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.

Southern California Permanente Medical Group (NPI 1982863783)

Southern California Permanente Medical Group is a health maintenance organization provider located in Lancaster, California. This profile covers 0 Medicare and 309 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	Southern California Permanente Medical Group
Address	43112 N 15th St
City	Lancaster
State	CA
ZIP	93534
Taxonomy	Health Maintenance Organization
NPI Enumerated	June 6, 2008

Payer Source	Total Paid
Medicaid	$25.5M
Medicare	$0

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

309 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	99,680	$70	$7M
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…	98,970	$20	$2.4M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	10,490	$70	$724.1K
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,…	31,840	$20	$573.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	5,640	$100	$552.5K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	3,250	$160	$532.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	9,300	$50	$483.6K
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.	1,200	$370	$447.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	71,050	$10	$426.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,650	$210	$348.7K

Showing 1–10 of 309

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

Southern California Permanente Medical Group — 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

309 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	38	110	190	$140	$1.6M
81329	The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,…	25	60	400	$40	$748.5K
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)…	162	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.	387	780	1,160	$130	$576.2K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	132	360	840	$160	$495.3K
J0585	Injection, onabotulinumtoxina, 1 unit	93	110	260	$590	$407.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	991	4,290	780	$140	$400.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	272	510	3,760	$50	$383.4K
J7307	Etonogestrel (contraceptive) implant system, including implant and supplies	232	250	120	$850	$378K
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.	403	900	1,400	$60	$342.7K

Showing 1–10 of 309

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Antelope Valley Health Care District	CA	General Acute Care Hospital	$0	$222.3M
Antelope Valley Emergency Medical Associates Inc	CA	Emergency Medicine Physician	$0	$31.3M
American Medical Response Of Southern California	CA	Ambulance	$3.7M	$27M
Advanced Endoscopy And Pain Center LLC	CA	Ambulatory Surgical Clinic/Center	$972.5K	$4.4M
Embassy Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$1.9M	$55.5K
Antelope Valley Outpatient Imaging Center, LLC	CA	Diagnostic Radiology Physician	$1.4M	$182.8K
Apollo Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$488.9K	$648.9K
Mark Beller	CA	Diagnostic Radiology Physician	$1.1M	$510
Kanagaratnam Sivalingam	CA	Geriatric Medicine (Internal Medicine) Physician	$1M	$0
Thomas Nasser	CA	Physical Medicine & Rehabilitation Physician	$864.5K	$380

Southern California Permanente Medical Group — Billing Profile & Reimbursement Data

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Southern California Permanente Medical Group — 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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References