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.

Ampla Health (NPI 1801829296)

Field	Value
Entity Type	Organization
Organization	Ampla Health
Address	4941 Olivehurst Ave.
City	Olivehurst
State	CA
ZIP	95961
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$34M
Medicare	$0

Medicaid: Complete Services Breakdown

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

98 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	175,100	$120	$20.8M
00003	N/A	77,910	$140	$10.9M
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…	128,760	$10	$1M
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…	29,660	$10	$267K
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	22,170	$10	$266K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	38,060	$10	$190.3K
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…	4,860	$30	$131.2K
G9012	Other specified case management service not elsewhere classified	840	$80	$69.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,040	$60	$59.1K
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…	2,370	$20	$45.1K

Showing 1–10 of 98

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

Ampla 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

98 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	176	1,550	38,050	$190	$14.1M
00003	N/A	52	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	396	720	1,110	$110	$651.3K
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…	887	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…	924	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…	421	13,300	640	$40	$169.6K
J3490	Unclassified drugs	867	1,390	670	$20	$159.5K
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…	498	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…	176	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…	237	1,430	640	$30	$93.9K

Showing 1–10 of 98

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ampla Health	CA	Federally Qualified Health Center (FQHC)	$0	$38.1M
Ampla Health	CA	Federally Qualified Health Center (FQHC)	$0	$30.7M
Ampla Health	CA	Federally Qualified Health Center (FQHC)	$0	$26.3M
Mehran Moussavian	CA	Interventional Cardiology Physician	$3M	$67.3K
Jagraj Nijjar	CA	Infectious Disease Physician	$847.7K	$0
Craig Montgomery	CA	Optometrist	$457.4K	$0
Steven Carlson	CA	Clinical Cardiac Electrophysiology Physician	$306.8K	$0
Anthony Rudick	CA	Optometrist	$215.9K	$0
Jennifer Duncan	CA	Nurse Practitioner	$18.7K	$0

Ampla Health — Billing Profile & Reimbursement Data

Sign up for Ampla Health — Billing Profile & Reimbursement Data policy alerts

Ampla Health — Billing Profile & Reimbursement Data

Sign up for Ampla Health — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References