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    OpenPayerNPI Medicare & MedicaidMarana Health Center Inc
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    Marana Health Center Inc — Billing Profile & Reimbursement Data

    NPI 1164526471 · Marana, AZ · Federally Qualified Health Center (FQHC)

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    Marana Health Center Inc is a federally qualified health center (fqhc) provider located in Marana, Arizona. This profile covers 0 Medicare and 175 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMarana Health Center Inc
    Address13395 N Marana Main St
    CityMarana
    StateAZ
    ZIP85653
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedSeptember 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$33.6M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    175 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive178,050$190$33.3M
    T1016Case management, each 15 minutes9,970$20$229.3K
    H0004Behavioral health counseling and therapy, per 15 minutes18,240$1$18.2K
    H0038Self‑help/peer services, per 15 minutes220$10$2.8K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…2,660$1$2.7K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…1,910$1$1.9K
    0012AN/A710$1$1.4K
    T1002Rn services, up to 15 minutes100$10$990
    0011AN/A710$1$710
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…340$1$680

    Showing 1–10 of 175

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    175 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive103603,640$230$7.7M
    T1016Case management, each 15 minutes3351,1602,110$30$1.2M
    S0215Non-emergency transportation; mileage, per mile4005104,610$40$1.2M
    H0004Behavioral health counseling and therapy, per 15 minutes1711,1501,700$90$1M
    H2014Skills training and development, per 15 minutes4047801,610$100$868.2K
    80050The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…2330470$20$761.9K
    H2027Psychoeducational service, per 15 minutes394500750$170$592.2K
    H0038Self‑help/peer services, per 15 minutes4595801,250$80$479.7K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.289400200$120$403K
    83013The lab analyst tests multiple breath samples for the presence of an isotope that indicates the presence of the H. pylori bacteria. This organism can cause irritation and ulcers of the stomach lining.71070$20$396.6K

    Showing 1–10 of 175

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Marana Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marana Health Center, IncAZFederally Qualified Health Center (FQHC)$0$24.7M
    Marana Health Center, IncAZFederally Qualified Health Center (FQHC)$0$15.2M
    Marana Health Center, IncAZFederally Qualified Health Center (FQHC)$0$11.4M
    Marana Health Center, IncAZFederally Qualified Health Center (FQHC)$0$7.2M
    Codac Health Recovery And WellnessAZMental Health Clinic/Center (Including Community Mental Health Center)$223.4K$24.8K
    Corbin BallamAZInternal Medicine Physician$175.5K$0
    Anna FloresAZFamily Nurse Practitioner$111.4K$0
    Debra CampbellCTEmergency Medicine Physician$83.1K$0
    Daniela Donoso PenaIAInternal Medicine Physician$1.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Marana Health Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Timothy ChevesAZPhysician Assistant$105.7K$0
    Ali KhanAZFamily Medicine Physician$78.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arizona Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Marana Health Center Inc — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona