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.

Sonora Community Hospital (NPI 1780673376)

Field	Value
Entity Type	Organization
Organization	Sonora Community Hospital
Address	1000 Greenley Rd
City	Sonora
State	CA
ZIP	95370
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 17, 2005

Payer Source	Total Paid
Medicaid	$22.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

318 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	42,620	$140	$6M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	21,070	$70	$1.5M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	42,500	$20	$935.1K
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…	27,190	$30	$788.6K
0510	N/A	18,110	$40	$724.2K
97139	Use 97139 to report therapeutic procedures that do not have a specific code.	15,200	$30	$440.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	7,290	$60	$408.2K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	7,330	$60	$403.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,160	$40	$390.6K
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…	14,900	$30	$387.3K

Showing 1–10 of 318

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

Sonora Community Hospital — 0 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

318 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	154	450	16,140	$90	$3.6M
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.	660	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.	524	1,300	510	$100	$943K
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…	157	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.	540	1,400	470	$80	$884.5K
0510	N/A	37	230	930	$40	$854K
99281	The provider sees a patient for the lowest level emergency department visit.	234	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.…	153	230	270	$840	$717.2K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	74	250	800	$110	$625.7K
A9150	Non-prescription drugs	72	80	360	$180	$619K

Showing 1–10 of 318

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sonora Community Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sonora Community Hospital	CA	Rural Health Clinic/Center	$0	$41.3M
Manjit Dhillon	CA	Infectious Disease Physician	$887.1K	$0
Jagraj Nijjar	CA	Infectious Disease Physician	$847.7K	$0
Pericles Ioannides	CA	Radiation Oncology Physician	$532.7K	$0
Yousef Khelfa	CA	Hematology & Oncology Physician	$423.2K	$0
Siraj Ahmed	CA	Pulmonary Disease Physician	$420.9K	$0
Melanie Davidson	TN	Cardiovascular Disease Physician	$344.7K	$0
Joseph Grant	CA	Orthopaedic Surgery of the Spine Physician	$253.7K	$0
Rajesh Kunadharaju	CA	Critical Care Medicine (Internal Medicine) Physician	$243.8K	$0
Douglas Ankrom	CA	Urology Physician	$241.7K	$0

Nearby Providers

Other providers in the same ZIP code as Sonora Community Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tuolumne Me-wuk Indian Health Center, Inc.	CA	Family Medicine Physician	$0	$46.9M
County Of Tuolumne	CA	Community/Behavioral Health Agency	$0	$23.9M
County Of Tuolumne	CA	Land Ambulance	$2.2M	$3M
Gerard Ardron	CA	Ophthalmology Physician	$1.3M	$0
Zachary Cooper	CA	Dermatology Physician	$1.1M	$0
Timothy Hooper	CA	General Practice Physician	$366.7K	$970
Ariana Demers	CA	Sports Medicine (Orthopaedic Surgery) Physician	$295.6K	$0
Carla Doyle	CA	Hand Occupational Therapist	$154.7K	$124.7K
Gideon Naude	CA	Surgery Physician	$247.3K	$5.4K
Stephen Hopkins	CA	Surgery Physician	$240K	$0

Sonora Community Hospital — Billing Profile & Reimbursement Data

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Sonora Community Hospital — 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