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.

Banner Thunderbird Medical Center (NPI 1154355188)

Field	Value
Entity Type	Organization
Organization	Banner Thunderbird Medical Center
Address	5555 W Thunderbird Rd
City	Glendale
State	AZ
ZIP	85306
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$140.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer on file: Total Medicaid revenue is $140.1M and there is no Medicare billing on file. The NPI was enumerated 2006-07-10 (~20 years ago), indicating the facility has been operating under this identifier for roughly two decades.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top 3 Medicaid codes account for 63.0% of the provider’s total Medicaid revenue, driven by 99285 (27.2%), 99284 (21.5%), and 99283 (14.3%). This concentration shows the ED is the primary revenue engine for Medicaid patients at this hospital.

Operationally the code mix and volumes point to a very high‑volume emergency department that manages a full acuity spectrum: 99284 has 95.8K claims for $28M revenue ($292 avg paid/claim), 99285 has 77.3K claims for $35.3M revenue ($456 avg paid/claim), and 99283 has 75.8K claims for $18.6M revenue ($245 avg paid/claim). The combination of high claim counts and substantial average payments on higher‑level ED codes indicates sustained throughput of moderate and high‑acuity ED visits.

Hospital observation hours are an extreme outlier versus in‑state peers: G0378 shows 76.7K claims, $33 avg paid/claim, $2.5M revenue and ranks #1 of 76 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). This pattern suggests extensive use of observation care as part of ED throughput and short‑stay management.

The facility maintains significant diagnostic and critical care capacity: CT abdomen/pelvis with contrast 74177 accounts for $11.7M (9.0%) and ranks #20 of 175 (89th percentile; typical), while 99291 critical care contributes $5.7M (4.4%) and ranks #23 of 200 (89th percentile; typical). Those volumes, together with multiple CT/MRI entries, indicate ready access to advanced imaging and capacity to manage higher‑acuity admissions.

Active inpatient/general surgical services are supported by strong procedural volumes: cholecystectomy 47562 generated $3.9M (3.0%) and ranks #3 of 30 providers in-state (93th percentile; notably above typical state volume), appendectomy 44970 produced $2.6M (2.0%) and ranks #3 of 14 (85th percentile), and hysterectomy 58571 produced $1.4M (1.0%) and ranks #2 of 10 (89th percentile). These placements show the hospital is a key regional provider for common general surgery and some gynecologic procedures.

On competitive standing for emergency services, the provider is a major in‑state ED player: 99285 ranks #12 of 257 (96th percentile; notably above typical), 99284 ranks #14 of 259 (95th percentile; notably above typical), and 99283 ranks #12 of 258 (96th percentile; notably above typical). Across those core ED codes the hospital consistently sits in the top decile statewide for volume and revenue.

The combination of a Medicaid‑only revenue base ($140.1M) and a heavy concentration in a small set of ED codes (top 3 = 63.0%) implies the hospital’s financial profile is highly exposed to Medicaid utilization and reimbursement shifts tied to emergency care and observation practices. At the same time, diversified contributions from imaging, critical care, and several surgical procedures provide secondary revenue streams that moderate pure single‑service dependency.

Medicaid: Complete Services Breakdown

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

474 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	77,310	$460	$35.3M
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.	95,760	$290	$28M
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.	75,770	$250	$18.6M
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.	18,570	$630	$11.7M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6,500	$880	$5.7M
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.	9,940	$420	$4.2M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	1,100	$3,540	$3.9M
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.	24,170	$130	$3.1M
44970	Laparoscopy, surgical, appendectomy	740	$3,510	$2.6M
G0378	Hospital observation service, per hour	76,660	$30	$2.5M

Showing 1–10 of 474

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

Banner Thunderbird Medical Center — 4 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

474 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.	12	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.	14	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.	12	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.	20	180	1,490	$320	$2.2M
44970	Laparoscopy, surgical, appendectomy	3	10	110	$4,670	$2.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	19	110	960	$70	$1.7M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	13	20	160	$270	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	9	10	240	$3,390	$1M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	3	30	70	$3,620	$999.9K
G0378	Hospital observation service, per hour	1	80	6,320	$70	$961.9K

Showing 1–10 of 474

Nearby Providers

Other providers in the same ZIP code as Banner Thunderbird Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Valley Emergency Specialists	AZ	Emergency Medicine Physician	$0	$23.2M
Emeritus Properties Ngh, LLC	AZ	Assisted Living Facility	$0	$12.1M
Satinder S. Purewal, M.d. LLC	AZ	Psychiatry Physician	$0	$9.4M
Founders Healthcare, LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$8.9M
Jewish Family & Children's Service	AZ	Community/Behavioral Health Agency	$0	$7.5M
Children's Medical Group, Ltd	AZ	Pediatrics Physician	$0	$7.5M
Mona Amin	AZ	Rheumatology Physician	$2.7M	$0
Andrew Sharobeem	AZ	Rheumatology Physician	$2.3M	$0
Adam Leon	AZ	Nurse Practitioner	$2M	$0
Murali Murty	AZ	Radiation Oncology Physician	$1.3M	$0

Banner Thunderbird Medical Center — Billing Profile & Reimbursement Data

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Banner Thunderbird Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References