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.

Inpatient Specialists Of California, PC (NPI 1952792475)

Inpatient Specialists Of California, PC is a internal medicine physician provider located in San Bernardino, California. This profile covers 0 Medicare and 33 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Inpatient Specialists Of California, PC
Address	2101 N Waterman Ave
City	San Bernardino
State	CA
ZIP	92404
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 6, 2015

Payer Source	Total Paid
Medicaid	$32.9M
Medicare	$0

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	241,110	$50	$10.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	99,590	$80	$8.1M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	67,750	$110	$7.3M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	107,350	$30	$3.3M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	48,690	$50	$2.4M
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5,420	$80	$449.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	2,570	$50	$115.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,520	$30	$105.6K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,780	$50	$80.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3,580	$20	$78.8K

Showing 1–10 of 33

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

Inpatient Specialists Of California, PC — 7 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1	1,080	460	$110	$263.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	2,670	540	$40	$183.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	7	2,840	490	$40	$139.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	2,730	190	$90	$100.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	910	160	$50	$73.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	872	1,000	440	$30	$72K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	83	670	180	$40	$66.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	820	1,480	560	$10	$62.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	31	1,280	120	$90	$56.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	177	1,150	400	$20	$42K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guthrie Medical Group, P.C.	PA	General Practice Physician	$0	$82.1M
Richard Park	CA	Internal Medicine Physician	$31.7M	$0
Ravindra Gautam	CA	Internal Medicine Physician	$13M	$0
Vincent Bennett	CA	Emergency Medicine Physician	$1.2M	$0
Saadah Alrajab	CA	Pulmonary Disease Physician	$611.8K	$0
Sanjivan Kohli	CA	Pulmonary Disease Physician	$504.4K	$0
Syed Ahmed	CA	Specialist	$478.7K	$130
Michael Sheinin	NV	Internal Medicine Physician	$376.8K	$0
Ramin Akhavan	CA	Critical Care Medicine (Internal Medicine) Physician	$322.4K	$36.8K
Ali Mehdizadeh	CA	Critical Care Medicine (Anesthesiology) Physician	$265.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dignity Health	CA	General Acute Care Hospital	$0	$133.1M
Southern California Emergency Medicine	CA	Urgent Care Clinic/Center	$0	$33.7M
Abria Del Cielo	CA	Assisted Living Facility	$0	$23.3M
John Evans	CA	Gastroenterology Physician	$337.3K	$720.5K
Linda Enriquez	CA	Anatomic Pathology & Clinical Pathology Physician	$886K	$0
Sun Kim	CA	Urology Physician	$434.6K	$7.5K
Rajiv Malik	CA	Hematology & Oncology Physician	$359.2K	$0
Yaser Slayyeh	CA	Specialist	$256.3K	$20.8K
Maira Simental	CA	Radiation Oncology Physician	$132.4K	$0
Brian Bearie	CA	Emergency Medicine Physician	$121.3K	$0

Inpatient Specialists Of California, PC — Billing Profile & Reimbursement Data

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Inpatient Specialists Of California, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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