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.

Obstetrix Medical Group Of Phoenix PC (NPI 1407957152)

Field	Value
Entity Type	Organization
Organization	Obstetrix Medical Group Of Phoenix PC
Address	1400 S Dobson Rd
City	Mesa
State	AZ
ZIP	85202
Taxonomy	Neonatal-Perinatal Medicine Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$31M
Medicare	$0

Medicaid: Complete Services Breakdown

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

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	67,390	$110	$7.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	67,710	$100	$6.8M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	13,370	$330	$4.5M
92586	N/A	62,690	$70	$4.2M
92650	In this procedure, the provider measures the patient’s response to sound stimuli to screen auditory potential (electrical response). The screening uses frequency nonspecific stimuli and automated…	50,150	$40	$2.2M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	12,730	$70	$865.3K
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	2,380	$320	$759.2K
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…	5,780	$120	$670.9K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	9,810	$60	$598.2K
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…	7,080	$70	$516.9K

Showing 1–10 of 51

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

Obstetrix Medical Group Of Phoenix PC — 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

51 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	221	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.	250	260	2,600	$170	$2.6M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	1	10	4,480	$110	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	1	10	3,790	$100	$1.1M
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	1	10	1,510	$340	$994.4K
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	2	10	980	$350	$598.6K
92586	N/A	1	10	1,380	$60	$512K
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…	528	540	900	$60	$475.8K
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…	494	3,040	750	$50	$343.9K
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…	4	40	320	$160	$279.9K

Showing 1–10 of 51

Related Providers

Other providers that share a Tax Identification Number (TIN) with Obstetrix Medical Group Of Phoenix PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ernesto Gomez	AZ	Obstetrics & Gynecology Physician	$532.6K	$0
Alexandra Kidd	AZ	Gynecology Physician	$153.5K	$0
Arthur Herpolsheimer	NV	Obstetrics & Gynecology Physician	$7.1K	$780
May Mohty	AZ	Pediatrics Physician	$5K	$0

Nearby Providers

Other providers in the same ZIP code as Obstetrix Medical Group Of Phoenix PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Desert Medical Center	AZ	General Acute Care Hospital	$0	$199.4M
Community Bridges, Inc.	AZ	Community/Behavioral Health Agency	$0	$172.9M
Sonoran Radiology Ltd	AZ	Vascular & Interventional Radiology Physician	$0	$33.4M
Progressive Medical Associates PLLC	AZ	Emergency Medicine Physician	$0	$30.3M
Woodward Foundation For The Disabled	AZ	Developmentally Disabled Services Day Training Agency	$0	$23M
Endredy Enterprises, LLC	AZ	Home Health Agency	$0	$21.2M
A.f.c. Transportation, Inc	AZ	Taxi	$0	$10.1M
Apollo Hospitalists PLLC	AZ	Internal Medicine Physician	$0	$9.5M
Banner Mesa Surgery Center LLC	AZ	Ambulatory Surgical Clinic/Center	$1.3M	$2.8M
Daniel Skinner	AZ	MOHS-Micrographic Surgery Physician	$1.4M	$0

Obstetrix Medical Group Of Phoenix PC — Billing Profile & Reimbursement Data

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Obstetrix Medical Group Of Phoenix PC — 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