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.

Los Ninos Hospital Inc (NPI 1144317355)

Field	Value
Entity Type	Organization
Organization	Los Ninos Hospital Inc
Address	1402 E. South Mountain Avenue
City	Phoenix
State	AZ
ZIP	85042
Taxonomy	Home Health Agency
NPI Enumerated	October 7, 2006

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	10,100	$380	$3.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	3,570	$360	$1.3M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	9,650	$60	$579.1K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	4,360	$80	$361.9K

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

Los Ninos Hospital Inc — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9124	Nursing care, in the home; by licensed practical nurse, per hour	15	30	10,100	$350	$8.9M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	24	50	3,040	$290	$2.4M
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	8	40	930	$70	$583.1K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	40	110	1,470	$50	$309.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Los Ninos Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Los Ninos Hospital Inc	AZ	Oxygen Equipment & Supplies (DME)	$0	$14M
Heather Sunshine	AZ	Speech-Language Pathologist	$47.9K	$0

Nearby Providers

Other providers in the same ZIP code as Los Ninos Hospital Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hacienda Inc	AZ	Intellectual Disabilities Intermediate Care Facility	$0	$49.2M
Care For Kids Of Arizona, LLC	AZ	General Practice Dentistry	$0	$15.3M
Gisheys Patient Care LLC	AZ	Adult Care Home Facility	$0	$9.9M
Ebony House Inc	AZ	Specialist	$0	$7.9M
Bio-medical Applications Of Arizona, LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.9M
Premier Draw Services LLC	AZ	Clinical Medical Laboratory	$227K	$520
Jocelyn Espinosa	AZ	Speech-Language Pathologist	$12K	$0

Los Ninos Hospital Inc — Billing Profile & Reimbursement Data

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Los Ninos Hospital 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

Related Providers

Nearby Providers

Frequently Asked Questions

References