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.

Tucson Physician Group Holdings, LLC (NPI 1356726939)

Tucson Physician Group Holdings, LLC is a interventional cardiology physician provider located in Tucson, Arizona. This profile covers 0 Medicare and 175 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	Tucson Physician Group Holdings, LLC
Address	395 N Silverbell Rd Ste 355
City	Tucson
State	AZ
ZIP	85745
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	July 24, 2015

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

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

175 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…	103,340	$50	$5.3M
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…	48,490	$40	$1.8M
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…	15,670	$80	$1.3M
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…	6,090	$80	$511.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	8,710	$40	$322.3K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4,410	$40	$154.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,080	$70	$139.6K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,920	$20	$118.8K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	12,150	$10	$109.3K
99203	The provider sees a new 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 provider…	1,830	$50	$97.1K

Showing 1–10 of 175

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

Tucson Physician Group Holdings, LLC — 6 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

175 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	24	30	230	$430	$962.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	331	540	900	$60	$475.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	119	180	590	$250	$360.9K
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…	29	3,040	750	$50	$343.9K
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…	10	240	660	$120	$309.1K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	11	10	310	$180	$295.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	28	170	960	$40	$295.2K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	41	40	320	$160	$279.9K
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…	60	2,780	600	$50	$267K
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…	30	40	170	$260	$264.1K

Showing 1–10 of 175

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Kermit Murray	AZ	Family Medicine Physician	$347.6K	$0
Alberto Corica	AZ	Urology Physician	$287.3K	$0
Maryclare Mccarthy	AZ	Orthopaedic Hand Surgery Physician	$248.3K	$0
Fadi Deeb	AZ	Gastroenterology Physician	$197.2K	$44.9K
Bechara Mezher	AZ	Gastroenterology Physician	$166.7K	$73.7K
Merick Kirshner	AZ	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$202K	$0
Chintan Patel	AZ	Interventional Cardiology Physician	$197.4K	$0
Rohit Kedia	TX	Clinical Cardiac Electrophysiology Physician	$193.9K	$0
Ryan Kretzer	AZ	Neurological Surgery Physician	$187.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$360M
Smsj Tucson Holdings LLC	AZ	General Acute Care Hospital	$0	$29.8M
Founders Healthcare, LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$20.8M
Behavioral Awareness Center, Inc	AZ	Methadone Clinic	$192.7K	$2.1M
Janakkumar Kansagra	AZ	Interventional Cardiology Physician	$798.6K	$0
Afshin Emami	AZ	Otolaryngology Physician	$512.1K	$0
Alexandre Benjo	AZ	Interventional Cardiology Physician	$352.6K	$0
Susannah Cooper	AZ	Hematology & Oncology Physician	$342.4K	$0
John Migliano	AZ	Hematology & Oncology Physician	$300.2K	$0
Troy Virgil Taduran	AZ	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$278.5K	$0

Tucson Physician Group Holdings, LLC — Billing Profile & Reimbursement Data

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Tucson Physician Group Holdings, LLC — 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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