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.

Banner Baywood Medical Center (NPI 1194758284)

Field	Value
Entity Type	Organization
Organization	Banner Baywood Medical Center
Address	6644 E Baywood Ave
City	Mesa
State	AZ
ZIP	85206
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$29.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

270 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	32,940	$330	$10.7M
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.	28,060	$180	$5.1M
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.	5,550	$530	$3M
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.	15,240	$170	$2.5M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,530	$320	$1.7M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,670	$700	$1.2M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	1,000	$880	$880.2K
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.	9,200	$60	$589.1K
C1776	Joint device (implantable)	430	$1,190	$517.3K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	3,090	$140	$438.4K

Showing 1–10 of 270

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

Banner Baywood Medical Center — 1 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

270 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.	40	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.	54	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.	71	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.	53	180	1,490	$320	$2.2M
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…	41	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…	5	10	300	$3,700	$1.7M
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.	23	30	70	$3,620	$999.9K
G0378	Hospital observation service, per hour	24	80	6,320	$70	$961.9K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	17	50	450	$920	$775.4K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	19	150	1,040	$240	$764.4K

Showing 1–10 of 270

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acumen Fiscal Agent LLC	AZ	Community/Behavioral Health Agency	$0	$1.1B
Affinity Family Care, LLC.	AZ	Home Health Agency	$0	$63.8M
Residents At The Heights, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$33.2M
A Brighter Avenue LLC	AZ	Speech-Language Pathologist	$0	$28.6M
Emergency Physicians Southwest, PC	AZ	Emergency Medicine Physician	$0	$27M
Health Care Alternatives, Inc.	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$26.1M
Christian3 Mega Clinic LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$22.3M
Horizon Pediatric Therapy, Inc.	AZ	Music Therapist	$0	$17.9M
Zarephath Inc.	AZ	Community/Behavioral Health Agency	$0	$17M
Endeavor Hcbs LLC	AZ	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$15.9M

Banner Baywood Medical Center — Billing Profile & Reimbursement Data

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Banner Baywood Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References