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.

Reddy Gi Associates (NPI 1194957241)

Reddy Gi Associates is a gastroenterology physician provider located in Mesa, Arizona. This profile covers 0 Medicare and 34 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	Reddy Gi Associates
Address	5555 E Baseline Rd
City	Mesa
State	AZ
ZIP	85206
Taxonomy	Gastroenterology Physician
NPI Enumerated	August 21, 2009

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	22,820	$60	$1.3M
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…	18,900	$70	$1.3M
99204	The provider sees a new 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 provider…	7,490	$90	$659.4K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	3,740	$150	$552.9K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	5,240	$90	$476.7K
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…	10,600	$40	$434.4K
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…	2,810	$130	$376.7K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	4,550	$70	$323.3K
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…	6,740	$40	$296.7K
99203	The provider sees a new 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 provider…	4,960	$60	$287.4K

Showing 1–10 of 34

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

Reddy Gi Associates — 6 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

34 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…	39	540	900	$60	$475.8K
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.	353	400	200	$120	$403K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	9	180	590	$250	$360.9K
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…	177	3,040	750	$50	$343.9K
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…	296	2,780	600	$50	$267K
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…	91	610	610	$50	$258.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	23	120	330	$280	$206.3K
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…	118	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…	12	120	120	$130	$163.6K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	42	80	150	$290	$157.8K

Showing 1–10 of 34

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sahar Samaha	AZ	Anatomic Pathology & Clinical Pathology Physician	$906.4K	$0
Christopher Morgan	AZ	Anatomic Pathology & Clinical Pathology Physician	$572.5K	$0
Michael Gilger	CO	Anatomic Pathology & Clinical Pathology Physician	$478.4K	$0
Alpesh Patel	AZ	Gastroenterology Physician	$128.8K	$19.3K
Sudhakar Reddy	AZ	Gastroenterology Physician	$96.9K	$34.1K
Phillip Krmpotich	WY	Gastroenterology Physician	$127.5K	$0
Shahbaz Qureshi	AZ	Gastroenterology Physician	$121K	$0
Mikaela Deans	AZ	Family Nurse Practitioner	$104.2K	$0
Sara Ancello	AZ	Gastroenterology Physician	$76.3K	$0

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
Banner Baywood Medical Center	AZ	General Acute Care Hospital	$0	$29.6M
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

Reddy Gi Associates — 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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