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.

Timberline Medical (NPI 1245381185)

Field	Value
Entity Type	Organization
Organization	Timberline Medical
Address	674 E White Mountain Blvd
City	Pinetop
State	AZ
ZIP	85935
Taxonomy	Non-emergency Medical Transport (VAN)
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0215	Non-emergency transportation; mileage, per mile	26,160	$190	$4.9M
T2007	Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments	27,960	$20	$503.2K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	26,200	$10	$366.8K
S0209	Wheelchair van, mileage, per mile	1,370	$230	$317.1K
A0130	Non-emergency transportation: wheelchair van	1,320	$20	$27.7K
T2049	Non-emergency transportation; stretcher van, mileage; per mile	50	$190	$10.2K
T2005	Non-emergency transportation; stretcher van	50	$130	$7K

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

Timberline Medical — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0215	Non-emergency transportation; mileage, per mile	99	510	4,610	$40	$1.2M
S0209	Wheelchair van, mileage, per mile	48	90	1,980	$20	$710.8K
A0130	Non-emergency transportation: wheelchair van	48	90	1,900	$10	$278.9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	109	510	5,500	$10	$267.6K
T2005	Non-emergency transportation; stretcher van	20	20	1,020	$40	$219.2K
T2007	Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments	3	60	2,250	$10	$83.4K
T2049	Non-emergency transportation; stretcher van, mileage; per mile	17	20	1,010	$20	$76.6K

Timberline Medical — Billing Profile & Reimbursement Data

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Timberline Medical — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References