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.

Agh Laveen LLC (NPI 1154748416)

Key Findings

Field	Value
Entity Type	Organization
Organization	Agh Laveen LLC
Address	7171 S. 51st Avenue
City	Laveen
State	AZ
ZIP	85339
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 25, 2014

Payer Source	Total Paid
Medicaid	$109.2M
Medicare	$0

This provider is effectively single-payer in scope: there is no Medicare billing on file and all reported lifetime federal payer revenue is Medicaid totaling $109.2M. The provider’s NPI was enumerated on 2014-03-25 (approximately 12 years ago), indicating an established operations history in LAVEEN, AZ under the General Acute Care Hospital taxonomy.

Revenue is highly concentrated in a small set of emergency department E/M codes: the precomputed top three Medicaid codes (99284, 99283, 99285) account for 81.3% of the provider’s total Medicaid revenue. Those three codes are reported as $33.2M (30.5%), $31M (28.4%), and $24.4M (22.4%) respectively, which together drive the bulk of the $109.2M Medicaid footprint.

The code mix shows an emergency-department–centric operating model. High claim volumes and revenue for 99283 (182.4K claims, $170 avg paid/claim, $31M revenue), 99284 (132.4K claims, $251 avg paid/claim, $33.2M revenue), and 99285 (74.6K claims, $327 avg paid/claim, $24.4M revenue) indicate sustained ED throughput across low, moderate, and high E/M complexity levels; presence of 99291 (1.8K claims, $867 avg paid/claim, $1.5M) further signals some critical-care activity tied to acute presentations.

State-level competitive standing for core ED codes is dominant to extreme: 99283 ranks #2 of 258 providers in-state at the 100th percentile (labeled an extreme outlier), and 99284 ranks #4 of 259 at the 99th percentile (also an extreme outlier). 99285 ranks #14 of 257 at the 95th percentile (notably above typical state volume). Collectively these ranks position the hospital as a major statewide ED provider for Medicaid patients.

Beyond E/M codes, imaging is a meaningful secondary revenue stream consistent with ED workflows: 74177 contributes $7.7M (7.0% of Medicaid revenue) with 14.7K claims and ranks #23 of 175 (87th percentile), while 74176 contributes $3M (2.8%) with 16.2K claims and ranks #4 of 150 (98th percentile). Additional CT codes (e.g., 71275 at $1.8M) and head CT 70450 ($1.1M) underline substantial diagnostic imaging tied to acute care.

Several ancillary service codes are statistical outliers for the state, reinforcing ED/inpatient procedural intensity. The provider is the statewide top reporter (rank #1) for both 10060 (3K claims, $127.2K revenue; labeled extreme outlier) and J0561 (1.6K claims, $23.9K revenue; labeled extreme outlier). High-volume infusion/administration codes—96361 (31.9K claims, $95.7K revenue; 96th percentile, notably above typical) and 96375 (40.8K claims, $40.8K revenue; 92nd percentile, notably above typical)—further reflect routine ED/infusion activity.

The practical business implication of the observed mix is concentration risk: with 81.3% of Medicaid revenue tied to three ED codes, changes in ED reimbursement policy, triage patterns, or payer mix could materially affect revenue. The remaining reported Medicaid revenue is spread across diagnostic imaging, critical care, observation, and high-volume low-paid infusion codes, suggesting operational depth in acute diagnostics and procedural throughput but limited diversification away from emergency services.

Medicaid: Complete Services Breakdown

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

256 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	132,380	$250	$33.2M
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.	182,400	$170	$31M
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.	74,580	$330	$24.4M
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.	14,700	$520	$7.7M
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.	16,210	$190	$3M
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.	27,180	$100	$2.8M
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…	4,040	$460	$1.8M
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…	1,760	$870	$1.5M
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.	15,970	$70	$1.1M
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	5,190	$180	$913.6K

Showing 1–10 of 256

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

Agh Laveen LLC — 6 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

256 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.	14	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.	4	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.	2	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.	23	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…	11	110	960	$70	$1.7M
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.	25	30	70	$3,620	$999.9K
G0378	Hospital observation service, per hour	40	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.	4	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.	10	160	1,640	$110	$710.7K
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	180	1,770	$80	$635.2K

Showing 1–10 of 256

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
White Horse Medical Transportation	AZ	Secured Medical Transport (VAN)	$0	$21.7M
Gila River Health Care	AZ	Substance Abuse Rehabilitation Facility	$0	$16M
Beyond Borders & Co., LLC	AZ	Occupational Therapist	$0	$9.5M
Lifeline Medical Transport	AZ	Non-emergency Medical Transport (VAN)	$0	$8M
Philia Homecare LLC	AZ	Behavior Analyst	$0	$6.9M

Agh Laveen LLC — 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