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 Physician Network (NPI 1841407665)

John Muir Physician Network is a general practice physician provider located in Walnut Creek, California. This profile covers 0 Medicare and 183 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	John Muir Physician Network
Address	1450 Treat Blvd
City	Walnut Creek
State	CA
ZIP	94597
Taxonomy	General Practice Physician
NPI Enumerated	May 17, 2007

Payer Source	Total Paid
Medicaid	$27.1M
Medicare	$0

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

183 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	139,250	$70	$9.1M
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…	66,670	$60	$4.2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	61,180	$40	$2.1M
99203	The provider sees a new 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 provider…	11,920	$140	$1.7M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	14,950	$90	$1.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	25,410	$40	$940K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	51,300	$10	$666.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	12,310	$50	$652.4K
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…	8,380	$70	$569.8K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	400	$1,200	$480.4K

Showing 1–10 of 183

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 Physician Network — 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

183 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	56	60	240	$4,460	$3.4M
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	97	230	270	$840	$717.2K
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.	586	780	1,160	$130	$576.2K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	268	330	250	$260	$311.4K
99499	Use 99499 to report evaluation and management services for which there is no specific code available.	282	310	190	$100	$301.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	907	1,080	460	$110	$263.5K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	349	500	3,580	$40	$230.4K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	507	900	560	$70	$230.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	41	1,500	410	$100	$209.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	217	780	350	$180	$200.7K

Showing 1–10 of 183

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Muir Health	CA	General Acute Care Hospital	$0	$32.4M
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Michael Sherman	CA	Hematology & Oncology Physician	$3.9M	$0
Rajiv Nagesetty	CA	Vascular Surgery Physician	$3.6M	$0
Christianne Wa	CA	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Patrick Gonzales	CA	Vascular & Interventional Radiology Physician	$2.7M	$0
Tushar Ranchod	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Tuow Ting	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Subhransu Ray	CA	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Gigi Chen	CA	Hematology & Oncology Physician	$2.2M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Perkin Shiu	CA	Cardiovascular Disease Physician	$674K	$0
Richard Chang	CA	Interventional Cardiology Physician	$549.5K	$0
Andrew Dublin	CA	Interventional Cardiology Physician	$398K	$0
Kanwar Gill	CA	Gastroenterology Physician	$230.7K	$0
Matthew Chin	CA	Gastroenterology Physician	$159.5K	$0
Ruqaya Fatima	CA	Family Medicine Physician	$74.4K	$0
Debbie Sousa Hull	CA	Registered Dietitian	$26.7K	$0
Damara Johnson	CA	Registered Dietitian	$24.1K	$0
Aneesha Thobani	CA	Cardiovascular Disease Physician	$11.2K	$0

John Muir Physician Network — Billing Profile & Reimbursement Data

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John Muir Physician Network — 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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