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.

Community Hospital Of The Monterey Peninsula (NPI 1932197258)

Field	Value
Entity Type	Organization
Organization	Community Hospital Of The Monterey Peninsula
Address	23625 Wr Holman Hwy
City	Monterey
State	CA
ZIP	93940
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 11, 2005

Payer Source	Total Paid
Medicaid	$88.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

337 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0121	N/A	3,380	$8,540	$28.9M
0214	N/A	2,430	$6,820	$16.6M
99281	The provider sees a patient for the lowest level emergency department visit.	95,880	$70	$7M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	69,990	$30	$2.4M
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.	8,040	$270	$2.1M
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	460	$3,530	$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.	5,880	$210	$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)…	8,430	$130	$1.1M
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.	9,850	$110	$1.1M
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	3,540	$300	$1.1M

Showing 1–10 of 337

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

Community Hospital Of The Monterey Peninsula — 5 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

337 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
0450	N/A	276	450	16,140	$90	$3.6M
0121	N/A	4	70	130	$4,600	$2.6M
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.	353	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.	298	1,300	510	$100	$943K
0214	N/A	1	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.	290	1,400	470	$80	$884.5K
99281	The provider sees a patient for the lowest level emergency department visit.	6	430	1,140	$90	$769.9K
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.…	106	230	270	$840	$717.2K
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)…	24	250	800	$110	$625.7K
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.	124	780	1,160	$130	$576.2K

Showing 1–10 of 337

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Hospital Of The Monterey Peninsula, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Joye	CA	Interventional Cardiology Physician	$4.5M	$0
Ajanta De	CA	Interventional Cardiology Physician	$1.5M	$0
Michael Plainse	CA	Cardiovascular Disease Physician	$596.5K	$0
Samrat Sanghvi	CA	Radiation Oncology Physician	$512.6K	$0
Jeffrey Keating	CA	Anatomic Pathology & Clinical Pathology Physician	$442.5K	$0
Matthew Susko	CA	Radiation Oncology Physician	$353.7K	$0
Christopher Oh	CA	Nuclear Cardiology Physician	$347.3K	$0
Robert Gardner	CA	Diagnostic Radiology Physician	$335.5K	$0
Harlan Grogin	CA	Clinical Cardiac Electrophysiology Physician	$314.3K	$0
Kristine Leatherberry	CA	Diagnostic Radiology Physician	$310.8K	$0

Nearby Providers

Other providers in the same ZIP code as Community Hospital Of The Monterey Peninsula, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Monterey Bay Endoscopy Center LLC	CA	Ambulatory Surgical Clinic/Center	$2.3M	$4.9M
Monterey Peninsula Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$2.3M	$0
Nancy Rubin	CA	Hematology & Oncology Physician	$2M	$0
Monterey Peninsula Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$2M	$11.3K
Braden Burckhard	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Salar Deldar	CA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$1.2M	$0
Lulu Zhang	CA	Hematology & Oncology Physician	$1.2M	$0
Nancy Tray	CA	Internal Medicine Physician	$1.1M	$0
Monterey Peninsula Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$721.9K	$409K
Michael Koontz	CA	Internal Medicine Physician	$1.1M	$0

Community Hospital Of The Monterey Peninsula — 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