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.

Phoenix Neurological Institute, Inc (NPI 1336319086)

Phoenix Neurological Institute, Inc is a neurology physician provider located in Chandler, Arizona. This profile covers 0 Medicare and 118 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	Phoenix Neurological Institute, Inc
Address	1343 N Alma School Rd
City	Chandler
State	AZ
ZIP	85224
Taxonomy	Neurology Physician
NPI Enumerated	March 10, 2008

Payer Source	Total Paid
Medicaid	$18M
Medicare	$0

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

118 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	69,530	$60	$3.9M
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…	54,050	$40	$2.3M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	7,560	$150	$1.1M
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	6,590	$150	$955.7K
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…	12,190	$80	$914K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	3,210	$280	$907.6K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	2,450	$320	$780.4K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	2,900	$220	$650.5K
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	230	$2,500	$564.1K
01936	Deleted effective Jan. 1, 2022	4,470	$110	$468.8K

Showing 1–10 of 118

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

Phoenix Neurological Institute, Inc — 9 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

118 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36478	In this procedure, the provider inserts a specially designed laser ablation catheter probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code…	6	10	1,430	$750	$1.5M
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	4	10	590	$1,670	$1.2M
J0585	Injection, onabotulinumtoxina, 1 unit	14	20	260	$670	$920K
63650	In this procedure, the provider places electrodes in the epidural space to relieve pain and reduce or eliminate spasms.	4	10	120	$1,770	$531.7K
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…	51	3,040	750	$50	$343.9K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	24	60	170	$520	$343.4K
68801	In this procedure, the provider dilates the lacrimal punctum, an opening that drains tears from the conjunctival sac into the lacrimal duct in the eye. He may or may not perform an irrigation of the…	2	10	9,540	$40	$341.1K
95951	N/A	10	10	60	$530	$339.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	69	240	660	$120	$309.1K
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…	235	480	960	$40	$308.1K

Showing 1–10 of 118

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mir Ali	CA	Cardiovascular Disease Physician	$1.7M	$0
Ayad Agha	AZ	Diagnostic Radiology Physician	$1M	$0
David Nye	AZ	Vascular Surgery Physician	$905.8K	$0
Akash Makkar	AZ	Clinical Cardiac Electrophysiology Physician	$753.4K	$0
Ruchir Gupta	AZ	Pain Medicine (Anesthesiology) Physician	$610.7K	$0
Aasim Kamal	AZ	Ophthalmology Physician	$577.1K	$0
Siamak Rassadi	AZ	Clinical Cardiac Electrophysiology Physician	$429.4K	$0
Marc Eckhauser	AZ	Vascular Surgery Physician	$314.3K	$0
Drew Hunter	AZ	Diagnostic Radiology Physician	$306.2K	$0
Pedro Ortiz	AZ	Cardiovascular Disease Physician	$263.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arion Care Solutions, LLC	AZ	In Home Supportive Care Agency	$0	$608.8M
Dignity Community Care	AZ	General Acute Care Hospital	$0	$71M
Momdoc, LLC	AZ	Obstetrics & Gynecology Physician	$0	$63.3M
Valley Perinatal Services, LLC	AZ	Maternal & Fetal Medicine Physician	$0	$23.6M
Amy Grulke, PLLC	AZ	Speech-Language Pathologist	$0	$21M
360 Physical Therapy LLC	AZ	Multi-Specialty Clinic/Center	$0	$16.8M
Phoenician Medical Center, Inc	AZ	Family Medicine Physician	$0	$15.7M
Twelfth One, LLC	AZ	Home Infusion Therapy Pharmacy	$0	$14.3M
Chandler Emergency Medical Group, LLC	AZ	Emergency Medicine Physician	$0	$14.3M
Emeritus Properties Ngh, LLC	AZ	Assisted Living Facility	$0	$13.3M

Phoenix Neurological Institute, Inc — Billing Profile & Reimbursement Data

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Phoenix Neurological Institute, 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

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