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.

North Valley Emergency Specialists (NPI 1285655209)

Field	Value
Entity Type	Organization
Organization	North Valley Emergency Specialists
Address	5555 W Thunderbird Rd
City	Glendale
State	AZ
ZIP	85306
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 23, 2006

Payer Source	Total Paid
Medicaid	$23.2M
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
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.	110,700	$110	$12.6M
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.	74,420	$90	$6.6M
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.	40,520	$50	$2.1M
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…	11,010	$140	$1.5M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	47,870	$10	$287.2K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	200	$10	$1.2K
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.	20	$40	$540

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

North Valley Emergency Specialists — 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
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.	7	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.	21	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.	30	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.	153	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…	12	200	410	$170	$442.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	9	140	570	$10	$57.2K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	10	20	160	$1	$10.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with North Valley Emergency Specialists, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Russell Forsberg	AZ	Physician Assistant	$216.6K	$0
Jared Grow	AZ	Acute Care Nurse Practitioner	$19.9K	$0

Nearby Providers

Other providers in the same ZIP code as North Valley Emergency Specialists, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Thunderbird Medical Center	AZ	General Acute Care Hospital	$0	$140.1M
Emeritus Properties Ngh, LLC	AZ	Assisted Living Facility	$0	$12.1M
Satinder S. Purewal, M.d. LLC	AZ	Psychiatry Physician	$0	$9.4M
Founders Healthcare, LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$8.9M
Jewish Family & Children's Service	AZ	Community/Behavioral Health Agency	$0	$7.5M
Children's Medical Group, Ltd	AZ	Pediatrics Physician	$0	$7.5M
Mona Amin	AZ	Rheumatology Physician	$2.7M	$0
Andrew Sharobeem	AZ	Rheumatology Physician	$2.3M	$0
Adam Leon	AZ	Nurse Practitioner	$2M	$0
Murali Murty	AZ	Radiation Oncology Physician	$1.3M	$0

North Valley Emergency Specialists — Billing Profile & Reimbursement Data

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North Valley Emergency Specialists — 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