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.

John Muir Health (NPI 1801821376)

Field	Value
Entity Type	Organization
Organization	John Muir Health
Address	2540 East St
City	Concord
State	CA
ZIP	94520
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$32.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

296 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	135,800	$40	$4.8M
J3490	Unclassified drugs	152,520	$20	$2.3M
J9271	Injection, pembrolizumab, 1 mg	150	$10,520	$1.6M
0121	N/A	210	$7,320	$1.5M
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	4,520	$280	$1.3M
0206	N/A	200	$5,920	$1.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20,140	$60	$1.1M
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.	5,670	$200	$1.1M
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	110	$6,900	$779.9K
0272	N/A	8,060	$90	$701.6K

Showing 1–10 of 296

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

John Muir Health — 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

296 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	27	450	16,140	$90	$3.6M
J9271	Injection, pembrolizumab, 1 mg	36	60	240	$4,460	$3.4M
0121	N/A	30	70	130	$4,600	$2.6M
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	7	10	220	$4,600	$1.5M
0206	N/A	19	40	80	$2,760	$1.1M
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.	597	1,570	680	$110	$1.1M
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…	258	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.	486	1,400	470	$80	$884.5K
0510	N/A	78	230	930	$40	$854K
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	12	20	350	$1,340	$848.7K

Showing 1–10 of 296

Related Providers

Other providers that share a Tax Identification Number (TIN) with John Muir Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Chang	CA	Interventional Cardiology Physician	$549.5K	$0
Frank Arena	LA	Interventional Cardiology Physician	$279.2K	$0
Susan Eisenberg	CA	Clinical Cardiac Electrophysiology Physician	$257.9K	$0
Carleton Nibley	CA	Clinical Cardiac Electrophysiology Physician	$237.8K	$0
Andrea Toomer	LA	Physical Medicine & Rehabilitation Physician	$235.4K	$0
Anthony Morales	LA	Interventional Cardiology Physician	$206.9K	$0
Jay Silverstein	LA	Cardiovascular Disease Physician	$136.1K	$0
Gabriel Lasala	LA	Cardiovascular Disease Physician	$134.7K	$0
Kaveh Khoobehi	LA	Neurology Physician	$127.1K	$0
Ravi Kanagala	LA	Cardiovascular Disease Physician	$123.9K	$0

Nearby Providers

Other providers in the same ZIP code as John Muir Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Contra Costa County	CA	Ambulance	$8.4M	$33.2M
Contra Costa County	CA	Adult Mental Health Clinic/Center	$0	$33.1M
Sutter Visiting Nurse Association And Hospice	CA	Home Health Agency	$0	$23.7M
Premier Surgery Center	CA	Ambulatory Surgical Clinic/Center	$3.4M	$4.6M
Walailuk Chaiyarat	CA	Hematology & Oncology Physician	$1.3M	$0
Lesley Martin	CA	Hematology & Oncology Physician	$999.5K	$0
Anita Bhat	CA	Endocrinology, Diabetes & Metabolism Physician	$939.8K	$50.8K
Clark Tsai	CA	Ophthalmology Physician	$891.3K	$52.2K
Imran Junaid	CA	Allergy & Immunology (Internal Medicine) Physician	$626.2K	$0
Chinnavuth De Monteiro	CA	Internal Medicine Physician	$525.5K	$0

John Muir Health — 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