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.

Emergency Group Of Arizona Professional Corporation (NPI 1215275433)

Field	Value
Entity Type	Organization
Organization	Emergency Group Of Arizona Professional Corporation
Address	2000 W Bethany Home Rd
City	Phoenix
State	AZ
ZIP	85015
Taxonomy	Emergency Medicine Physician
NPI Enumerated	January 23, 2013

Payer Source	Total Paid
Medicaid	$43.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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.	194,250	$110	$22.1M
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.	174,650	$90	$14.8M
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.	123,810	$50	$5.9M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	67,920	$10	$407.5K
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…	2,870	$130	$379K
99292	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…	330	$130	$43.2K
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.	30	$40	$1K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	110	$1	$420

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

Emergency Group Of Arizona Professional Corporation — 4 of 8 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

8 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.	1	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.	2	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.	5	260	2,600	$170	$2.6M
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.	141	160	1,640	$110	$710.7K
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…	36	200	410	$170	$442.7K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	185	220	2,300	$1	$87.7K
99292	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…	10	30	70	$70	$71.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6	140	570	$10	$57.2K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Group Of Arizona Professional Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacob Shank	AZ	Emergency Medicine Physician	$60.6K	$0
Terry Wood	AZ	Medical Physician Assistant	$12.1K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Group Of Arizona Professional Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vhs Of Phoenix Inc	AZ	General Acute Care Hospital	$0	$52.4M
Hope Light Care Recovery Center LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
One Point Psychiatric Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28M
Open Hearts	AZ	Community/Behavioral Health Agency	$0	$19.9M
Epangelia Properties, LLC	AZ	Family Medicine Physician	$0	$14M
Family Bond Treatment Center LLC	AZ	Community/Behavioral Health Agency	$0	$12.8M
Care Givers Of Arizona, Inc.	AZ	Home Health Registered Nurse	$0	$10.8M
Surgical Specialty Hospital Of Arizona, LLC	AZ	Special Hospital	$0	$10.5M
American Family Medicine LLC	AZ	Family Medicine Physician	$0	$9.5M
Pueblo Family Physicians Ltd	AZ	Family Medicine Physician	$0	$9.4M

Emergency Group Of Arizona Professional Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References