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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEl Centro Regional Medical Center
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    El Centro Regional Medical Center — Billing Profile & Reimbursement Data

    NPI 1861409823 · El Centro, CA · General Acute Care Hospital

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    El Centro Regional Medical Center is a general acute care hospital provider located in El Centro, California. This profile covers 0 Medicare and 440 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEl Centro Regional Medical Center
    Address1415 W Ross Ave
    CityEl Centro
    StateCA
    ZIP92243
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$49.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    440 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    0450N/A97,890$50$5.1M
    87633The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…8,500$420$3.5M
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.164,560$10$1.6M
    74177The 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.8,280$180$1.5M
    82306The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…51,420$30$1.3M
    U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc24,100$40$1.1M
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…68,760$20$1M
    0202UThis 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…4,680$220$1M
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…166,970$10$1M
    87507The lab analyst performs a test to detect 12 to 25 types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that affects the gastrointestinal…2,460$390$957.8K

    Showing 1–10 of 440

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    440 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0450N/A6245016,140$90$3.6M
    J9271Injection, pembrolizumab, 1 mg4260240$4,460$3.4M
    99283The 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.3821,570680$110$1.1M
    L8699Prosthetic implant, not otherwise specified3250220$1,790$996.4K
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.4191,300510$100$943K
    99284The 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.3191,400470$80$884.5K
    0510N/A184230930$40$854K
    99281The provider sees a patient for the lowest level emergency department visit.3184301,140$90$769.9K
    78815PET 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.…99230270$840$717.2K
    G9012Other specified case management service not elsewhere classified1857201,110$110$651.3K

    Showing 1–10 of 440

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with El Centro Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    El Centro Regional Medical CenterCARural Health Clinic/Center$0$49.9M
    El Centro Regional Medical CenterCARural Health Clinic/Center$0$27.7M

    Nearby Providers

    Other providers in the same ZIP code as El Centro Regional Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of ImperialCAMental Health Clinic/Center (Including Community Mental Health Center)$0$42.4M
    Clinicas De Salud Del Pueblo, IncCAFederally Qualified Health Center (FQHC)$0$31.9M
    Imperial County Behavioral Health ServicesCAAdolescent and Children Mental Health Clinic/Center$0$24.8M
    Imperial County Behavioral Health ServicesCAMental Health Clinic/Center (Including Community Mental Health Center)$0$23.2M
    Imperial County Behavioral Health ServicesCAMental Health Clinic/Center (Including Community Mental Health Center)$0$22.3M
    Athar AnsariCAInterventional Cardiology Physician$4.4M$0
    Mohsen El RamahCANephrology Physician$2.7M$0
    Brawley Endoscopy & Surgery Med CtrCAEndoscopy Clinic/Center$430.4K$1.4M
    Andres Jacobo-alatristeCANeurology Physician$1.5M$23.6K
    Medical Treatment CenterCAMethadone Clinic$344.7K$818.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    El Centro Regional Medical Center — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California