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.

Arizona Allergy Asthma & Immunology Consultants Plc (NPI 1093748550)

Arizona Allergy Asthma & Immunology Consultants Plc is a allergy & immunology physician provider located in Chandler, Arizona. This profile covers 0 Medicare and 10 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	Arizona Allergy Asthma & Immunology Consultants Plc
Address	705 S Dobson Rd
City	Chandler
State	AZ
ZIP	85224
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	July 8, 2006

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	11,620	$230	$2.7M
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	10,310	$220	$2.3M
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	58,810	$10	$588.1K
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…	5,530	$110	$586.5K
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…	7,400	$70	$510.8K
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…	1,300	$50	$67.4K
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…	880	$70	$62.3K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	1,690	$30	$42.3K
95012	The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who…	160	$20	$2.4K
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.	70	$20	$1K

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

Arizona Allergy Asthma & Immunology Consultants Plc — 4 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	4	80	510	$280	$643.5K
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.	264	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…	477	3,040	750	$50	$343.9K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	1	80	150	$360	$320.3K
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…	1,046	2,780	600	$50	$267K
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…	224	1,030	130	$70	$134.1K
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…	52	1,160	150	$90	$96.5K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	1	80	1,200	$10	$47.2K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	9	80	180	$40	$38.8K
95012	The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who…	15	20	290	$10	$8.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arion Care Solutions, LLC	AZ	In Home Supportive Care Agency	$0	$608.8M
Dignity Community Care	AZ	General Acute Care Hospital	$0	$71M
Momdoc, LLC	AZ	Obstetrics & Gynecology Physician	$0	$63.3M
Valley Perinatal Services, LLC	AZ	Maternal & Fetal Medicine Physician	$0	$23.6M
Amy Grulke, PLLC	AZ	Speech-Language Pathologist	$0	$21M
Phoenix Neurological Institute, Inc	AZ	Neurology Physician	$0	$18M
360 Physical Therapy LLC	AZ	Multi-Specialty Clinic/Center	$0	$16.8M
Phoenician Medical Center, Inc	AZ	Family Medicine Physician	$0	$15.7M
Twelfth One, LLC	AZ	Home Infusion Therapy Pharmacy	$0	$14.3M
Chandler Emergency Medical Group, LLC	AZ	Emergency Medicine Physician	$0	$14.3M

Arizona Allergy Asthma & Immunology Consultants Plc — Billing Profile & Reimbursement Data

Sign up for Arizona Allergy Asthma & Immunology Consultants Plc — Billing Profile & Reimbursement Data policy alerts

Arizona Allergy Asthma & Immunology Consultants Plc — Billing Profile & Reimbursement Data

Sign up for Arizona Allergy Asthma & Immunology Consultants Plc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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