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.

Pinal Hispanic Council (NPI 1235271404)

Field	Value
Entity Type	Organization
Organization	Pinal Hispanic Council
Address	107 East 4th Street
City	Eloy
State	AZ
ZIP	85131
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	February 13, 2007

Payer Source	Total Paid
Medicaid	$20.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	183,060	$50	$8.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	56,450	$140	$8M
H0031	Mental health assessment, by non-physician	8,260	$200	$1.6M
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…	15,290	$90	$1.3M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,110	$240	$264.4K
H0038	Self‑help/peer services, per 15 minutes	3,600	$50	$186.9K
S5110	Home care training, family; per 15 minutes	2,960	$60	$177.8K
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…	3,820	$40	$168.1K
H2025	Ongoing support to maintain employment, per 15 minutes	2,040	$50	$96K
H0043	Supported housing, per diem	140	$680	$94.9K

Showing 1–10 of 28

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

Pinal Hispanic Council — 2 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	46	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	275	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	41	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	292	780	1,610	$100	$868.2K
H2011	Crisis intervention service, per 15 minutes	113	140	330	$210	$659.5K
H2027	Psychoeducational service, per 15 minutes	184	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	171	580	1,250	$80	$479.7K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	28	70	820	$30	$388.1K
S5110	Home care training, family; per 15 minutes	68	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	63	810	280	$120	$360.5K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Pinal Hispanic Council, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eloy Fire District	AZ	Ambulance	$99.3K	$7.5M
Claudia Symmonds	AZ	Family Nurse Practitioner	$3.3K	$0

Pinal Hispanic Council — Billing Profile & Reimbursement Data

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Pinal Hispanic Council — 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