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.

Zion Medical Group PLLC (NPI 1184049322)

Zion Medical Group PLLC is a hospitalist physician provider located in Chandler, Arizona. This profile covers 0 Medicare and 22 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	Zion Medical Group PLLC
Address	3800 S Alma School Rd
City	Chandler
State	AZ
ZIP	85248
Taxonomy	Hospitalist Physician
NPI Enumerated	February 25, 2014

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	64,310	$40	$2.8M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	37,960	$60	$2.4M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	64,440	$30	$1.9M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	5,790	$120	$665.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	6,760	$70	$493.1K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	5,410	$80	$454.2K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	6,010	$70	$396.6K
99255	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends at…	1,770	$150	$258.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	5,890	$40	$241.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	3,770	$60	$218.7K

Showing 1–10 of 22

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

Zion Medical Group PLLC — 7 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	21	540	900	$60	$475.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	6	170	960	$40	$295.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	103	610	610	$50	$258.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	22	210	320	$70	$177.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	24	500	250	$110	$164.5K
99254	The provider sees a patient for an inpatient or observation consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider spends…	57	120	120	$130	$163.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	62	110	330	$60	$157.2K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	2	170	670	$30	$120.6K
99220	N/A	41	70	260	$90	$113K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	7	80	180	$70	$97.6K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Siamak Rassadi	AZ	Clinical Cardiac Electrophysiology Physician	$429.4K	$0
Mehran Darzy	AZ	Family Nurse Practitioner	$373.2K	$0
Sai Lakshmi Chandran	AZ	Internal Medicine Physician	$142.1K	$0
Chukwuemeka Oji	AZ	Hospitalist Physician	$130.9K	$0
Veronica Torres Hernandez	AZ	Internal Medicine Physician	$85.3K	$0
Saurabh Jauhari	AZ	Psychiatry Physician	$50.6K	$0
Anthony Aghenta	AZ	Internal Medicine Physician	$39.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parham Ayazi	AZ	Infectious Disease Physician	$454K	$67.6K
Cezanne Bermeo	AZ	Internal Medicine Physician	$483K	$0
South County Fire & Medical District	AZ	Land Ambulance	$425.8K	$0
Amit Waghray	AZ	Internal Medicine Physician	$298.9K	$0
Jaskanwal Bisla	AZ	Clinical Cardiac Electrophysiology Physician	$282.7K	$0
Vanousheh Ghandhari	AZ	Foot & Ankle Surgery Podiatrist	$225.6K	$0
Apeksha Besekar	AZ	Physical Therapist	$124.8K	$0
Melody Staicoff	AZ	Physical Therapist	$123K	$0
German Dobson Cvs LLC	AZ	Pharmacy	$116.4K	$0
Mary Peters	AZ	Foot & Ankle Surgery Podiatrist	$115.4K	$0

Zion Medical Group PLLC — Billing Profile & Reimbursement Data

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Zion Medical Group PLLC — 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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