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.

Integrity Pain And Anesthesia PLLC (NPI 1386049070)

Integrity Pain And Anesthesia PLLC is a pain medicine physician provider located in Scottsdale, Arizona. This profile covers 0 Medicare and 58 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	Integrity Pain And Anesthesia PLLC
Address	8997 E Desert Cove Ave
City	Scottsdale
State	AZ
ZIP	85260
Taxonomy	Pain Medicine Physician
NPI Enumerated	October 24, 2014

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	56,230	$40	$2.1M
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	4,250	$150	$633.5K
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…	13,610	$40	$503.5K
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…	6,410	$60	$365.1K
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	520	$660	$345K
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…	13,660	$30	$341.4K
64636	In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…	2,770	$110	$293.7K
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…	13,940	$20	$292.8K
72275	N/A	4,150	$40	$166.1K
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…	2,010	$80	$161K

Showing 1–10 of 58

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

Integrity Pain And Anesthesia PLLC — 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid…	3	10	80	$660	$509.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	281	400	200	$120	$403K
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…	530	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…	59	480	960	$40	$308.1K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	19	40	330	$220	$294.9K
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…	45	2,780	600	$50	$267K
L0180	Cervical, multiple post collar, occipital/mandibular supports, adjustable	3	10	90	$300	$245.4K
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…	14	60	210	$120	$165.3K
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…	20	260	790	$30	$160.7K
01936	Deleted effective Jan. 1, 2022	15	30	240	$80	$146.4K

Showing 1–10 of 58

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Ray	AZ	Interventional Pain Medicine Physician	$130.1K	$0
Tamara Fischer	AZ	Family Nurse Practitioner	$68.4K	$0
Karam Moon	AZ	Neurological Surgery Physician	$61.7K	$0
Deborah Korbitz	AZ	Family Nurse Practitioner	$43.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Portrush LLC	AZ	Home Health Agency	$0	$44.3M
Sunrise Native Wellness LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$25.2M
Honorhealth	AZ	General Acute Care Hospital	$0	$23.8M
Pathfinders Recovery Center, LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$20.6M
Soul Surgery LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$16.4M
Sunrise Native Recovery, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$15.2M
Cornerstone Healing Center, LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$12.4M
Embark Recovery LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$10.9M
Neb Group Of Arizona LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$10.3M
Spooner Physical Therapy & Hand Rehab, PC	AZ	Physical Therapy Clinic/Center	$0	$8.2M

Integrity Pain And Anesthesia PLLC — Billing Profile & Reimbursement Data

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Integrity Pain And Anesthesia PLLC — 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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