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.

Kingman Healthcare, Inc (NPI 1265423917)

Key Findings

Field	Value
Entity Type	Organization
Organization	Kingman Healthcare, Inc
Address	3269 N Stockton Hill Rd
City	Kingman
State	AZ
ZIP	86409
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 2, 2005

Payer Source	Total Paid
Medicaid	$86.1M
Medicare	$0

Payer mix is effectively single‑payer Medicaid: KINGMAN HEALTHCARE, INC reports no Medicare billing on file (none) and $86.1M in lifetime Medicaid revenue, indicating that Medicaid accounts for the entirety of recorded federal program revenue for this NPI. This makes the provider’s billing profile and competitive position highly dependent on Medicaid volumes and reimbursement policies in Arizona.

Medicaid revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes account for 55.0% of the provider’s total Medicaid revenue, driven by 99283 ($13.2M, 20.8%), 99284 ($12.1M, 19.2%), and 74177 ($9.5M, 15.0%). That concentration signals that a majority of Medicaid dollars flow through a narrow set of ED evaluation/management and CT abdominal/pelvic imaging services.

Operating profile is emergency‑department centric: high claim volumes and revenue for ED E/M codes (99283: 54.1K claims, $244 avg paid/claim, $13.2M; 99284: 52.5K claims, $231 avg paid/claim, $12.1M; 99285: 18.7K claims, $3.7M; 99282: 13.8K claims, $1.5M) show the hospital manages large ED throughput. These codes’ presence as the top revenue drivers suggests ED visits are a primary access point and revenue engine for the facility’s Medicaid population.

High imaging and advanced diagnostics are a clear secondary service line: CT abdomen/pelvis with contrast 74177 ($9.5M) and multiple other CT/MRI codes (70450 $2.3M; 71260 $1.7M; 72125 $1.5M) generate material revenue, and cardiac nuclear imaging 78452 ($2.6M) is notable. Several imaging codes rank very high in-state—74177 ranks #11 of 175 providers (94th percentile, typical, unremarkable volume for this code) while 71260 ranks #3 of 81 providers (98th percentile, notably above typical state volume for this code) and 78452 ranks #5 of 105 providers (96th percentile, notably above typical state volume for this code)—indicating regional strength in diagnostic imaging and nuclear cardiology.

There are specific test-level outliers that point to specialized capacity: the proprietary respiratory panel 0202U has 6.4K claims, $183 avg paid/claim, $1.2M revenue and ranks #1 of 12 providers in-state (100th percentile, notably above typical state volume for this code), and sleep study code 95811 (1.9K claims, $495 avg paid/claim, $963.3K) ranks #2 of 63 providers (98th percentile, notably above typical state volume for this code). Those rankings indicate the hospital runs larger-than-typical programs for those individual services relative to most in-state peers.

Competitive standing is mixed by service line: for several high-revenue imaging and testing codes the provider is a major in-state participant (e.g., 71260 at the 98th percentile, 0202U at the 100th percentile, 78452 at the 96th percentile), while its top ED codes are described in the data as "typical, unremarkable volume for this code" despite large absolute claim counts (99283 ranks #20 of 258, 93th percentile; 99284 ranks #27 of 259, 90th percentile). This pattern suggests KINGMAN is regionally strong in diagnostic and specialty testing but competes in a crowded ED market for Medicaid-covered visits.

Service breadth beyond acute ED care is evidenced by substantial therapy, pathology, and outpatient E/M volumes: therapeutic exercise 97110 shows 48.5K claims ($1.5M revenue) and ranks #14 of 479 providers (97th percentile, typical, unremarkable volume for this code), and outpatient E/M 99214 has 18.3K claims ($602.6K) and ranks #214 of 3041 providers (93th percentile, typical, unremarkable volume for this code). These data indicate the hospital provides a mix of inpatient/ED, outpatient follow-up, rehabilitation, and ancillary lab/pathology services that together support its Medicaid revenue base.

Long tenure of the billing entity may reflect operational stability: the NPI was enumerated on 2005-11-02 (~21 years ago), indicating the facility has been an established Medicaid billing entity for two decades. Given its longevity plus the concentrated Medicaid revenue profile, analysts should view future reimbursement shifts or state Medicaid policy changes as disproportionately impactful to this provider’s fiscal health.

Medicaid: Complete Services Breakdown

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

558 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	54,060	$240	$13.2M
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.	52,540	$230	$12.1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	25,880	$370	$9.5M
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.	18,720	$200	$3.7M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	2,600	$1,000	$2.6M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	21,670	$110	$2.3M
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	11,510	$150	$1.7M
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	6,410	$240	$1.5M
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.	13,840	$110	$1.5M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	48,460	$30	$1.5M

Showing 1–10 of 558

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

Kingman Healthcare, Inc — 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

558 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.	64	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.	27	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.	20	260	2,600	$170	$2.6M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11	180	1,490	$320	$2.2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	16	110	960	$70	$1.7M
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	5	10	1,620	$40	$1.3M
G0378	Hospital observation service, per hour	18	80	6,320	$70	$961.9K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	32	50	450	$920	$775.4K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	40	150	1,040	$240	$764.4K
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…	4	30	470	$20	$761.9K

Showing 1–10 of 558

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kingman Healthcare, Inc	AZ	Specialist	$0	$9.8M
Niraj Pahlajani	TX	Radiation Oncology Physician	$1.4M	$0
Ryan Jones	AZ	Phlebology Physician	$1.1M	$0
Kathleen Naegele	IL	Hematology & Oncology Physician	$805.1K	$57.9K
Gordon Grado	AZ	Radiation Oncology Physician	$826.6K	$0
Roscoe Chan	AZ	Radiation Oncology Physician	$738.6K	$0
Darren Whittemore	TX	Anatomic Pathology & Clinical Pathology Physician	$714.1K	$0
Dennis Dunning	VA	Cardiovascular Disease Physician	$531.3K	$0
Tiffany Lewis	NM	Diagnostic Radiology Physician	$402K	$3.3K
Joseph Kovacich	MD	Diagnostic Radiology Physician	$314.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohave Mental Health Clinic Inc	AZ	Community/Behavioral Health Agency	$0	$29.9M
Mentally Ill Kids In Distress	AZ	Community/Behavioral Health Agency	$0	$6.1M
Diagnostic Solutions, LLC	AZ	Clinical Medical Laboratory	$108.9K	$510.3K
Michael Valpiani	AZ	Pain Medicine Physician	$355.7K	$0
Adrian Gomez	AZ	Emergency Medicine Physician	$138.3K	$168.7K
Aims Outpatient Surgery	AZ	Ambulatory Surgical Clinic/Center	$272K	$0
S Ismail Bokhari	AZ	Cardiovascular Disease Physician	$232.6K	$800
Daniel Dawson	AZ	Emergency Medicine Physician	$198.3K	$0
Munawar Paracha	AZ	Neurology Physician	$156.1K	$23.6K
Annika Bergeson	AZ	Family Nurse Practitioner	$164.2K	$0

Kingman Healthcare, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References