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.

Benson Hospital Corporation (NPI 1336118322)

Benson Hospital Corporation is a critical access hospital provider located in Benson, Arizona. This profile covers 0 Medicare and 142 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Benson Hospital Corporation
Address	450 S Ocotillo Ave
City	Benson
State	AZ
ZIP	85602
Taxonomy	Critical Access Hospital
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

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

142 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	9,870	$350	$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.	14,310	$220	$3.2M
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.	4,660	$410	$1.9M
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.	1,490	$800	$1.2M
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.	3,900	$110	$413.2K
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…	10,220	$40	$398.6K
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.	1,580	$170	$275.6K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	440	$510	$227.3K
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.	240	$660	$160.9K
T1015	Clinic visit/encounter, all-inclusive	720	$180	$130.3K

Showing 1–10 of 142

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

Benson Hospital Corporation — 0 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

142 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	242	360	3,640	$230	$7.7M
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.	101	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.	89	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.	76	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.	88	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…	76	110	960	$70	$1.7M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	323	400	2,110	$70	$800.7K
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.	104	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…	31	30	470	$20	$761.9K
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.	58	160	1,640	$110	$710.7K

Showing 1–10 of 142

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Barry Sadegi	AZ	Diagnostic Radiology Physician	$1.8M	$0
Brian Zernich	AZ	Diagnostic Radiology Physician	$449.7K	$0
Kalpesh Patel	AZ	Diagnostic Radiology Physician	$409.1K	$0
Peter Steinberg	AZ	Diagnostic Radiology Physician	$370.1K	$0
Christian Ingui	TX	Diagnostic Radiology Physician	$192.2K	$99.1K
Abhijit Shah	CT	Diagnostic Radiology Physician	$216.7K	$14.8K
Timothy Olthoff	AZ	Diagnostic Radiology Physician	$219.4K	$0
Gilman Wolsey	NV	Diagnostic Radiology Physician	$183.3K	$16.6K
Daniel Emig	AZ	Diagnostic Radiology Physician	$191.8K	$0
David Weitz	AZ	Diagnostic Radiology Physician	$177.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Arizona Behavioral Health Services, Inc.	AZ	Community/Behavioral Health Agency	$0	$12.7M
Southeastern Arizona Behavioral Health Services, Inc.	AZ	Community/Behavioral Health Agency	$0	$11M
Chiricahua Community Health Centers, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$9.3M
Healthcare Innovations Inc.	AZ	Land Ambulance	$551.6K	$8.6M

Benson Hospital Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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