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.

Mariposa Community Health Center, Inc (NPI 1417985474)

Field	Value
Entity Type	Organization
Organization	Mariposa Community Health Center, Inc
Address	1852 N Mastick Way
City	Nogales
State	AZ
ZIP	85621
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 29, 2006

Payer Source	Total Paid
Medicaid	$67.8M
Medicare	$0

Key Findings

This provider effectively operates as a single-payer Medicaid entity: there is no Medicare billing on file and lifetime Medicaid revenue is $67.8M. Revenue concentration is extreme — the precomputed top 3 Medicaid codes by revenue account for 99.9% of this provider’s total Medicaid revenue — indicating that a very small set of service lines drives nearly all reported Medicaid dollars.

T1015 is the dominant revenue driver and defines the provider’s operating model: T1015 shows 267.9K claims, $253 avg paid/claim, and $67.8M revenue (99.9% of this provider's total Medicaid revenue) and ranks #7 of 357 providers in-state (98th percentile; notably above typical state volume). Because T1015 is a clinic visit/encounter, all-inclusive code commonly used by FQHCs, this pattern strongly suggests a primary-care, encounter-based, bundled billing model consistent with Federally Qualified Health Center operations.

The provider’s FQHC taxonomy is reinforced by presence of FQHC-specific billing: G0467 appears with 1.5K claims, $1 avg paid/claim, $1.5K revenue and ranks #14 of 98 in-state (87th percentile). Together with T1015, the mix indicates the organization bills standard clinic-encounter bundles typical of community health centers, with most Medicaid revenue funneled through encounter-style codes rather than discrete procedure codes.

There are numerous very high-volume claims with $0 avg paid/claim on file, including 99213 (96.5K claims), 99214 (30.1K claims), 36415 (31.9K claims) and multiple preventive/vaccine and screening codes reported at large volumes with $0 avg paid. These volumes point to substantial patient throughput and encounter reporting in the dataset; the $0 avg paid values suggest payment may be captured under bundled encounter codes (e.g., T1015) or recorded elsewhere in the claims feed rather than by line-item fee-for-service payments.

Two lower-revenue codes stand out as statistical anomalies by state ranking: 0012A (2.2K claims, $7 avg paid/claim, $15.1K revenue) ranks #7 of 204 providers in-state (97th percentile; extreme outlier, far above typical state volume) and 0011A (2K claims, $7 avg paid/claim, $13.9K revenue) ranks #8 of 225 providers in-state (97th percentile; extreme outlier, far above typical state volume). Although these codes contribute negligibly to total Medicaid revenue in dollar terms, their unusually high claim counts relative to peers warrant attention when comparing operational patterns across similar providers.

From a competitive standing perspective within Arizona this organization is a major provider of Medicaid clinic-encounter services: T1015 ranking at the 98th percentile and overall Medicaid revenue of $67.8M place it among the higher-volume FQHCs in-state for encounter billing. The combination of a top-tier state rank on the principal encounter code and long operating tenure strengthens its position as an established safety-net clinic in Nogales.

The NPI tenure confirms a long-standing presence: NPI enumerated (registered) on 2006-06-29 (~20 years ago). That sustained enrollment combined with concentrated Medicaid revenue and high encounter volumes suggests an established community-facing practice with stable Medicaid-centered business operations rather than diversified payer revenue streams.

Medicaid: Complete Services Breakdown

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

174 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	267,900	$250	$67.8M
0012A	N/A	2,160	$10	$15.1K
0011A	N/A	1,980	$10	$13.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,020	$10	$11.2K
T1016	Case management, each 15 minutes	220	$30	$5.5K
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…	60	$60	$3.7K
0001A	N/A	1,210	$1	$3.6K
0002A	N/A	1,190	$1	$3.6K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	40	$70	$2.6K
H0031	Mental health assessment, by non-physician	140	$20	$2.1K

Showing 1–10 of 174

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

Mariposa Community Health Center, Inc — 3 of 13 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

174 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	7	360	3,640	$230	$7.7M
T1016	Case management, each 15 minutes	922	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	1,118	1,150	1,700	$90	$1M
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.	20	400	200	$120	$403K
H0031	Mental health assessment, by non-physician	479	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…	135	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…	25	2,780	600	$50	$267K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	70	140	580	$70	$251.3K
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.	34	420	600	$30	$177K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	37	300	860	$50	$165.9K

Showing 1–10 of 174

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mariposa Community Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$13M
Tuan Vo	AZ	Family Medicine Physician	$42.9K	$0
Kavir Saxena	NE	Psychiatry Physician	$30.9K	$0
Eladio Pereira	AZ	Internal Medicine Physician	$28.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hch Tucson Holdings LLC	AZ	Critical Access Hospital	$0	$40.9M
Dependable Home Health, Inc	AZ	Home Health Agency	$0	$27.9M
Alfredo Guevara	AZ	Urology Physician	$88.4K	$582K
Nathan Harvey	AZ	Certified Registered Nurse Anesthetist	$8.4K	$0
Amos Wilkinson	AZ	Certified Registered Nurse Anesthetist	$4.9K	$0
Ricardo Reyes	AZ	Family Medicine Physician	$620	$0

Mariposa Community Health Center, Inc — Billing Profile & Reimbursement Data

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Mariposa Community Health Center, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References