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 Arizona for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Arizona 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. Arizona (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.

Banner Health (NPI 1003232976)

Banner Health is a general acute care hospital provider located in Casa Grande, Arizona. This profile covers 0 Medicare and 293 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	Banner Health
Address	1828 E Florence Blvd Ste 115
City	Casa Grande
State	AZ
ZIP	85122
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 14, 2014

Payer Source	Total Paid
Medicaid	$55M
Medicare	$0

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

293 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	36,840	$350	$12.9M
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.	45,690	$270	$12.2M
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.	11,460	$720	$8.2M
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.	31,990	$240	$7.6M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,900	$530	$2.6M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	11,510	$140	$1.6M
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	2,830	$540	$1.5M
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	3,840	$370	$1.4M
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.	11,940	$100	$1.2M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	200	$3,980	$779.1K

Showing 1–10 of 293

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arizona Distribution

Banner Health — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

293 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	37	260	1,330	$240	$3.5M
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.	33	260	3,030	$190	$3.4M
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.	39	260	2,600	$170	$2.6M
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.	31	180	1,490	$320	$2.2M
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…	44	110	960	$70	$1.7M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	9	30	70	$3,620	$999.9K
G0378	Hospital observation service, per hour	23	80	6,320	$70	$961.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	311	400	2,110	$70	$800.7K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	41	50	450	$920	$775.4K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	24	150	1,040	$240	$764.4K

Showing 1–10 of 293

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Health	AZ	Critical Access Hospital	$0	$18.2M
Banner Health	AZ	General Acute Care Hospital	$0	$8.3M
Stephen Hopkins	CA	Surgery Physician	$240K	$0
Eric Kraemer	MN	Diagnostic Radiology Physician	$203.5K	$22.7K
Robert Leckie	NV	Diagnostic Radiology Physician	$156.3K	$4.8K
Leon Jackson	NV	Diagnostic Radiology Physician	$112.9K	$0
John Kurylo	CA	Orthopaedic Surgery Physician	$106.6K	$0
Randall Pierce	NV	Diagnostic Radiology Physician	$91K	$9.8K
Nicholas Carlevato	NV	Vascular & Interventional Radiology Physician	$45.1K	$0
Sandra Althaus	NV	Diagnostic Radiology Physician	$39.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sun Life Family Health Center, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$76.7M
Southwest Ambulance Of Casa Grande, Inc.	AZ	Land Ambulance	$2M	$59M
Helping Associates Inc	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.8M
Sun Life Family Health Center, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$12.9M
Banner Urgent Care Arizona LLC	AZ	Urgent Care Clinic/Center	$0	$10.6M
Bhsm Rehabilitation LLC	AZ	Physical Therapy Clinic/Center	$0	$10.3M
Corazon Inc.	AZ	Mental Health Counselor	$0	$9.8M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$0	$7.8M
Robert Mcdonald	AZ	Diagnostic Radiology Physician	$7.5M	$0
Fc Ranger Ops Garnet Of Casa Grande (az), LLC	AZ	Assisted Living Facility	$0	$6.8M

Banner Health — 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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