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.

Northwest Hbp Medical Services LLC (NPI 1407353006)

Northwest Hbp Medical Services LLC is a emergency medicine physician provider located in Tucson, Arizona. This profile covers 0 Medicare and 20 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	Northwest Hbp Medical Services LLC
Address	6200 N La Cholla Blvd
City	Tucson
State	AZ
ZIP	85741
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 10, 2018

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

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

20 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.	41,660	$80	$3.2M
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.	29,080	$100	$2.9M
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.	19,430	$40	$835.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,190	$130	$274.3K
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…	3,060	$60	$171.5K
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…	4,620	$40	$170.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,300	$60	$131.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,230	$100	$116.8K
99220	N/A	1,140	$90	$100.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	13,060	$10	$78.4K

Showing 1–10 of 20

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

Northwest Hbp Medical Services LLC — 0 of 17 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

20 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.	44	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.	36	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.	58	260	2,600	$170	$2.6M
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.	104	160	1,640	$110	$710.7K
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…	153	540	900	$60	$475.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	44	200	410	$170	$442.7K
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…	130	610	610	$50	$258.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	210	320	$70	$177.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	116	500	250	$110	$164.5K
99281	The provider sees a patient for the lowest level emergency department visit.	81	80	420	$70	$116.6K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hani Rashid	AZ	Rheumatology Physician	$1.9M	$0
Jason Schemp	AZ	Internal Medicine Physician	$302.3K	$0
Iqra Saqib	NV	Internal Medicine Physician	$211.9K	$0
Damian Apollo	NE	Emergency Medicine Physician	$140K	$0
Jasminder Singh	OK	Hospitalist Physician	$98.2K	$0
Nicole Lawson	AZ	Physician Assistant	$87K	$740
Lakshmi Ainapurapu	AZ	Internal Medicine Physician	$83.1K	$0
Landon Casaus	NM	Internal Medicine Physician	$75.9K	$0
Jessica Zeman	AZ	Critical Care Medicine (Internal Medicine) Physician	$69.5K	$0
Michael Hecht	AZ	Anesthesiology Physician	$64.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Hospital LLC	AZ	General Acute Care Hospital	$0	$47.8M
A Man Tran LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$24.3M
Sean J. Mccafferty, Md, PC	AZ	Ophthalmology Physician	$0	$11.9M
Bridgewater La Cholla Operations, LLC	AZ	Assisted Living Facility	$0	$11.7M
Bayada Home Health Care, Inc.	AZ	Home Health Agency	$0	$10.3M
Carondelet St. Mary's Northwest, LLC	AZ	Ambulatory Surgical Clinic/Center	$0	$6.1M
Tucson Digestive Institute LLC	AZ	Ambulatory Surgical Clinic/Center	$1M	$2.5M
Catalina Surgery Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$1M	$248.6K
Michael Huether	AZ	MOHS-Micrographic Surgery Physician	$1.2M	$0
Bradley Holt	AZ	Interventional Pain Medicine Physician	$473.4K	$0

Northwest Hbp Medical Services LLC — Billing Profile & Reimbursement Data

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Northwest Hbp Medical Services 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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