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.

Altamed Health Services Corp (NPI 1902267479)

Field	Value
Entity Type	Organization
Organization	Altamed Health Services Corp
Address	8627 Atlantic Ave
City	South Gate
State	CA
ZIP	90280
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 11, 2016

Payer Source	Total Paid
Medicaid	$141.9M
Medicare	$0

Key Findings

ALTAMED HEALTH SERVICES CORP is an FQHC based in SOUTH GATE, CA with NPI enumeration on 2016-03-11 (~10 years ago). The entity reports $141.9M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused provider in this dataset and exposing its financial footprint primarily to state Medicaid reimbursement dynamics.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.1% of this provider's total Medicaid revenue. Those top codes are T1015 ($85.5M, 60.3% of Medicaid revenue; 318K claims, $269 avg paid/claim), 00003 ($54.8M, 38.7% of Medicaid revenue; 154K claims, $356 avg paid/claim), and 99213 ($216.8K, 0.2% of Medicaid revenue; 216.8K claims, $1 avg paid/claim).

The code mix points to an FQHC model driven by high-volume, bundled clinic encounter billing: T1015 is the largest single revenue driver and is described as a clinic visit/encounter, all-inclusive, consistent with per-encounter FQHC bundles. The very large claim counts for T1015 (318K) combined with substantial per-claim payments ($269) indicate a primary-care and integrated ambulatory-service focus concentrated around visit-based reimbursement.

00003 is the second-largest revenue source and is a major statewide performer: it generated $54.8M from 154K claims at $356 avg paid/claim and ranks #11 of 688 providers in-state (99th percentile), which characterizes ALTAMED as a dominant provider for that code within California. T1015 also ranks highly (#57 of 1550, 96th percentile), reinforcing that the organization is a leading in-state operator for its primary encounter codes.

Several preventive, pediatric, and vaccine codes show notable volumes above typical state levels, illustrating breadth beyond the two dominant encounter codes. Examples include 90686 (22.3K claims, $2 avg paid/claim, $44.6K revenue; rank #59 of 3766, 98th percentile) and 99392 (13.2K claims, $12 avg paid/claim, $158.6K revenue; rank #72 of 2403, 97th percentile), suggesting routine immunization and preventive visit activity that complements the core FQHC visit mix.

There is an internal billing pattern divergence for FQHC-specific codes: G0467 (FQHC visit, established patient) appears relatively underused here (731 claims, $20 avg paid/claim, $14.6K revenue; rank #588 of 1029, 43rd percentile) compared with the heavy use of T1015. This contrast suggests the provider bills predominantly under the T1015 encounter bundle rather than G0467 for many visits, a material operational detail for payer negotiations or audit focus.

Several common E/M codes are statistical outliers by state comparison but contribute little revenue, indicating extremely high claim volumes for low-paid encounters. For example, 99213 is labeled an "extreme outlier, far above typical state volume" (216.8K claims, $1 avg paid/claim, $216.8K revenue; rank #69 of 14524, 100th percentile), and 99214 likewise shows anomalously high claim ranks despite modest revenue ($54.1K; rank #189 of 13295, 99th percentile). These patterns imply operational workflows that generate many brief or low-reimbursement encounters.

From a risk/opportunity perspective, ALTAMED's Medicaid revenue profile is highly dependent on a very small set of codes—T1015 and 00003 together represent the majority of dollars—so changes to reimbursement policy, coding rules, or state-level fee schedules for those codes could materially affect overall revenue. Given the $141.9M Medicaid scale and the provider's strong in-state rankings on these encounter codes, payers and analysts should prioritize monitoring rates and utilization trends for T1015 and 00003 when assessing financial or contracting exposure.

Medicaid: Complete Services Breakdown

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

207 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	317,990	$270	$85.5M
00003	N/A	153,990	$360	$54.8M
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…	216,760	$1	$216.8K
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…	7,070	$20	$162.7K
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…	13,220	$10	$158.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	8,470	$20	$135.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4,480	$20	$102.9K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	3,560	$30	$99.6K
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…	7,950	$10	$95.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	2,390	$40	$93K

Showing 1–10 of 207

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

Altamed Health Services Corp — 10 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

207 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	57	1,550	38,050	$190	$14.1M
00003	N/A	11	690	14,940	$260	$7.7M
G9012	Other specified case management service not elsewhere classified	537	720	1,110	$110	$651.3K
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…	588	1,030	1,050	$70	$219.7K
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…	142	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…	189	13,300	640	$40	$169.6K
80053	The 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.	1,487	1,720	1,360	$10	$165.3K
D0120	Periodic oral evaluation - established patient	776	5,640	800	$50	$163.8K
J3490	Unclassified drugs	718	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…	719	1,040	660	$60	$147.7K

Showing 1–10 of 207

Related Providers

Other providers that share a Tax Identification Number (TIN) with Altamed Health Services Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altamed Health Services Corp.	CA	Federally Qualified Health Center (FQHC)	$0	$305.5M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$104.6M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$71.1M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$67.5M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$56.2M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$56.2M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$53.6M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$50.7M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$43.5M
Altamed Health Services Corp	CA	Federally Qualified Health Center (FQHC)	$0	$40.3M

Nearby Providers

Other providers in the same ZIP code as Altamed Health Services Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maria Lourdes De Leon	CA	General Practice Physician	$1.2M	$21.5K

Altamed Health Services Corp — Billing Profile & Reimbursement Data

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Altamed Health Services Corp — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References