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.

Arizona Arthritis & Rheumatology Associates P C (NPI 1366489254)

Field	Value
Entity Type	Organization
Organization	Arizona Arthritis & Rheumatology Associates P C
Address	4550 E. Bell Road
City	Phoenix
State	AZ
ZIP	85032
Taxonomy	Rheumatology Physician
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicaid	$11.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 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…	65,460	$60	$3.8M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	20,350	$90	$1.7M
J1602	Injection, golimumab, 1 mg, for intravenous use	580	$1,490	$865.4K
99205	The provider sees a new 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 provider…	6,590	$120	$777.6K
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…	7,210	$90	$649K
J0490	Injection, belimumab, 10 mg	280	$2,230	$627.8K
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…	7,250	$90	$616.5K
Q5121	Injection, infliximab-axxq, biosimilar, (avsola), 10 mg	330	$1,610	$530.6K
J3262	Injection, tocilizumab, 1 mg	430	$1,130	$490K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	190	$1,230	$234K

Showing 1–10 of 40

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

Arizona Arthritis & Rheumatology Associates P C — 8 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1745	Injection, infliximab, excludes biosimilar, 10 mg	8	10	240	$3,390	$1M
J1602	Injection, golimumab, 1 mg, for intravenous use	1	10	580	$1,490	$865.4K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	4	10	340	$1,590	$736.4K
J3262	Injection, tocilizumab, 1 mg	2	10	280	$1,390	$499.2K
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…	56	3,040	750	$50	$343.9K
Q5121	Injection, infliximab-axxq, biosimilar, (avsola), 10 mg	1	10	170	$1,500	$290.5K
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…	964	2,780	600	$50	$267K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4	40	1,120	$60	$259.6K
J0897	Injection, denosumab, 1 mg	8	20	180	$650	$258K
J0490	Injection, belimumab, 10 mg	1	10	90	$2,130	$236.7K

Showing 1–10 of 40

Related Providers

Other providers that share a Tax Identification Number (TIN) with Arizona Arthritis & Rheumatology Associates P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nehad Soloman	AZ	Rheumatology Physician	$5.1M	$0
Alexander Hu	AZ	Internal Medicine Physician	$3.8M	$0
Areena Swarup	AZ	Rheumatology Physician	$3.6M	$0
Saima Chohan	AZ	Rheumatology Physician	$3.5M	$0
Nikila Kumar	AZ	Rheumatology Physician	$3M	$0
John Tesser	AZ	Rheumatology Physician	$3M	$0
Daniel Kreutz	AZ	Rheumatology Physician	$2.8M	$0
Mona Amin	AZ	Rheumatology Physician	$2.7M	$0
Joonhee Lim	AZ	Rheumatology Physician	$2.3M	$0
Andrew Sharobeem	AZ	Rheumatology Physician	$2.3M	$0

Nearby Providers

Other providers in the same ZIP code as Arizona Arthritis & Rheumatology Associates P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Hope Of Arizona, Inc	AZ	Community/Behavioral Health Agency	$0	$50.2M
Privia Medical Group Arizona, LLC	AZ	Family Medicine Physician	$0	$45.6M
Clinica La Familia, PC	AZ	Internal Medicine Physician	$0	$39.4M
Urgent Home Care Inc	AZ	Nursing Facility/Intermediate Care Facility	$0	$32.6M
View Point Sunshine Village LLC	AZ	Alzheimer Center (Dementia Center)	$0	$29.4M
Radadvantage A Professional Corporation	AZ	Diagnostic Radiology Physician	$0	$28.3M
Vhs Acquisition Subsidiary Number 1 Inc	AZ	General Acute Care Hospital	$0	$24.3M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$16.2M
Honorhealth Medical Group, LLC	AZ	Family Medicine Physician	$0	$10.1M
Extended Care Portfolio Multistate Pool Tenant, LLC	AZ	Assisted Living Facility	$0	$7.7M

Arizona Arthritis & Rheumatology Associates P C — Billing Profile & Reimbursement Data

Sign up for Arizona Arthritis & Rheumatology Associates P C — Billing Profile & Reimbursement Data policy alerts

Arizona Arthritis & Rheumatology Associates P C — 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