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.

Pedro Denga (NPI 1417297037)

Field	Value
Entity Type	Individual
Organization	Pedro Denga
Address	10139 W Highland Ave
City	Phoenix
State	AZ
ZIP	85037
Taxonomy	Contractor
NPI Enumerated	February 19, 2013

Payer Source	Total Paid
Medicaid	$20.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0215	Non-emergency transportation; mileage, per mile	124,880	$150	$18.7M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	124,840	$20	$1.9M
T2007	Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments	6,170	$10	$86.3K

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

Pedro Denga — 2 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0215	Non-emergency transportation; mileage, per mile	18	510	4,610	$40	$1.2M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	16	510	5,500	$10	$267.6K
T2007	Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments	17	60	2,250	$10	$83.4K

Nearby Providers

Other providers in the same ZIP code as Pedro Denga, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Estrella Medical Center	AZ	General Acute Care Hospital	$0	$108M
Therapy Tree, PLLC	AZ	Hearing and Speech Clinic/Center	$0	$54.6M
Desert Valley Pediatrics	AZ	Pediatrics Physician	$0	$21.2M
Arizona Surgical Specialists Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$1.4M	$8.1M
Southwest Kidney Davita Dialysis Partners LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.3M
Healthy Life Corporation	AZ	Family Medicine Physician	$0	$6.8M
Clear Vision Ophthalmology PC	AZ	Ophthalmology Physician	$0	$6.3M
Az Pediatric Care	AZ	Primary Care Clinic/Center	$0	$6.3M
Southwest Network, Inc.	AZ	Community/Behavioral Health Agency	$0	$6.1M
Nehad Soloman	AZ	Rheumatology Physician	$5.1M	$0

Pedro Denga — Billing Profile & Reimbursement Data

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Pedro Denga — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References