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.

Marana Health Center, Inc (NPI 1417403007)

Field	Value
Entity Type	Organization
Organization	Marana Health Center, Inc
Address	5224 W Dove Centre Rd
City	Marana
State	AZ
ZIP	85658
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 1, 2016

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	39,710	$180	$7.2M
T1016	Case management, each 15 minutes	450	$10	$4K
3044F	The A1C test (HbA1C test) is a blood test which shows the levels of glucose (sugar) in the blood. The provider uses the test to determine if the patient’s diabetes is well controlled. The provider…	510	$1	$510
1034F	No Summary found for this code	10	$0	$0
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	70	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	30	$0	$0
1157F	No Summary found for this code	50	$0	$0
1158F	No Summary found for this code	50	$0	$0
1159F	No Summary found for this code	30	$0	$0
1170F	The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…	50	$0	$0

Showing 1–10 of 47

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

Marana Health Center, Inc — 0 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	65	360	3,640	$230	$7.7M
T1016	Case management, each 15 minutes	815	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	352	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	626	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	269	500	750	$170	$592.2K
H0031	Mental health assessment, by non-physician	246	810	280	$120	$360.5K
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…	645	3,040	750	$50	$343.9K
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…	230	2,780	600	$50	$267K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	407	420	600	$30	$177K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	233	480	150	$110	$134.3K

Showing 1–10 of 47

Related Providers

Other providers that share a Tax Identification Number (TIN) with Marana Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marana Health Center Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$33.6M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$24.7M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.2M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$11.4M
Codac Health Recovery And Wellness	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$223.4K	$24.8K
Corbin Ballam	AZ	Internal Medicine Physician	$175.5K	$0
Anna Flores	AZ	Family Nurse Practitioner	$111.4K	$0
Debra Campbell	CT	Emergency Medicine Physician	$83.1K	$0
Daniela Donoso Pena	IA	Internal Medicine Physician	$1.1K	$0

Nearby Providers

Other providers in the same ZIP code as Marana Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smiths Food & Drug Centers Inc	AZ	Community/Retail Pharmacy	$100K	$0
Megan Vettorel	AZ	Family Nurse Practitioner	$91.5K	$0
Tina Pristach-patrick	AZ	Family Nurse Practitioner	$32.3K	$0

Marana Health Center, Inc — Billing Profile & Reimbursement Data

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Marana Health Center, Inc — 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