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    OpenPayerNPI Medicare & MedicaidMaricopa County Special Health Care District
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    Maricopa County Special Health Care District — Billing Profile & Reimbursement Data

    NPI 1306265145 · Mesa, AZ · Federally Qualified Health Center (FQHC)

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    Maricopa County Special Health Care District is a federally qualified health center (fqhc) provider located in Mesa, Arizona. This profile covers 0 Medicare and 134 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMaricopa County Special Health Care District
    Address950 E Main St
    CityMesa
    StateAZ
    ZIP85203
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedApril 9, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    134 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive65,200$260$17.1M
    T1016Case management, each 15 minutes680$20$10.2K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…2,220$1$2.2K
    99394The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.590$1$1.8K
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.220$1$220
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…210$1$210
    96150N/A70$1$70
    0011AN/A10$0$0
    0012AN/A20$0$0
    0031AN/A20$0$0

    Showing 1–10 of 134

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    134 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive423603,640$230$7.7M
    U0003Infectious 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…88110960$70$1.7M
    T1016Case management, each 15 minutes7591,1602,110$30$1.2M
    H0004Behavioral health counseling and therapy, per 15 minutes3661,1501,700$90$1M
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.1320250$40$915.9K
    H2014Skills training and development, per 15 minutes6967801,610$100$868.2K
    H2027Psychoeducational service, per 15 minutes236500750$170$592.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1551703,560$30$397.9K
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…1120550$10$368.9K
    H0031Mental health assessment, by non-physician580810280$120$360.5K

    Showing 1–10 of 134

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Maricopa County Special Health Care District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maricopa County Special Health Care DistrictAZGeneral Acute Care Hospital$0$251.6M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$56.5M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$24.9M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$19.8M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$19.6M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$18.9M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$17.7M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$15.8M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$15.4M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$14.5M

    Nearby Providers

    Other providers in the same ZIP code as Maricopa County Special Health Care District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sycamore Integrated Health LLCAZAdult Day Care Clinic/Center$0$20.7M
    Axios Wellness Center LLCAZMental Health Clinic/Center (Including Community Mental Health Center)$0$13.2M
    Fresh Start Rescource Center LLCAZCommunity/Behavioral Health Agency$0$8.9M
    Tlc Services, LLCAZSpeech-Language Pathologist$0$8.1M
    Brett ChapmanAZPediatric Dentistry$0$8M
    Heritage Technologies, LLCAZFamily Medicine Physician$0$7.5M
    Touch Angels Behavior Health LLCAZHealth Service Psychologist$0$7.4M
    A New Leaf, Inc.AZAdolescent and Children Mental Health Clinic/Center$0$6.2M
    A New Leaf, Inc. - Central Campus ServicesAZAdolescent and Children Mental Health Clinic/Center$0$6.1M
    Darcel RandallAZFamily Nurse Practitioner$431.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arizona Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Maricopa County Special Health Care District — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona