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.

Providence Health System Southern California (NPI 1902844988)

Field	Value
Entity Type	Organization
Organization	Providence Health System Southern California
Address	4101 Torrance Blvd
City	Torrance
State	CA
ZIP	90503
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 3, 2006

Payer Source	Total Paid
Medicaid	$27.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

252 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	84,690	$50	$4.1M
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.	8,950	$200	$1.8M
87633	The 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…	7,220	$220	$1.6M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,870	$120	$1.2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	23,630	$40	$1M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	34,040	$20	$748.9K
99285	The 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.	3,440	$210	$723.2K
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.	56,190	$10	$674.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	17,560	$40	$649.7K
99281	The provider sees a patient for the lowest level emergency department visit.	10,120	$60	$577.1K

Showing 1–10 of 252

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

Providence Health System Southern California — 3 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

252 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	77	450	16,140	$90	$3.6M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	365	390	1,270	$220	$1.5M
99283	The 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.	623	1,570	680	$110	$1.1M
99285	The 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.	359	1,300	510	$100	$943K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	163	750	950	$50	$890K
0214	N/A	26	30	160	$2,730	$890K
99284	The 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.	432	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	84	430	1,140	$90	$769.9K
G0378	Hospital observation service, per hour	154	200	550	$310	$605.9K
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.	109	780	1,160	$130	$576.2K

Showing 1–10 of 252

Related Providers

Other providers that share a Tax Identification Number (TIN) with Providence Health System Southern California, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alia Matthews	CA	Family Medicine Physician	$34.6K	$0

Nearby Providers

Other providers in the same ZIP code as Providence Health System Southern California, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mehran Taban M.d. Inc.	CA	Ophthalmology Physician	$0	$24.1M
Vitae Diagnostics Incorporated	CA	Clinical Medical Laboratory	$608.6K	$5.1M
Chabado Genomics Inc	CA	Clinical Medical Laboratory	$3.6M	$324.7K
Mehran Taban	CA	Ophthalmology Physician	$3.2M	$81.3K
Michael Heeg	CA	Ophthalmology Physician	$2.6M	$0
Ron Gallemore	CA	Ophthalmology Physician	$2.3M	$7K
Little Company Of Mary Ancillary Services Corporation	CA	Radiology Clinic/Center	$1M	$356.8K
Babak Shabatian	CA	Ophthalmology Physician	$1.2M	$0
Kenneth Bradley	CA	Pain Medicine Physician	$1.2M	$4.2K
John Kennedy	CA	Cardiovascular Disease Physician	$596K	$548.8K

Providence Health System Southern California — Billing Profile & Reimbursement Data

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Providence Health System Southern California — 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