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.

Sonoma Valley Community Health Center (NPI 1770669715)

Field	Value
Entity Type	Organization
Organization	Sonoma Valley Community Health Center
Address	19270 Sonoma Highway 12
City	Sonoma
State	CA
ZIP	95476
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 31, 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.

104 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	110,400	$220	$24.3M
00003	N/A	49,190	$270	$13.5M
G9012	Other specified case management service not elsewhere classified	11,480	$270	$3.1M
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…	61,380	$10	$306.9K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	18,580	$10	$167.2K
H1001	Prenatal care, at-risk enhanced service; antepartum management	1,770	$80	$134.7K
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…	30,000	$1	$120K
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…	3,860	$30	$104.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,880	$10	$94.5K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	6,200	$10	$80.6K

Showing 1–10 of 104

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

Sonoma Valley Community 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

104 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	339	1,550	38,050	$190	$14.1M
00003	N/A	115	690	14,940	$260	$7.7M
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.	528	1,570	680	$110	$1.1M
G9012	Other specified case management service not elsewhere classified	79	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…	640	4,290	780	$140	$400.1K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	47	60	100	$20	$247.5K
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…	210	1,030	1,050	$70	$219.7K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	119	1,950	500	$80	$179K
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…	416	13,300	640	$40	$169.6K
J3490	Unclassified drugs	1,307	1,390	670	$20	$159.5K

Showing 1–10 of 104

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sonoma Valley Community Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Voss	CA	Addiction Medicine (Preventive Medicine) Physician	$27.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Noah Weiss	CA	Orthopaedic Surgery Physician	$225.9K	$0
Kenneth Tobin	CA	Cardiovascular Disease Physician	$124.8K	$0
Rafael Sepulveda-acosta	CA	Sleep Medicine (Internal Medicine) Physician	$113.5K	$0
Guy Delorefice	CA	Internal Medicine Physician	$102.2K	$0
Charles Pettit	CA	Otolaryngology/Facial Plastic Surgery Physician	$94.3K	$0
Scott Perryman	CA	Surgery Physician	$12.6K	$0
Jennifer Lo	CA	Physician Assistant	$4.2K	$0

Sonoma Valley Community Health Center — Billing Profile & Reimbursement Data

Sign up for Sonoma Valley Community Health Center — Billing Profile & Reimbursement Data policy alerts

Sonoma Valley Community Health Center — Billing Profile & Reimbursement Data

Sign up for Sonoma Valley Community Health Center — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References