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.

Summit Healthcare Association (NPI 1144209271)

Summit Healthcare Association is a rural acute care hospital provider located in Show Low, Arizona. This profile covers 0 Medicare and 327 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	Summit Healthcare Association
Address	2200 E Show Low Lake Rd
City	Show Low
State	AZ
ZIP	85901
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	January 17, 2006

Payer Source	Total Paid
Medicaid	$50.7M
Medicare	$0

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

327 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11,470	$750	$8.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30,330	$260	$8M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	31,020	$230	$7M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	17,420	$300	$5.2M
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	4,210	$440	$1.9M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,900	$140	$1.4M
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	4,290	$270	$1.2M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	9,670	$110	$1.1M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	8,830	$120	$1M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	3,720	$260	$981.8K

Showing 1–10 of 327

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

Summit Healthcare Association — 1 of 25 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

327 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	66	260	1,330	$240	$3.5M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	49	260	3,030	$190	$3.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	42	260	2,600	$170	$2.6M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	30	180	1,490	$320	$2.2M
G0378	Hospital observation service, per hour	42	80	6,320	$70	$961.9K
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	8	20	250	$40	$915.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	123	400	2,110	$70	$800.7K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	28	50	450	$920	$775.4K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	63	150	1,040	$240	$764.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	160	1,640	$110	$710.7K

Showing 1–10 of 327

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Summit Healthcare Medical Associates	AZ	Family Medicine Physician	$0	$15.5M
Basel Shoua	AZ	Hematology & Oncology Physician	$1.4M	$0
Subhakar Mutyala	AZ	Radiation Oncology Physician	$1.1M	$0
Tam Nguyen	AZ	Radiation Oncology Physician	$1M	$0
Joseph Rosen	AZ	Medical Oncology Physician	$978.5K	$0
Steven Sckolnik	AZ	Radiation Oncology Physician	$957.8K	$0
Riyaz Sumar	AZ	Cardiovascular Disease Physician	$538.4K	$0
Ernesto Gomez	AZ	Obstetrics & Gynecology Physician	$532.6K	$0
Veronica Rodriguez-romero	NV	Family Nurse Practitioner	$531.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Changepoint Integrated Health	AZ	Community/Behavioral Health Agency	$0	$15.7M
Guardian Flight LLC	AZ	Air Ambulance	$389.9K	$3.5M
Guardian Flight LLC	AZ	Air Ambulance	$663.5K	$3.1M
Travis Hamblin	AZ	Dermatology Physician	$1.1M	$0
Barnet Dulaney Perkins Eye Center, PC	AZ	Ambulatory Surgical Clinic/Center	$783.1K	$267.4K
Alliance Healthcare Services Inc	AZ	Mobile Radiology Clinic/Center	$461.8K	$0
John Knippers	AZ	Ophthalmology Physician	$373.8K	$0
Leon Driss	AZ	Internal Medicine Physician	$259.6K	$0
Milton Randall	AZ	Physical Therapist	$245K	$0
Peter Niemczyk	AZ	Urology Physician	$210.5K	$0

Summit Healthcare Association — Billing Profile & Reimbursement Data

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Summit Healthcare Association — 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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