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.

B--umg Integrated Health Clinic, LLC (NPI 1043758816)

Field	Value
Entity Type	Organization
Organization	B--umg Integrated Health Clinic, LLC
Address	535 N Wilmot Rd Fl 2
City	Tucson
State	AZ
ZIP	85711
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	February 1, 2017

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	58,580	$30	$1.6M
H0031	Mental health assessment, by non-physician	8,060	$140	$1.1M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	14,340	$80	$1.1M
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…	11,720	$70	$832K
H0038	Self‑help/peer services, per 15 minutes	26,630	$30	$692.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	8,910	$60	$552.2K
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…	3,340	$90	$307K
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…	3,800	$60	$235.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	3,080	$60	$175.6K
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…	980	$150	$150.3K

Showing 1–10 of 30

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

B--umg Integrated Health Clinic, LLC — 2 of 21 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	136	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	291	1,150	1,700	$90	$1M
H0038	Self‑help/peer services, per 15 minutes	26	580	1,250	$80	$479.7K
H0031	Mental health assessment, by non-physician	67	810	280	$120	$360.5K
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…	331	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…	575	2,780	600	$50	$267K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	43	80	170	$100	$189K
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…	106	480	150	$110	$134.3K
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…	42	380	380	$80	$121.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	28	220	300	$50	$113.5K

Showing 1–10 of 30

Nearby Providers

Other providers in the same ZIP code as B--umg Integrated Health Clinic, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Cerebral Palsy Of Southern Arizona, Inc	AZ	Home Health Agency	$0	$131.1M
Arizona Consumer Direct Personal Care	AZ	Home Health Agency	$0	$121.6M
Smsj Tucson Holdings LLC	AZ	General Acute Care Hospital	$0	$28.9M
Southern Arizona Family Services, Inc.	AZ	In Home Supportive Care Agency	$0	$28.5M
Cope Community Services, Inc.	AZ	Methadone Clinic	$0	$27.5M
Dependable Nurses, Inc.	AZ	Home Health Agency	$0	$26.5M
Radiology Ltd., LLC	AZ	Diagnostic Radiology Physician	$0	$24.2M
Intermountain Health Center Inc	AZ	Multi-Specialty Clinic/Center	$0	$22.9M
Arizona Community Physicians PC	AZ	Internal Medicine Physician	$0	$22.5M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.2M

B--umg Integrated Health Clinic, LLC — Billing Profile & Reimbursement Data

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B--umg Integrated Health Clinic, 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

Nearby Providers

Frequently Asked Questions

References