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.

Neighborhood Outreach Access To Health (NPI 1437607389)

Field	Value
Entity Type	Organization
Organization	Neighborhood Outreach Access To Health
Address	20440 N 27th Ave
City	Phoenix
State	AZ
ZIP	85027
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 20, 2016

Payer Source	Total Paid
Medicaid	$14.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	71,290	$200	$14M
T1016	Case management, each 15 minutes	5,500	$20	$99.1K
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…	1,190	$1	$3.6K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	1,360	$1	$1.4K
99204	The provider sees a new 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 provider…	1,180	$1	$1.2K
0011A	N/A	480	$1	$480
0064A	N/A	60	$10	$370
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	270	$1	$270
0012A	N/A	220	$1	$220
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	130	$1	$130

Showing 1–10 of 72

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

Neighborhood Outreach Access To Health — 0 of 11 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	30	360	3,640	$230	$7.7M
T1016	Case management, each 15 minutes	404	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	154	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.	217	400	200	$120	$403K
H0031	Mental health assessment, by non-physician	214	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…	254	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…	193	2,780	600	$50	$267K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	47	80	420	$50	$191.4K
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…	90	480	150	$110	$134.3K
99203	The provider sees a new 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 provider…	144	1,030	130	$70	$134.1K

Showing 1–10 of 72

Related Providers

Other providers that share a Tax Identification Number (TIN) with Neighborhood Outreach Access To Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$19.6M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$18.5M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$16.2M
Neighborhood Outreach Access To Health	AZ	Family Medicine Physician	$0	$15M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$12.8M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$12.8M
Naresh Dugal	AZ	Primary Podiatric Medicine Podiatrist	$81.4K	$0
Laura Barket	OR	Psychiatry Physician	$47.9K	$0
Ian Primavera	UT	Medical Physician Assistant	$31.8K	$0
Nicole Valdez	AZ	Clinical Social Worker	$780	$0

Nearby Providers

Other providers in the same ZIP code as Neighborhood Outreach Access To Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Networks, L.L.C.	AZ	Case Management Agency	$0	$159.4M
Rescare Arizona, Inc.	AZ	Intellectual Disabilities Intermediate Care Facility	$0	$99.3M
Honorhealth	AZ	General Acute Care Hospital	$0	$65.7M
Sonoran Sky Community Services, Inc.	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$38.9M
United Cerebral Palsy Association Of Central Arizona	AZ	Developmentally Disabled Services Day Training Agency	$0	$31.1M
Tp Deer Valley Operations, LLC	AZ	Assisted Living Facility	$0	$18.8M
Kci Usa, Inc.	AZ	Durable Medical Equipment & Medical Supplies	$0	$15.9M
North Valley Pediatric Therapy, LLC	AZ	Multi-Specialty Clinic/Center	$0	$11.1M
Loop 101 Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$9.1M
Uhs Of Phoenix, LLC	AZ	Psychiatric Hospital	$0	$7.3M

Neighborhood Outreach Access To Health — Billing Profile & Reimbursement Data

Sign up for Neighborhood Outreach Access To Health — Billing Profile & Reimbursement Data policy alerts

Neighborhood Outreach Access To Health — Billing Profile & Reimbursement Data

Sign up for Neighborhood Outreach Access To Health — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References