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.

Mayo Clinic Arizona (NPI 1154392231)

Mayo Clinic Arizona is a general acute care hospital provider located in Phoenix, Arizona. This profile covers 0 Medicare and 216 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	Mayo Clinic Arizona
Address	5777 E Mayo Blvd
City	Phoenix
State	AZ
ZIP	85054
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

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

216 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.	14,270	$420	$6M
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.	7,420	$250	$1.8M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,890	$420	$789K
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.	4,320	$150	$631K
G0378	Hospital observation service, per hour	5,620	$90	$483.1K
86832	The lab analyst performs a solid phase immunoassay using patient serum to identify the presence of specific antibodies to specific Class I human leukocyte antigens, or HLA, using a high–definition…	3,270	$140	$444.3K
50200	In this procedure. A physician inserts a collection needle into the kidney to collect a sample for further diagnostic biopsy.	680	$480	$322.9K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	40	$7,020	$301.8K
87497	The lab analyst performs a test to quantify infection with cytomegalovirus, or CMV, using nucleic acid probe technique. CMV may cause severe illness in newborns and immunocompromised patients.	3,720	$80	$289.8K
77523	This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…	780	$340	$267.9K

Showing 1–10 of 216

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

Mayo Clinic Arizona — 2 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

216 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.	69	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.	97	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.	118	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.	69	180	1,490	$320	$2.2M
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…	31	110	960	$70	$1.7M
G0378	Hospital observation service, per hour	44	80	6,320	$70	$961.9K
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.	72	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.	98	160	1,640	$110	$710.7K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	23	40	190	$30	$662.3K
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.	82	180	1,770	$80	$635.2K

Showing 1–10 of 216

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayo Collaborative Services, Inc	MN	Clinical Medical Laboratory	$6.5M	$39.2M
Sachin Mehta	AZ	Retina Specialist (Ophthalmology) Physician	$4.4M	$11.8K
Mayo Clinic Arizona	AZ	Clinical Medical Laboratory	$3.1M	$76.8K
Ryan Robetorye	AZ	Clinical Pathology/Laboratory Medicine Physician	$2.3M	$0
Allison Rosenthal	AZ	Hematology & Oncology Physician	$1.9M	$0
Lisa Sproat	AZ	Hematology & Oncology Physician	$1.9M	$0
Cecilia Arana Yi	AZ	Hematology & Oncology Physician	$1.8M	$0
Jason Young	FL	Diagnostic Radiology Physician	$1.7M	$0
Nathan Punwani	AZ	Hematology & Oncology Physician	$1.6M	$0
Caleb Scheckel	OK	Hematology & Oncology Physician	$1.6M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scottsdale Pediatrics And Pediatric Nephrology, PLLC	AZ	Pediatrics Physician	$0	$10.5M
Steve Huang	AZ	Nuclear Medicine Physician	$1.4M	$0
Talal Hilal	AZ	Hematology & Oncology Physician	$1.2M	$0
Premal Desai	AZ	Urology Physician	$926.2K	$0
Mahesh Seetharam	AZ	Hematology & Oncology Physician	$733.7K	$0
Joshua Duncan	AZ	Ophthalmology Physician	$540.5K	$0
Jonathan Levin	AZ	Ophthalmology Physician	$442.6K	$0
Brad Bruns	AZ	Orthopaedic Surgery Physician	$379.2K	$0
Philip To	AZ	Orthopaedic Hand Surgery Physician	$288.1K	$0
Stephen Finberg	AZ	Pulmonary Disease Physician	$278.7K	$0

Mayo Clinic Arizona — Billing Profile & Reimbursement Data

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Mayo Clinic Arizona — 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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