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.

Arizona Community Physicians PC (NPI 1205871076)

Arizona Community Physicians PC is a internal medicine physician provider located in Tucson, Arizona. This profile covers 0 Medicare and 174 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	Arizona Community Physicians PC
Address	5055 E Broadway Blvd
City	Tucson
State	AZ
ZIP	85711
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicaid	$22.5M
Medicare	$0

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

174 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…	96,930	$70	$6.4M
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…	101,540	$50	$5.1M
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	81,720	$40	$3.1M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	22,470	$80	$1.8M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	23,390	$80	$1.8M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	16,570	$80	$1.3M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	9,450	$90	$803K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	5,010	$30	$170.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,410	$20	$126K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	1,430	$90	$124.5K

Showing 1–10 of 174

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

Arizona Community Physicians PC — 10 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

174 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	6	30	470	$20	$761.9K
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…	33	3,040	750	$50	$343.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	135	170	960	$40	$295.2K
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…	24	2,780	600	$50	$267K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	49	140	580	$70	$251.3K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	83	200	3,310	$10	$191.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	6	420	600	$30	$177K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9	300	860	$50	$165.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	72	110	330	$60	$157.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	7	300	690	$60	$155.9K

Showing 1–10 of 174

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tmc Medical Network	AZ	Multi-Specialty Clinic/Center	$0	$20.3M
Eric Groskind	AZ	Diagnostic Radiology Physician	$1.1M	$0
Fred Mendoza	AZ	Internal Medicine Physician	$526.7K	$0
Edita Extra-mendoza	AZ	Internal Medicine Physician	$484.1K	$0
Kurt Glaesser	AZ	Diagnostic Radiology Physician	$392K	$0
Kenneth Tertel	AZ	Diagnostic Radiology Physician	$373.5K	$0
Chad Prior	AZ	Internal Medicine Physician	$342.6K	$0
Muhammad Sethi	AZ	Endocrinology, Diabetes & Metabolism Physician	$332.4K	$0
Roy Loewenstein	AZ	Internal Medicine Physician	$321.9K	$0
John Stoughton	AZ	Adult Medicine Physician	$312.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Cerebral Palsy Of Southern Arizona, Inc	AZ	Home Health Agency	$0	$131.1M
Arizona Consumer Direct Personal Care	AZ	Home Health Agency	$0	$121.6M
Smsj Tucson Holdings LLC	AZ	General Acute Care Hospital	$0	$28.9M
Southern Arizona Family Services, Inc.	AZ	In Home Supportive Care Agency	$0	$28.5M
Cope Community Services, Inc.	AZ	Methadone Clinic	$0	$27.5M
Dependable Nurses, Inc.	AZ	Home Health Agency	$0	$26.5M
Radiology Ltd., LLC	AZ	Diagnostic Radiology Physician	$0	$24.2M
Intermountain Health Center Inc	AZ	Multi-Specialty Clinic/Center	$0	$22.9M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.2M
Maxim Healthcare Services, Inc.	AZ	Home Health Agency	$0	$15.1M

Arizona Community Physicians PC — Billing Profile & Reimbursement Data

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Arizona Community Physicians PC — 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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