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NPI 1184078503 · Tucson, AZ · Ambulatory Surgical Clinic/Center
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Pima Heart Asc LLC is a ambulatory surgical clinic/center provider located in Tucson, Arizona. This profile covers 18 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Pima Heart Asc LLC |
| Address | 1238 W Orange Grove Rd |
| City | Tucson |
| State | AZ |
| ZIP | 85704 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | April 21, 2016 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.7M |
| Medicaid | $59.7K |
PIMA HEART ASC LLC is listed as an Ambulatory Surgical Clinic/Center and its procedure mix is concentrated in cardiac implantable device and cardiac catheterization services. The top Medicare revenue codes are device- and rhythm-management procedures such as 33249 ($665K revenue, $18471 avg paid/claim), 33208 ($524.5K revenue, $5580 avg paid/claim), and 33285 ($468.2K revenue, $5034 avg paid/claim), which together suggest an ASC structured around electrophysiology/device implantation and generator-replacement workflows. Imaging and cath supervision codes (for example 93458 at $273.4K revenue and $987 avg paid/claim) appear as complementary services supporting those cases.
Revenue concentration is high on a small set of services for each payer: the top 3 Medicare codes account for 44.5% of the provider's Medicare revenue, while the top 3 Medicaid codes account for 100.0% of Medicaid revenue. On Medicaid the entirety of reported billing ($59.7K) comes from a single code, 93458 (127 claims, $470 avg paid/claim), indicating Medicaid revenue is narrowly focused. For Medicare the $3.7M in lifetime revenue is heavily weighted toward a few high-dollar device procedures.
The payer mix is strongly Medicare-dominant: lifetime Medicare revenue is $3.7M versus $59.7K in Medicaid, so the provider is effectively Medicare-focused in scale and financial exposure. This concentration means the facility’s financial performance and utilization trends will be driven primarily by Medicare device and cath case volumes rather than by Medicaid.
Several Medicare procedural lines show unusually high national volume relative to peers, indicating the facility is a national outlier for specific device procedures. Codes such as 33208 (ranks #15 of 3026, 100th percentile; labeled “extreme outlier, far above typical national volume for this code”), 33228 (ranks #2 of 911, 100th percentile; “extreme outlier, far above typical national volume”), and 93458 (ranks #17 of 7990, 100th percentile; “extreme outlier, far above typical national volume for this code”) signal that this ASC performs these procedures at volumes well above typical national peers.
A broader set of device and cath-related codes are described as notably above typical national volume, reinforcing that high device throughput is a defining feature of the practice. Examples include 33249 (ranks #29 of 1011, 97th percentile; “notably above typical national volume”), 33285 (ranks #36 of 1716, 98th percentile; “notably above typical national volume”), and 33264 (ranks #10 of 154, 93th percentile; “notably above typical national volume”), which together with large average paid/claim amounts point to a high-intensity device service line.
Not all codes are outliers; some entries are described as typical or unremarkable, which tempers the profile and suggests selective specialization rather than uniformly high utilization across all cardiac services. For example, 33263 is characterized as “typical, unremarkable volume” (ranks #2 of 12, 91th percentile) and the provider’s Medicaid activity for 93458 ranks #15 of 42 in-state (66th percentile; “typical, unremarkable volume”), indicating the same CPT can have different competitive standing across payers and geographies.
The provider’s NPI tenure provides context for its established presence: the NPI was enumerated 2016-04-21 (~10 years ago), indicating roughly a decade of operation under this identifier. Given the combination of sustained high-volume device codes and a decade-long enumeration, the facility appears to have an established referral and procedural infrastructure for cardiac device work.
Business implications from the billing mix include dependence on high-cost implant and generator-replacement procedures and associated cath/fluoroscopy imaging capacity; large average paid/claim values such as $17810 for 33264 and $13979 for 33263 underscore the revenue impact of device-replacement work. Payers and network analysts should treat this ASC as a specialized cardiac device center where fluctuations in device referrals or reimbursement for device-related codes could materially affect overall revenue performance.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 33249 | The provider either replaces or implants a new permanent defibrillator system with single or dual chamber transvenous leads or electrodes. Defibrillators sense and regulate the heart rate by… | 40 | $18,470 | $665K |
| 33208 | The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle. | 90 | $5,580 | $524.5K |
| 33285 | The provider inserts a cardiac rhythm monitor with self–contained electrodes into a pocket in the tissues beneath the patient's skin and programs the device according to manufacturer’s directions. | 90 | $5,030 | $468.2K |
| 33228 | The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart… | 80 | $5,400 | $410.1K |
| 33264 | The provider removes a previously placed implantable defibrillator pulse generator from the patient and replaces it with a new one. He performs this procedure for a patient with leads to at least… | 20 | $17,810 | $391.8K |
| C9600 | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch | 70 | $4,550 | $327.5K |
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 280 | $990 | $273.4K |
| 33263 | The provider removes a previously placed implantable defibrillator pulse generator from the patient and replaces it with a new one. He performs this procedure for a patient with leads to two chambers… | 20 | $13,980 | $251.6K |
| 33229 | The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart… | 10 | $8,570 | $111.4K |
| 93454 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography in which injections are performed to assess any coronary artery disease or any stenosis… | 70 | $950 | $69.2K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| C9600 | 5 | 10 | 60 | $4,830 | $289.8K |
| 33263 | 1 | 10 | 20 | $13,940 | $223.1K |
| 33264 | 1 | 10 | 20 | $12,030 | $192.5K |
| 33249 | 1 | 30 | 20 | $6,430 | $115.8K |
| 33285 | 3 | 70 | 20 | $2,830 | $101.7K |
| 33229 | 3 | 10 | 20 | $5,020 | $80.3K |
| 33228 | 1 | 30 | 10 | $2,450 | $49.1K |
| 33208 | 1 | 90 | 30 | $1,410 | $39.4K |
| 33207 | 2 | 10 | 10 | $2,500 | $32.5K |
| C7524 | 3 | 10 | 10 | $1,190 | $16.7K |
Showing 1–10 of 18
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 130 | $470 | $59.7K |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 15 | 40 | 60 | $1,160 | $222.2K |
Other providers in the same ZIP code as Pima Heart Asc LLC, ranked by combined Medicare and Medicaid revenue.
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