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.

County Of Stanislaus (NPI 1891991741)

Field	Value
Entity Type	Organization
Organization	County Of Stanislaus
Address	830 Scenic Dr
City	Modesto
State	CA
ZIP	95350
Taxonomy	Clinic/Center
NPI Enumerated	June 26, 2007

Payer Source	Total Paid
Medicaid	$27.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

89 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	113,740	$200	$22.6M
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…	75,800	$20	$1.4M
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…	41,940	$30	$1.1M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	33,440	$10	$367.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,660	$30	$328.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,900	$40	$303.6K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	24,200	$10	$242K
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…	8,000	$30	$223.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	12,300	$10	$159.9K
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…	6,770	$20	$135.5K

Showing 1–10 of 89

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

County Of Stanislaus — 9 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

89 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	327	1,550	38,050	$190	$14.1M
Z7500	N/A	53	180	620	$20	$237.4K
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…	372	1,030	1,050	$70	$219.7K
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…	273	13,300	640	$40	$169.6K
J3490	Unclassified drugs	957	1,390	670	$20	$159.5K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	468	1,040	660	$60	$147.7K
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…	385	14,520	760	$10	$122.8K
90832	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…	562	1,430	640	$30	$93.9K
99204	The provider sees a new 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 provider…	1,288	5,870	180	$70	$73K
99205	The provider sees a new 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 provider…	1,375	1,980	110	$160	$66.3K

Showing 1–10 of 89

Nearby Providers

Other providers in the same ZIP code as County Of Stanislaus, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Medical Center Of Modesto, Inc.	CA	General Acute Care Hospital	$0	$101.2M
Golden Valley Health Centers	CA	Internal Medicine Physician	$0	$79.4M
Valley Children's Medical Group	CA	Pediatrics Physician	$0	$65M
Northern California Cancer Center	CA	Medical Oncology Physician	$0	$40M
Cep America - California	CA	Emergency Medicine Physician	$0	$26.1M
Modesto Radiology Imaging, Inc.	CA	Diagnostic Radiology Physician	$2.3M	$10.7M
Khosrow Mehrany	CA	Specialist	$7.7M	$0
Aegis Treatment Centers, LLC	CA	Methadone Clinic	$780.3K	$23.7K
Thomas Wallace	CA	Critical Care Medicine (Internal Medicine) Physician	$634.3K	$0
Joselyn Deculing	CA	Nurse Practitioner	$566.2K	$0

County Of Stanislaus — Billing Profile & Reimbursement Data

Sign up for County Of Stanislaus — Billing Profile & Reimbursement Data policy alerts

County Of Stanislaus — Billing Profile & Reimbursement Data

Sign up for County Of Stanislaus — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References