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.

Yuma Regional Medical Center (NPI 1194706655)

Key Findings

Field	Value
Entity Type	Organization
Organization	Yuma Regional Medical Center
Address	2400 S Ave A
City	Yuma
State	AZ
ZIP	85364
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 10, 2005

Payer Source	Total Paid
Medicaid	$278.5M
Medicare	$0

YUMA REGIONAL MEDICAL CENTER (YUMA, AZ) is enumerated as a General Acute Care Hospital with NPI registration dated 2005-11-10 (~21 years ago). The provider reports $278.5M in lifetime Medicaid revenue and has no Medicare billing on file, making its public billing footprint effectively single-payer and heavily Medicaid-dependent.

Revenue concentration is high: the top three Medicaid codes (99284, 99211, 99283) together account for 42.3% of the provider's total Medicaid revenue. Those three codes individually generate $26.6M (99284; 14.9%), $25.4M (99211; 14.2%), and $23.4M (99283; 13.1%), showing a small set of visit-level services drive a large share of receipts.

The code mix points to a large, ED-centered operation: high-volume emergency visit codes — 99284 ($26.6M), 99283 ($23.4M), 99285 ($13.4M) and 99282 ($4.2M) — collectively represent a major revenue stream and imply sustained emergency-department throughput and resource use. This profile suggests significant investment in 24/7 acute care staffing, ED capacity, and associated ancillary services.

Simultaneously, the provider shows very high outpatient/clinic throughput: 99211 reports 390.7K claims for $25.4M (14.2%) and 99214 and 99213 also appear among top drivers. 99211 ranks #1 in-state (100th percentile; extreme outlier), indicating unusually large low-level outpatient encounter volume that supports a high-volume clinic or observation workflow tied into hospital services.

YUMA operates broad procedural and imaging services alongside ED and clinic volumes: CT abdomen/pelvis with contrast 74177 generates $13.1M (7.3%) and ranks in the 97th percentile, while endoscopy and colonoscopy codes such as 43239 ($3.2M, ranks #1) and 45380 ($3.0M, 99th percentile) are top contributors. Surgical procedures including cholecystectomy (47562 $4.6M, 97th percentile) and 47563 ($2.5M, ranks #1) plus joint replacement 27447 ($2.6M) show meaningful operative caseload and specialty OR capacity.

Competitively, YUMA is a dominant in-state provider for many high-volume services: multiple codes rank at or near #1 statewide (for example, 99211 #1 of 395, 11042 #1 of 100, 43239 #1 of 177, 96365 #1 of 130, 45385 #1 of 82, and 93458 #1 of 42), and several additional codes sit in the 94th–99th percentiles. These rank and percentile patterns characterize YUMA as a major regional player across ED visits, outpatient encounters, endoscopy, imaging, and infusion/infusion-adjacent services.

The presence of high-cost specialty treatments and high-value imaging is notable but not dominant: pembrolizumab J9271 appears ($4.3M, 2.4%) and ranks #4 of 6 in-state (40th percentile; typical), while high-value imaging supervision 93458 yields $2.1M and ranks #1 (100th percentile). This indicates the hospital provides some oncology infusion and advanced cardiac/imaging services, but these lines remain a smaller share of Medicaid revenue versus ED and clinic visits.

Operational and payer-risk implications are clear: with $278.5M of Medicaid revenue and no Medicare billing on file, YUMA’s financial performance is highly exposed to state Medicaid policy, reimbursement changes, and managed-care contracting dynamics. The fact that a few visit codes account for 42.3% of Medicaid revenue underscores concentration risk and suggests that changes to ED/clinic reimbursement or utilization management would materially affect revenue and require planning for capacity and staffing flexibility.

Medicaid: Complete Services Breakdown

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

970 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.	85,860	$310	$26.6M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	390,690	$70	$25.4M
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.	94,930	$250	$23.4M
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.	22,910	$580	$13.4M
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.	33,160	$390	$13.1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	169,840	$50	$8M
T1015	Clinic visit/encounter, all-inclusive	17,550	$420	$7.4M
99213	The provider sees an established 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…	192,760	$40	$6.9M
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	27,400	$190	$5.3M
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.	1,260	$3,670	$4.6M

Showing 1–10 of 970

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

Yuma Regional Medical Center — 17 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

970 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	100	360	3,640	$230	$7.7M
J9271	Injection, pembrolizumab, 1 mg	4	10	770	$7,180	$7.1M
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.	54	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.	17	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.	9	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.	7	180	1,490	$320	$2.2M
44970	Laparoscopy, surgical, appendectomy	11	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…	10	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…	2	10	300	$3,700	$1.7M
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	7	10	1,440	$620	$1.6M

Showing 1–10 of 970

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jannet Everson	AZ	Family Nurse Practitioner	$2.2M	$0
Joseph Rosen	AZ	Medical Oncology Physician	$978.5K	$0
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0
Zachary Arthurs	SC	Vascular Surgery Physician	$641.3K	$0
Habteab Feseha	AZ	Specialist	$421.5K	$0
Roy Bryan	CA	Diagnostic Radiology Physician	$417.1K	$90
Tiffany Lewis	NM	Diagnostic Radiology Physician	$402K	$3.3K
Shawnjeet Saini	AZ	Pain Medicine (Anesthesiology) Physician	$348.2K	$0
Matthew Treiman	MD	Diagnostic Radiology Physician	$320.2K	$0
Joseph Kovacich	MD	Diagnostic Radiology Physician	$314.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunset Community Health Center Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$82.3M
Saguaro Foundation	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$73.5M
Community Intervention Associates	AZ	Community/Behavioral Health Agency	$0	$58.9M
Yuma Dentistry 4 Kids PLLC	AZ	General Practice Dentistry	$0	$16.6M
Colorado River Behavioral Health System	AZ	Community/Behavioral Health Agency	$0	$13M
Dva Healthcare Renal Care Inc	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$12.8M
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$12.7M
City Of Yuma	AZ	Land Ambulance	$896.2K	$10.7M
Crossroads Mission	AZ	Substance Abuse Rehabilitation Facility	$0	$11M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$92.1K	$10.3M

Yuma Regional 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