hospitals	CA	General Acute Care Hospital	$0	$75.9M
Central City Community Health Center Inc	CA	Federally Qualified Health Center (FQHC)	$0	$23.8M
Rescue Services International, Ltd	CA	Land Ambulance	$1.1M	$3.5M
John Lee	CA	Orthopaedic Surgery Physician	$127.2K	$0
William Chu	CA	Diagnostic Radiology Physician	$64.3K	$0
Angela Do	CA	Physician Assistant	$21.9K	$0
Donald Fong	CA	Ophthalmology Physician	$1K	$0

Southern California Permanente Medical Group — Billing Profile & Reimbursement Data

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Southern California Permanente Medical Group — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern California Permanente Medical Group	CA	Clinical Medical Laboratory	$452.8K	$63.4M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$48.2M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$42.8M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$35.6M
Southern California Permanente Medical Group	CA	Health Maintenance Organization	$0	$29.7M