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.

Valley Healthcare Centers (NPI 1790221703)

Valley Healthcare Centers is a rural health clinic/center provider located in Porterville, California. This profile covers 0 Medicare and 106 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	Valley Healthcare Centers
Address	590 W Putnam Ave
City	Porterville
State	CA
ZIP	93257
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	January 13, 2017

Payer Source	Total Paid
Medicaid	$31M
Medicare	$0

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

106 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	383,350	$80	$28.8M
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…	451,480	$1	$903K
90832	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…	24,100	$10	$337.4K
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…	7,730	$40	$309K
G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more…	4,920	$40	$201.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,410	$30	$79.5K
G0468	Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle…	1,850	$40	$74.1K
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…	57,830	$1	$57.8K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,800	$1	$39.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,280	$1	$37.1K

Showing 1–10 of 106

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

Valley Healthcare Centers — 11 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

106 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	37	1,550	38,050	$190	$14.1M
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…	108	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…	1,033	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…	166	13,300	640	$40	$169.6K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	721	1,040	660	$60	$147.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,635	4,230	210	$110	$135K
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…	17	14,520	760	$10	$122.8K
90832	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…	39	1,430	640	$30	$93.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	190	770	190	$130	$93.2K
H1001	Prenatal care, at-risk enhanced service; antepartum management	294	720	570	$30	$73.3K

Showing 1–10 of 106

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abdulrahman Hamdi	CA	Vascular Surgery Physician	$822.3K	$0
Pramod Srivastava	CA	Orthopaedic Surgery Physician	$71.7K	$531.6K
Ramu Thiagarajan	CA	Neurology Physician	$410.1K	$12.3K
Mohsen Thomas	CA	Nephrology Physician	$388.1K	$19K
Jaisimaran Sidhu	CA	Family Medicine Physician	$175K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$57.7M
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$34.9M
Sierra View Local Health Care District	CA	General Acute Care Hospital	$0	$25.3M
Imperial Ambulance Inc	CA	Land Ambulance	$1.4M	$5.8M
Nallathamby Thayapran	CA	Interventional Cardiology Physician	$3.2M	$0
Bindusagar Reddy	CA	Cardiovascular Disease Physician	$1.2M	$950
Steven Lutzker	CA	Dermatology Physician	$915.6K	$0
Nirupama Vemuri	CA	Nephrology Physician	$512.2K	$0
Melody Dumlao	CA	Nephrology Physician	$504.7K	$0
Parmod Kumar	CA	Specialist	$332.8K	$127.1K

Valley Healthcare Centers — Billing Profile & Reimbursement Data

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Valley Healthcare Centers — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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