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.

Circle The City (NPI 1346755295)

Field	Value
Entity Type	Organization
Organization	Circle The City
Address	210 S 12th Ave
City	Phoenix
State	AZ
ZIP	85007
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 13, 2017

Payer Source	Total Paid
Medicaid	$17.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	59,940	$290	$17.3M
96153	N/A	30	$10	$220
0011A	N/A	20	$0	$0
0012A	N/A	10	$0	$0
96152	N/A	30	$0	$0
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	240	$0	$0
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	1,550	$0	$0
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…	600	$0	$0
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	350	$0	$0
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	220	$0	$0

Showing 1–10 of 14

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

Circle The City — 0 of 2 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	48	360	3,640	$230	$7.7M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	350	510	1,320	$60	$454.9K
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…	315	3,040	750	$50	$343.9K
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…	279	480	960	$40	$308.1K
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…	99	2,780	600	$50	$267K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	165	260	790	$30	$160.7K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	236	330	810	$20	$125.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	223	850	230	$40	$72.5K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	38	50	720	$10	$15.5K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	11	30	480	$1	$3.8K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Circle The City, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$30.7M
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$20M
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$14M
Funmilayo Oluwole	AZ	Psychiatric/Mental Health Nurse Practitioner	$110.8K	$0

Nearby Providers

Other providers in the same ZIP code as Circle The City, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Going The Extra Mile LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.2M
Another Level Of Community Services	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.5M
Connectionsaz, LLC	AZ	Multi-Specialty Clinic/Center	$0	$14.3M
Arizona State Public Health Laboratory	AZ	Clinical Medical Laboratory	$0	$8.2M
Michael Rosen	AZ	Oral and Maxillofacial Surgery (Dentist)	$142.1K	$0
John Mcmullen	AZ	Physician Assistant	$20.9K	$0
Lisa De Los Santos	AZ	Speech-Language Pathologist	$6.3K	$0
Theresa Costales	AZ	Psychiatry Physician	$530	$0

Circle The City — Billing Profile & Reimbursement Data

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Circle The City — 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