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.

City Of Hope Medical Foundation (NPI 1871886366)

Field	Value
Entity Type	Organization
Organization	City Of Hope Medical Foundation
Address	1500 Duarte Rd
City	Duarte
State	CA
ZIP	91010
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	May 17, 2011

Payer Source	Total Paid
Medicaid	$40.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

185 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	126,960	$40	$5.5M
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	26,770	$170	$4.7M
J9271	Injection, pembrolizumab, 1 mg	640	$4,730	$3M
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…	41,610	$50	$2.2M
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…	42,570	$50	$1.9M
77014	N/A	46,300	$40	$1.9M
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…	48,520	$30	$1.6M
J0897	Injection, denosumab, 1 mg	1,740	$770	$1.3M
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…	49,040	$30	$1.3M
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.…	6,500	$190	$1.3M

Showing 1–10 of 185

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

City Of Hope Medical Foundation — 18 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

185 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	15	60	240	$4,460	$3.4M
J9299	Injection, nivolumab, 1 mg	16	20	810	$3,160	$3.1M
J9144	Injection, daratumumab, 10 mg and hyaluronidase‑fihj	8	10	220	$4,600	$1.5M
J2505	Injection, pegfilgrastim, 6 mg	17	30	220	$2,310	$1.2M
J2506	Injection, pegfilgrastim, excludes biosimilar, 0.5 mg	6	20	350	$1,340	$848.7K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	310	340	340	$300	$846K
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.…	2	230	270	$840	$717.2K
Q5117	Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg	4	10	260	$920	$592.5K
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.	315	780	1,160	$130	$576.2K
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	1	40	990	$180	$558K

Showing 1–10 of 185

Related Providers

Other providers that share a Tax Identification Number (TIN) with City Of Hope Medical Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Amar Amin	CA	Diagnostic Radiology Physician	$3.6M	$6.5K
Kalust Ucar	CA	Hematology & Oncology Physician	$2.8M	$790
Ari Katerelos	GU	Radiation Oncology Physician	$2.1M	$0
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
Daniel Kim	CA	Hematology & Oncology Physician	$1.8M	$0
James Shen	CA	Hematology & Oncology Physician	$1.8M	$0
Lisa Chaiken	CA	Radiation Oncology Physician	$1.6M	$0
Bassam Ghanem	CA	Hematology & Oncology Physician	$1.5M	$0
George Semeniuk	CA	Hematology & Oncology Physician	$1.5M	$0

Nearby Providers

Other providers in the same ZIP code as City Of Hope Medical Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Hope National Medical Center	CA	General Acute Care Hospital	$0	$175.7M
Path Md Inc	CA	Clinical Medical Laboratory	$6.1M	$8.2M
Amrita Krishnan	CA	Hematology (Internal Medicine) Physician	$1.2M	$0
Arya Amini	CA	Radiation Oncology Physician	$412.9K	$0
Phuc Le	CA	Ophthalmology Physician	$322K	$0
Brady Miller	CA	Urology Physician	$318.2K	$0
Thomas Deguzman	CA	Physical Therapist	$305.9K	$0
Sydney Chung	CA	Physician Assistant	$289.7K	$0
Cathie Chung	CA	Medical Oncology Physician	$251.6K	$0
Hyun Kim	CA	Radiation Oncology Physician	$210.4K	$0

City Of Hope Medical Foundation — Billing Profile & Reimbursement Data

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City Of Hope Medical Foundation — 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