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.

Southwest Neurology And Sleep Medicine LLC (NPI 1104122621)

Southwest Neurology And Sleep Medicine LLC is a neurology physician provider located in Phoenix, Arizona. This profile covers 0 Medicare and 18 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	Southwest Neurology And Sleep Medicine LLC
Address	2401 W Glendale Ave Ste 203
City	Phoenix
State	AZ
ZIP	85021
Taxonomy	Neurology Physician
NPI Enumerated	January 31, 2011

Payer Source	Total Paid
Medicaid	$15.9M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	4,980	$1,020	$5.1M
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	9,360	$360	$3.4M
95951	N/A	1,330	$1,480	$2M
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…	22,890	$60	$1.4M
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	2,260	$530	$1.2M
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	5,410	$190	$1M
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	4,230	$180	$748K
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…	5,830	$90	$495.7K
99205	The provider sees a new 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 provider…	2,230	$90	$209.7K
95713	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 2 to 12 hours with continuous, real–time monitoring and maintenance. A video recording is made,…	170	$640	$108K

Showing 1–10 of 18

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

Southwest Neurology And Sleep Medicine LLC — 5 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95716	The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…	1	10	4,980	$1,020	$5.1M
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…	175	3,040	750	$50	$343.9K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	57	60	170	$520	$343.4K
95951	N/A	3	10	60	$530	$339.3K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	2	10	310	$180	$295.8K
95700	The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…	1	10	250	$540	$273.1K
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…	1,519	2,780	600	$50	$267K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	1	40	170	$260	$264.1K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	24	60	210	$120	$165.3K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	56	180	120	$120	$157.9K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maricopa Ambulance, LLC	AZ	Land Ambulance	$7.7M	$119.4M
Dynometrics Inc	AZ	Home Health Agency	$0	$30.2M
Safe Keepings Counseling LLC	AZ	Adult Mental Health Clinic/Center	$0	$19.4M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$117.3K	$18.4M
Kls Behavioral Health LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$17M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$15.8M
Debbies House LLC	AZ	Mental Health Counselor	$0	$11.5M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$75.3K	$10.8M
Terros, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.6M
Putting U First LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.4M

Southwest Neurology And Sleep Medicine LLC — Billing Profile & Reimbursement Data

Sign up for Southwest Neurology And Sleep Medicine LLC — Billing Profile & Reimbursement Data policy alerts

Southwest Neurology And Sleep Medicine LLC — Billing Profile & Reimbursement Data

Sign up for Southwest Neurology And Sleep Medicine LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References