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.

Valley Anesthesiology Consultants, Inc. (NPI 1285660704)

Field	Value
Entity Type	Organization
Organization	Valley Anesthesiology Consultants, Inc.
Address	2262 E Rose Garden Ln
City	Phoenix
State	AZ
ZIP	85024
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 25, 2006

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	26,250	$430	$11.2M
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…	44,650	$50	$2.2M
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	5,070	$320	$1.6M
01961	The provider performs anesthesia services for a cesarean delivery.	1,810	$320	$586.8K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	1,970	$230	$442.1K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	3,140	$130	$399.3K
00104	The provider performs anesthesia services for a patient undergoing electroconvulsive therapy.	3,340	$90	$294.1K
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…	5,000	$30	$169.9K
99204	The provider sees a new 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 provider…	1,310	$90	$112.4K
01936	Deleted effective Jan. 1, 2022	1,740	$60	$106.1K

Showing 1–10 of 52

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

Valley Anesthesiology Consultants, Inc. — 8 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	1	30	230	$430	$962.5K
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.	127	160	1,640	$110	$710.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	528	540	900	$60	$475.8K
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…	81	3,040	750	$50	$343.9K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	1	10	40	$330	$290.7K
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…	493	2,780	600	$50	$267K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	54	80	350	$160	$259.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	346	610	610	$50	$258.3K
01961	The provider performs anesthesia services for a cesarean delivery.	2	10	40	$350	$163.6K
01936	Deleted effective Jan. 1, 2022	8	30	240	$80	$146.4K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Valley Anesthesiology Consultants, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Paul Malayil	AZ	Pain Medicine Physician	$1.1M	$0
Ashu Goyle	AZ	Pain Medicine (Anesthesiology) Physician	$342.5K	$0
Marc Soloman	AZ	Pain Medicine (Anesthesiology) Physician	$314.9K	$0
Kirk Bowden	AZ	Pain Medicine (Anesthesiology) Physician	$290.7K	$0
Ryan Gibb	AZ	Pain Medicine Physician	$262.7K	$0
Douglas Wright	AZ	Undersea and Hyperbaric Medicine (Emergency Medicine) Physician	$126.2K	$0
Jillian Maloney	AZ	Pain Medicine Physician	$75.1K	$0
James Heyrend	OR	Certified Registered Nurse Anesthetist	$73.8K	$0
Michelle Debellis	NV	Certified Registered Nurse Anesthetist	$64.2K	$0
Jody Krager	AZ	Certified Registered Nurse Anesthetist	$62K	$0

Nearby Providers

Other providers in the same ZIP code as Valley Anesthesiology Consultants, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Intensive Treatment Systems LLC	AZ	Community/Behavioral Health Agency	$0	$23.5M
A To Z Home Care	AZ	Home Health Agency	$0	$9.5M
North Valley Orthopedic Surgery Center LLC	AZ	Ambulatory Surgical Clinic/Center	$1.8M	$0
Surgcenter Of Deer Valley, LLC	AZ	Ambulatory Surgical Clinic/Center	$1M	$4.8K
Chelsie Jones	AZ	Nurse Practitioner	$51.4K	$0
Mary Ferriera	AZ	Audiologist	$8.9K	$0

Valley Anesthesiology Consultants, Inc. — Billing Profile & Reimbursement Data

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Valley Anesthesiology Consultants, Inc. — 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