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.

Northwest Allied Physicians LLC (NPI 1003833179)

Northwest Allied Physicians LLC is a general practice physician provider located in Tucson, Arizona. This profile covers 0 Medicare and 115 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	Northwest Allied Physicians LLC
Address	6060 N Fountain Plaza Dr Ste 270
City	Tucson
State	AZ
ZIP	85704
Taxonomy	General Practice Physician
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicaid	$10.3M
Medicare	$0

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

115 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…	95,340	$60	$5.7M
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…	31,180	$40	$1.3M
99203	The provider sees a new 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 provider…	12,150	$60	$753.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	6,170	$80	$518.2K
99204	The provider sees a new 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 provider…	4,980	$90	$458.1K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	1,820	$140	$247.7K
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…	4,390	$50	$214.9K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	1,160	$170	$197.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	1,440	$120	$178.6K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	670	$140	$91K

Showing 1–10 of 115

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

Northwest Allied Physicians LLC — 5 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

115 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	503	540	900	$60	$475.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	7	180	590	$250	$360.9K
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…	34	3,040	750	$50	$343.9K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	54	60	170	$520	$343.4K
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…	40	240	660	$120	$309.1K
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…	121	150	250	$60	$293.9K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	9	10	810	$60	$284.3K
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…	110	2,780	600	$50	$267K
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…	208	610	610	$50	$258.3K
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…	73	140	580	$70	$251.3K

Showing 1–10 of 115

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moeen Din	AZ	Neurology Physician	$408.6K	$0
Aynur Okcay	AZ	Sleep Medicine (Family Medicine) Physician	$398.7K	$0
Robert Hoy	AZ	Physician Assistant	$356.9K	$0
Jenne Myers	AZ	Urology Physician	$288.5K	$0
Sam Alnajjar	AZ	Critical Care Medicine (Internal Medicine) Physician	$280.2K	$0
Hoang Thai	AZ	Cardiovascular Disease Physician	$200.5K	$0
Sulaiman Rathore	AZ	Interventional Cardiology Physician	$198.5K	$0
Dexter De Leon	AZ	Interventional Cardiology Physician	$189.1K	$0
James Abanishe	NY	Psychiatry Physician	$112.2K	$69.2K
Jules Manger	AZ	Urology Physician	$180.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Ob Gyn PLLC	AZ	Obstetrics & Gynecology Physician	$0	$21.7M
Rasw, PC	AZ	Retina Specialist (Ophthalmology) Physician	$0	$11.6M
Sonora Behavioral Health Hospital, LLC	AZ	Psychiatric Hospital	$0	$9.8M
Southern Arizona Urgent Care LLC	AZ	Urgent Care Clinic/Center	$0	$7.8M
Al Shaafi Medical PC	AZ	Pediatrics Physician	$0	$7.6M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$0	$7.6M
Pediatrics Gps, Inc	AZ	Pediatrics Physician	$0	$6.2M
Pima Heart Asc LLC	AZ	Ambulatory Surgical Clinic/Center	$3.7M	$59.7K
Ryan Wong	AZ	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Anthony Joseph	AZ	Retina Specialist (Ophthalmology) Physician	$2.2M	$0

Northwest Allied Physicians LLC — 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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