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.

East Valley Community Health Center, Inc. (NPI 1831243625)

Field	Value
Entity Type	Organization
Organization	East Valley Community Health Center, Inc.
Address	420 S Glendora Ave
City	West Covina
State	CA
ZIP	91790
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 22, 2007

Payer Source	Total Paid
Medicaid	$34.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

119 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	201,550	$150	$29.6M
00003	N/A	21,760	$200	$4.4M
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…	9,210	$20	$184.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,650	$30	$51.1K
G9008	Coordinated care fee, physician coordinated care oversight services	2,550	$20	$45.9K
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…	2,860	$10	$28.6K
G9012	Other specified case management service not elsewhere classified	800	$30	$25.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,080	$20	$20.4K
G9920	Screening performed and negative	1,340	$20	$20.1K
99391	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…	2,430	$10	$19.4K

Showing 1–10 of 119

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

East Valley Community Health Center, Inc. — 1 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

119 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	145	1,550	38,050	$190	$14.1M
00003	N/A	264	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	404	720	1,110	$110	$651.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,218	4,290	780	$140	$400.1K
G9008	Coordinated care fee, physician coordinated care oversight services	159	490	660	$70	$396.7K
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…	868	1,030	1,050	$70	$219.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	589	1,140	530	$20	$195.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	630	1,270	450	$20	$183.5K
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…	94	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…	1,400	13,300	640	$40	$169.6K

Showing 1–10 of 119

Related Providers

Other providers that share a Tax Identification Number (TIN) with East Valley Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mojtaba Moghadam	CA	Nephrology Physician	$325.9K	$1.7K

Nearby Providers

Other providers in the same ZIP code as East Valley Community Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$83.6M
Premier Healthcare Services, LLC	CA	Home Health Agency	$0	$28.7M
Emanate Health Medical Center	CA	General Acute Care Hospital	$0	$23.5M
Philip Ngai	CA	Glaucoma Specialist (Ophthalmology) Physician	$1.2M	$0
Catherine Noel-uyloan	CA	General Practice Physician	$1.2M	$0
Brian Leberthon	CA	Hematology & Oncology Physician	$333.1K	$542.4K
Harold Gomez	CA	Licensed Practical Nurse	$45.2K	$825.1K
Bac Nguyen	CA	Otolaryngology Physician	$521.6K	$117.4K
Joseph Lin	CA	Ophthalmology Physician	$187K	$0
Gerald Grossman	CA	Diagnostic Radiology Physician	$130.7K	$0

East Valley Community Health Center, Inc. — Billing Profile & Reimbursement Data

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East Valley Community Health Center, Inc. — 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