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.

Vein Center Of Arizona (NPI 1073929121)

Vein Center Of Arizona is a phlebology physician provider located in Yuma, Arizona. This profile covers 0 Medicare and 15 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	Vein Center Of Arizona
Address	2603 S 4th Ave
City	Yuma
State	AZ
ZIP	85364
Taxonomy	Phlebology Physician
NPI Enumerated	July 9, 2014

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36478	In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…	7,840	$820	$6.4M
36479	In this add–on procedure the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in a single extremity. The provider performs…	3,180	$210	$654.3K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	3,990	$140	$574.3K
37766	In this procedure, the provider excises and removes varicose veins through 20 or more very small incisions.	1,400	$290	$404K
36471	In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…	4,790	$80	$373.5K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	390	$850	$330.1K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	8,290	$30	$232.1K
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…	4,980	$40	$219.1K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	1,950	$100	$185.3K
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…	3,020	$60	$184.2K

Showing 1–10 of 15

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

Vein Center Of Arizona — 5 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36478	In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…	1	10	1,430	$750	$1.5M
37766	In this procedure, the provider excises and removes varicose veins through 20 or more very small incisions.	1	10	1,400	$290	$404.5K
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…	2,010	3,040	750	$50	$343.9K
36479	In this add–on procedure the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in a single extremity. The provider performs…	1	10	1,600	$210	$327.9K
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…	495	2,780	600	$50	$267K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	3	20	100	$950	$166.2K
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…	89	1,030	130	$70	$134.1K
36471	In this procedure, the provider injects a sclerosing solution into more than one incompetent veins of the same leg, most commonly to treat varicose veins. It may be used to treat other vascular…	1	10	50	$110	$102.4K
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…	638	1,160	150	$90	$96.5K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	10	150	270	$90	$88.9K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yuma Regional Medical Center	AZ	General Acute Care Hospital	$0	$278.5M
Sunset Community Health Center Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$82.3M
Saguaro Foundation	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$73.5M
Community Intervention Associates	AZ	Community/Behavioral Health Agency	$0	$58.9M
Yuma Dentistry 4 Kids PLLC	AZ	General Practice Dentistry	$0	$16.6M
Colorado River Behavioral Health System	AZ	Community/Behavioral Health Agency	$0	$13M
Dva Healthcare Renal Care Inc	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$12.8M
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$12.7M
City Of Yuma	AZ	Land Ambulance	$896.2K	$10.7M
Crossroads Mission	AZ	Substance Abuse Rehabilitation Facility	$0	$11M

Vein Center Of Arizona — 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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