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.

Native Americans For Community Action, Inc (NPI 1053326751)

Field	Value
Entity Type	Organization
Organization	Native Americans For Community Action, Inc
Address	1500 E Cedar Ave
City	Flagstaff
State	AZ
ZIP	86004
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 30, 2006

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	15,910	$480	$7.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	15,850	$20	$348.8K
T1016	Case management, each 15 minutes	410	$110	$43.4K
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…	1,450	$1	$1.5K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	90	$1	$170
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	10	$0	$0
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	60	$0	$0
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	10	$0	$0
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…	1,310	$0	$0
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$0	$0

Showing 1–10 of 13

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

Native Americans For Community Action, Inc — 0 of 5 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	105	360	3,640	$230	$7.7M
T1016	Case management, each 15 minutes	828	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	195	1,150	1,700	$90	$1M
H0031	Mental health assessment, by non-physician	303	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…	1,177	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…	1,040	2,780	600	$50	$267K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	697	930	200	$70	$97.7K
99443	N/A	95	160	80	$30	$21K
99442	N/A	85	200	140	$10	$12.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	437	630	160	$10	$12K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Native Americans For Community Action, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$26.1M
North Country Healthcare Inc	AZ	Multi-Specialty Clinic/Center	$0	$15.1M
Technical Resource Management LLC	AZ	Clinical Medical Laboratory	$68.2K	$14.7M
Child & Family Support Services, Inc	AZ	Community/Behavioral Health Agency	$0	$13.6M
Guidance Center Inc	AZ	Community/Behavioral Health Agency	$0	$9.2M
Northern Arizona Healthcare Corporation	AZ	Multi-Specialty Clinic/Center	$0	$6M
Kevin Duwe	AZ	Vascular & Interventional Radiology Physician	$857.5K	$8.5K
Ang Chen	AZ	Nephrology Physician	$231.4K	$0
Coconino County	AZ	Public Health or Welfare Agency	$58K	$139K
Steven Jones	AZ	Diagnostic Radiology Physician	$83.2K	$107.7K

Native Americans For Community Action, Inc — Billing Profile & Reimbursement Data

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Native Americans For Community Action, 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

Nearby Providers

Frequently Asked Questions

References