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.

Encino Surgicenter A Medical Group (NPI 1780787218)

Field	Value
Entity Type	Organization
Organization	Encino Surgicenter A Medical Group
Address	16633 Ventura Blvd
City	Encino
State	CA
ZIP	91436
Taxonomy	Clinic/Center
NPI Enumerated	September 7, 2006

Payer Source	Total Paid
Medicare	$21.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
19371	In this procedure, the provider surgically releases a capsule, or scar tissue, that forms within the breast tissue around a previous implant. He also removes all intracapsular contents such as…	20	$880	$21.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Encino Surgicenter A Medical Group — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
19371	1	10	20	$690	$13.2K

Nearby Providers

Other providers in the same ZIP code as Encino Surgicenter A Medical Group, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harvey Paley	CA	Otolaryngology Physician	$8.9M	$19.7K
Freedom Vision Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$3.9M	$56.2K
Encino Outpatient Surgery Center, LLC	CA	Clinic/Center	$2M	$0
Christian Sanfilippo	CA	Retina Specialist (Ophthalmology) Physician	$2M	$0
Amir Guerami	CA	Ophthalmology Physician	$1.9M	$0
Hajir Dadgostar	CA	Ophthalmology Physician	$1.9M	$2.3K
Metrolab, Inc.	CA	Clinical Medical Laboratory	$177.5K	$1.5M
Darius Gharib	CA	Internal Medicine Physician	$1.2M	$379.6K
John Rezapour	CA	Ophthalmology Physician	$1.2M	$6.8K
Yousef Mehrabi	CA	Pediatrics Physician	$985.3K	$92.8K

Encino Surgicenter A Medical Group — Billing Profile & Reimbursement Data

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Encino Surgicenter A Medical Group — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References