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.

Verde Valley Medical Center (NPI 1346291648)

Verde Valley Medical Center is a general acute care hospital provider located in Cottonwood, Arizona. This profile covers 0 Medicare and 246 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	Verde Valley Medical Center
Address	269 S Candy Ln
City	Cottonwood
State	AZ
ZIP	86326
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

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

246 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.	20,890	$230	$4.8M
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.	20,010	$210	$4.3M
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.	5,540	$650	$3.6M
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.	8,690	$310	$2.7M
G0378	Hospital observation service, per hour	7,880	$170	$1.4M
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…	44,170	$30	$1.2M
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.	4,970	$130	$636.4K
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.	1,420	$390	$545.5K
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	2,650	$210	$542.2K
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…	1,420	$340	$477.5K

Showing 1–10 of 246

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

Verde Valley Medical Center — 1 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

246 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.	85	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.	66	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.	57	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.	54	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…	57	110	960	$70	$1.7M
G0378	Hospital observation service, per hour	34	80	6,320	$70	$961.9K
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…	150	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.	69	150	1,040	$240	$764.4K
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.	55	160	1,640	$110	$710.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	101	310	960	$60	$705.5K

Showing 1–10 of 246

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flagstaff Emergency Physicians	AZ	Emergency Medicine Physician	$0	$10.4M
Nachiket Patel	AZ	Interventional Cardiology Physician	$582.5K	$0
Garry Forkosh	CA	Internal Medicine Physician	$350.7K	$0
Omar Wani	AZ	Cardiovascular Disease Physician	$320K	$0
Andrew Atiemo	AZ	Interventional Cardiology Physician	$309.4K	$0
David Leder	AZ	Cardiovascular Disease Physician	$204.7K	$0
Ben Robinson	UT	Pediatric Orthopaedic Surgery Physician	$120.4K	$0
Eric Cohen	NM	Cardiovascular Disease Physician	$93.2K	$0
Alane Dykes	AZ	Certified Registered Nurse Anesthetist	$82.5K	$0
Mark Miller	AZ	Anatomic Pathology & Clinical Pathology Physician	$82.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Healthcare Group, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.5M
Windsor Austin House, LLC	AZ	Assisted Living Facility	$0	$11.8M
Direct Connect Ventures LLC	AZ	Community/Behavioral Health Agency	$0	$11.2M
Verde Valley Ambulance Co Inc	AZ	Land Ambulance	$602.9K	$7.9M
Spectrum Healthcare Group, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.7M
Farshid Paydar	AZ	Ophthalmology Physician	$692.5K	$0
Farshid Paydar Md PC	AZ	Ambulatory Surgical Clinic/Center	$399.9K	$0
Kristina Paley	AZ	MOHS-Micrographic Surgery Physician	$347K	$0
Cory Krueger	AZ	Internal Medicine Physician	$276.9K	$0
Tarrin Walz	AZ	Physical Medicine & Rehabilitation Physician	$261K	$0

Verde Valley Medical Center — Billing Profile & Reimbursement Data

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Verde Valley Medical Center — 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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