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.

Tucson Medical Center (NPI 1174512792)

Field	Value
Entity Type	Organization
Organization	Tucson Medical Center
Address	5301 E Grant Rd
City	Tucson
State	AZ
ZIP	85712
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 17, 2005

Payer Source	Total Paid
Medicaid	$127.3M
Medicare	$0

Key Findings

TUCSON MEDICAL CENTER is effectively a single-payer Medicaid hospital in the available data: it shows no Medicare billing on file and reports $127.3M in Medicaid revenue, indicating that Medicaid is the sole recorded public payer revenue stream in this dataset and drives the facility’s identifiable payor-facing activity. This single-payer footprint should be considered when comparing to peers that report mixed Medicare/Medicaid volumes.

Revenue concentration is meaningfully clustered in a small set of emergency and observation services: the top three Medicaid codes by revenue account for 41.1% of total Medicaid revenue, signaling that a plurality of the facility’s Medicaid dollars are generated by a few high-volume service lines rather than a broad, even case mix. Analysts should treat any changes in these high-share codes as having outsized impact on overall Medicaid revenue.

The facility’s Medicaid CPT mix points to a high-volume emergency and observation care operation: high-revenue codes include 99284 ($19.1M, 18.3% of Medicaid revenue), 99285 ($13.1M, 12.5%), and 99283 ($10.7M, 10.3%), reflecting heavy ED utilization across low, moderate, and high complexity E/M visits. In addition, G0378 (observation per hour) at $8.8M (8.4%) and 99282 at $6.5M (6.3%) reinforce that emergency, observation, and short-stay management are central to the hospital’s Medicaid business.

Tucson Medical Center is a major statewide player on several high-frequency ED and related codes: it ranks in the top percentiles for many ED codes (for example 99284 at the 93th percentile, 99285 at the 90th percentile, 99283 at the 95th percentile, and 99282 at the 99th percentile), which collectively indicate above-typical or extreme volumes compared with in-state peers and a dominant presence in emergency care for Medicaid patients. These percentile positions suggest competitive strength in acute and urgent care delivery within Arizona’s Medicaid network.

There are also specialty and procedural revenue drivers beyond ED care that signal comprehensive inpatient/auxiliary services: high-revenue imaging and procedural codes such as 74177 CT abdomen/pelvis with contrast ($10.3M, 9.8%), 70450 CT head without contrast ($2.7M, 2.6%), and 93458 imaging supervision for left heart catheterization ($1.3M, 1.3%) show the hospital supports substantial diagnostic imaging and interventional cardiology activity for Medicaid patients. Implantable device codes like C1713 ($5.1M, 4.9%) and C1776 ($3.3M, 3.1%) further indicate operative and implant procedures contribute meaningfully to Medicaid revenue and that the hospital performs indexed orthopedic or joint-implant procedures at relatively high state volume.

The provider exhibits multiple statistical outliers and notably above-typical volumes on specific codes that warrant attention for network planning and capacity assessment: it is the state leader for C1713 (100th percentile, extreme outlier) and ranks #1 for 99281 (100th percentile, extreme outlier), while also showing extreme or notable outlier status on codes like 99282 (99th percentile) and several other high-volume ED and ancillary service codes. These flagged positions reflect unusually high throughput for particular services versus most in-state peers and should inform utilization management and contracting discussions.

Tucson Medical Center’s tenure is long-standing, with its NPI enumerated on 2005-10-17 (~21 years ago), implying established operations and an extended market presence; this longevity, combined with high regional ranking on core ED and procedural codes, supports its positioning as an entrenched acute care provider in Arizona’s Medicaid landscape.

Medicaid: Complete Services Breakdown

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

578 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.	81,350	$240	$19.1M
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.	44,520	$300	$13.1M
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.	67,930	$160	$10.7M
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.	19,500	$530	$10.3M
G0378	Hospital observation service, per hour	56,290	$160	$8.8M
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.	70,370	$90	$6.5M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	4,220	$1,200	$5.1M
C1776	Joint device (implantable)	820	$4,030	$3.3M
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.	18,660	$150	$2.7M
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	10,990	$200	$2.2M

Showing 1–10 of 578

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

Tucson Medical Center — 8 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

578 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.	27	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.	18	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.	13	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.	19	180	1,490	$320	$2.2M
44970	Laparoscopy, surgical, appendectomy	4	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…	66	110	960	$70	$1.7M
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	4	10	300	$3,700	$1.7M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	33	40	210	$1,710	$1.2M
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.	7	30	70	$3,620	$999.9K
54640	The provider performs an orchiopexy using an inguinal and/or scrotal approach to move a patient's undescended testicle(s) into the scrotum.	2	10	20	$2,560	$971.8K

Showing 1–10 of 578

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samir Dahdal	AZ	Cardiovascular Disease Physician	$1.1M	$270
Constantin Catalin Boiangiu	AZ	Cardiovascular Disease Physician	$1M	$0
Basel Skeif	AZ	Cardiovascular Disease Physician	$990.8K	$0
Salvatore Tirrito	AZ	Cardiovascular Disease Physician	$907.9K	$4.6K
Mukesh Gopalakrishnan	AZ	Interventional Cardiology Physician	$887.1K	$0
Gundeep Singh	AZ	Cardiovascular Disease Physician	$883.6K	$0
Matthew Namanny	AZ	Vascular Surgery Physician	$836.8K	$0
Kioumars Mostafizi	AZ	Cardiovascular Disease Physician	$485.4K	$0
Nader Makki	AZ	Interventional Cardiology Physician	$463K	$0
Jitender Munjal	AZ	Clinical Cardiac Electrophysiology Physician	$452.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Codac Health Recovery And Wellness	AZ	Community/Behavioral Health Agency	$0	$97.8M
Children's Clinics For Rehabilitative Services	AZ	Multi-Specialty Clinic/Center	$0	$58.8M
Nsi-nursing Service Inc.	AZ	Home Health Agency	$0	$29.8M
Tmc Medical Network	AZ	Multi-Specialty Clinic/Center	$0	$20.3M
Arlene Bautista	AZ	Family Nurse Practitioner	$16.8M	$0
I-groupsmedicaltransportaion@wheelchair	AZ	Non-emergency Medical Transport (VAN)	$0	$15.5M
Bodycentral Physical Therapy P C	AZ	Physical Therapy Clinic/Center	$0	$14.5M
Arizona Oncology Associates PC	AZ	Specialist	$0	$13.9M
Child & Family Support Services, Inc	AZ	Community/Behavioral Health Agency	$0	$13.4M
Caldera Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$13.2M

Tucson 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

Related Providers

Nearby Providers

Frequently Asked Questions

References