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.

Rchp-sierra Vista Inc (NPI 1194766543)

Rchp-sierra Vista Inc is a general acute care hospital provider located in Sierra Vista, Arizona. This profile covers 0 Medicare and 274 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	Rchp-sierra Vista Inc
Address	5700 E Highway 90
City	Sierra Vista
State	AZ
ZIP	85635
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicaid	$29.8M
Medicare	$0

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

274 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.	24,380	$290	$7M
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.	22,180	$240	$5.4M
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.	12,200	$320	$3.9M
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.	5,770	$680	$3.9M
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.	2,400	$460	$1.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	13,540	$80	$1.1M
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	1,990	$520	$1M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	4,350	$190	$814.2K
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.	4,610	$170	$779.4K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	1,620	$440	$721.1K

Showing 1–10 of 274

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

Rchp-sierra Vista Inc — 0 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

274 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.	76	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.	63	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.	54	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.	52	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…	47	110	960	$70	$1.7M
G0378	Hospital observation service, per hour	38	80	6,320	$70	$961.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	92	400	2,110	$70	$800.7K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	33	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.	54	150	1,040	$240	$764.4K
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.	88	160	1,640	$110	$710.7K

Showing 1–10 of 274

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parag Patel	AZ	Geriatric Medicine (Family Medicine) Physician	$423.3K	$0
Eva Duckett	MD	Diagnostic Radiology Physician	$350.5K	$0
Kevin Mcdonnell	MN	Diagnostic Radiology Physician	$140.1K	$17K
Marc Paul	MD	Diagnostic Radiology Physician	$150.8K	$0
Alan Osumi	AZ	Diagnostic Radiology Physician	$136.8K	$0
Bruce Reiner	MN	Diagnostic Radiology Physician	$125K	$1.9K
Taro Aikawa	NC	Diagnostic Radiology Physician	$109.8K	$0
Karen Phillips	AZ	Diagnostic Radiology Physician	$88.9K	$6.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sound Physicians Emergency Medicine Of Arizona, Inc.	AZ	Emergency Medicine Physician	$0	$20.8M
Chiricahua Community Health Centers, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$19M
Cogent Healthcare Of Arizona PC	AZ	Internal Medicine Physician	$0	$15.3M
Chiricahua Community Health Centers, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.1M
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$9.6M
American Medical Response Of Cochise County LLC	AZ	Land Ambulance	$634.6K	$6.1M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$58.8K	$5.8M
Hemant Sindhu	AZ	Hematology & Oncology Physician	$5.4M	$67.3K
City Of Sierra Vista	AZ	Land Ambulance	$731.6K	$4.2M
Ricardo Aviles	AZ	Ophthalmology Physician	$1.4M	$0

Rchp-sierra Vista Inc — Billing Profile & Reimbursement Data

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Rchp-sierra Vista Inc — 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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