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.

San Luis Walk-in Clinic, Inc. (NPI 1003991506)

Field	Value
Entity Type	Organization
Organization	San Luis Walk-in Clinic, Inc.
Address	950 E Main St Bldg B
City	Somerton
State	AZ
ZIP	85350
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$107.3M
Medicare	$0

Key Findings

Medicaid revenue is overwhelmingly concentrated: the provider reports $107.3M in total Medicaid revenue and the precomputed top 3 codes by revenue account for 99.1% of that total. T1015 alone generates $103.3M (96.3% of Medicaid revenue) from 508.9K claims at a $203 avg paid/claim, while T1016 and H0004 contribute $2.3M (2.1%) and $672K (0.6%) respectively, illustrating an extreme concentration in a very small set of service codes.

Business and service-line profile aligns with a high-volume rural clinic model: the dominant code T1015 (Clinic visit/encounter, all-inclusive) and substantial volumes in T1016 (Case management, each 15 minutes) and H0004 (Behavioral health counseling and therapy, per 15 minutes) indicate core operations focused on bundled clinic encounters, case management, and behavioral health services. The combination of an RHC taxonomy and these codes suggests day-to-day delivery is centered on high-frequency outpatient visits and ongoing community behavioral health/case management rather than specialty or inpatient care.

This entity is effectively single-payer in practice: there is no Medicare billing on file while Medicaid accounts for $107.3M in lifetime revenue, positioning the organization as primarily Medicaid-dependent for its billed services. Analysts should treat Medicaid policy, fee schedules, and state contracting as the dominant drivers of revenue and utilization for this clinic.

Competitive standing is pronounced for its principal clinic code: T1015 ranks #4 of 357 providers in-state (99th percentile; extreme outlier), signifying a dominant statewide presence for that all-inclusive clinic visit code. By contrast, other codes that drive far smaller shares of revenue still show above-typical statewide activity (for example, T1016 ranks #160 of 1157, 86th percentile), indicating strong leadership in a narrow set of services rather than broad-based market dominance across many codes.

Several CPT/HCPCS entries show unusually high-volume, low-paid encounters consistent with high-throughput outpatient workflows: 99212 appears with 109.9K claims at $1 avg paid/claim and $109.9K revenue, ranking #1 of 852 providers in-state (100th percentile; extreme outlier), and telephone/telehealth codes such as 99443 (61.6K claims, $1 avg, $61.6K revenue) and 99441 (15.5K claims, $1 avg, $15.5K revenue) also rank at the top of the state (100th percentile; extreme outlier). These patterns point to very large volumes of brief encounters or non-face-to-face visits contributing materially to utilization counts even when per-claim reimbursement is low.

Operational sensitivity is high due to revenue concentration: with 96.3% of Medicaid revenue coming from a single code (T1015), changes to Medicaid reimbursement policy, billing eligibility for bundled clinic visits, or audit scrutiny specific to that code would materially affect revenue. The provider has some revenue diversification into case management and behavioral health (T1016, H0004), but those lines represent only a small fraction of total dollars.

Service mix includes ancillary high-volume items and episodic services beyond core clinic visits: examples include immunization activity (90656 with 5.5K claims, $5.5K revenue; ranks #1 of 169, 100th percentile; extreme outlier) and a modest number of delivery admissions (59409, 82 claims, $907 avg paid/claim, $74.4K revenue). These entries are small in dollar terms relative to T1015 but indicate the clinic also provides preventive immunizations and occasional maternity-related services.

Long-tenured local presence: the provider’s NPI was enumerated on 2006-10-25 (~20 years ago), indicating an established operating history in Somerton, AZ. That tenure, combined with the clinic’s dominant in-state rankings on several codes, suggests sustained patient volume and entrenched workflows around the Medicaid populations it serves.

Medicaid: Complete Services Breakdown

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

247 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	508,940	$200	$103.3M
T1016	Case management, each 15 minutes	44,700	$50	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	39,530	$20	$672K
H0031	Mental health assessment, by non-physician	19,870	$10	$198.7K
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…	89,090	$1	$178.2K
H2014	Skills training and development, per 15 minutes	43,850	$1	$131.5K
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,…	109,880	$1	$109.9K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	80	$910	$74.4K
99443	N/A	61,580	$1	$61.6K
S0215	Non-emergency transportation; mileage, per mile	1,650	$30	$41.3K

Showing 1–10 of 247

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

San Luis Walk-in Clinic, Inc. — 13 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

247 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	4	360	3,640	$230	$7.7M
T1016	Case management, each 15 minutes	160	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	334	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	71	1,150	1,700	$90	$1M
80081	The lab analyst performs an obstetric panel; this panel must include tests for a complete blood count with differential, a hepatitis B surface antigen test, a single–result test for HIV–1 antigens…	4	10	17,850	$30	$995.7K
H2014	Skills training and development, per 15 minutes	42	780	1,610	$100	$868.2K
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…	76	400	2,110	$70	$800.7K
S0209	Wheelchair van, mileage, per mile	61	90	1,980	$20	$710.8K
H2027	Psychoeducational service, per 15 minutes	135	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	522	580	1,250	$80	$479.7K

Showing 1–10 of 247

Related Providers

Other providers that share a Tax Identification Number (TIN) with San Luis Walk-in Clinic, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Luis Walk-in Clinic, Inc.	AZ	Urgent Care Clinic/Center	$0	$17.8M
San Luis Walk-in Clinic, Inc.	AZ	Rural Health Clinic/Center	$0	$15.8M
San Luis Walk-in Clinic, Inc.	AZ	Rural Health Clinic/Center	$0	$8.3M
San Luis Walk-in Clinic, Inc.	AZ	Rural Health Clinic/Center	$0	$8.2M
San Luis Walk-in Clinic, Inc.	AZ	Urgent Care Clinic/Center	$0	$6.8M
Kanagasabai Muthu	AZ	Anesthesiology Physician	$25.3K	$0

San Luis Walk-in Clinic, Inc. — Billing Profile & Reimbursement Data

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San Luis Walk-in Clinic, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References