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.

Pit River Health Service, Inc. (NPI 1891762985)

Pit River Health Service, Inc. is a rural health clinic/center provider located in Burney, California. This profile covers 0 Medicare and 50 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicaid: Competitive Analysis & Benchmarks

Field	Value
Entity Type	Organization
Organization	Pit River Health Service, Inc.
Address	36977 Park Ave
City	Burney
State	CA
ZIP	96013
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicaid	$27M
Medicare	$0

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	21,290	$580	$12.4M
00003	N/A	18,300	$560	$10.2M
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…	6,430	$410	$2.6M
A0390	Als mileage (per mile)	8,370	$190	$1.6M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	9,210	$20	$165.7K
T2007	Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments	350	$80	$27.8K
0002A	N/A	140	$40	$4.9K
0001A	N/A	120	$30	$3.1K
0003A	N/A	40	$40	$1.5K
3074F	No Summary found for this code	1,870	$0	$0

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

Pit River Health Service, Inc. — 0 of 9 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	995	1,550	38,050	$190	$14.1M
00003	N/A	300	690	14,940	$260	$7.7M
A0390	Als mileage (per mile)	25	110	1,700	$80	$1.2M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	177	250	800	$110	$625.7K
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…	933	4,290	780	$140	$400.1K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	30	130	1,520	$40	$275.7K
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…	137	1,030	1,050	$70	$219.7K
T2007	Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments	92	130	1,040	$40	$197.3K
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…	1,847	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…	3,108	13,300	640	$40	$169.6K

Showing 1–10 of 50

Pit River Health Service, Inc. — Billing Profile & Reimbursement Data

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Pit River Health Service, 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

Frequently Asked Questions

References