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.

Mariposa Community Health Center, Inc (NPI 1003837618)

Mariposa Community Health Center, Inc is a federally qualified health center (fqhc) provider located in Patagonia, Arizona. This profile covers 0 Medicare and 130 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Competitive Analysis & Benchmarks

Field	Value
Entity Type	Organization
Organization	Mariposa Community Health Center, Inc
Address	101 Taylor Street
City	Patagonia
State	AZ
ZIP	85624
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	64,870	$200	$13M
0001A	N/A	1,220	$0	$0
0002A	N/A	1,140	$0	$0
0004A	N/A	100	$0	$0
0011A	N/A	1,930	$0	$0
0012A	N/A	1,980	$0	$0
0031A	N/A	120	$0	$0
0054A	N/A	110	$0	$0
0064A	N/A	810	$0	$0
0071A	N/A	320	$0	$0

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

Mariposa Community Health Center, Inc — 0 of 1 code 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

130 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	43	360	3,640	$230	$7.7M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	23	400	200	$120	$403K
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…	352	3,040	750	$50	$343.9K
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…	49	2,780	600	$50	$267K
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…	58	140	580	$70	$251.3K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	57	420	600	$30	$177K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	51	300	860	$50	$165.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	50	300	690	$60	$155.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	342	480	150	$110	$134.3K
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…	749	1,030	130	$70	$134.1K

Showing 1–10 of 130

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mariposa Community Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$67.8M
Tuan Vo	AZ	Family Medicine Physician	$42.9K	$0
Kavir Saxena	NE	Psychiatry Physician	$30.9K	$0
Eladio Pereira	AZ	Internal Medicine Physician	$28.1K	$0

Mariposa Community Health Center, Inc — Billing Profile & Reimbursement Data

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Mariposa Community Health Center, Inc — 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

Frequently Asked Questions

References