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.

The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639)

Field	Value
Entity Type	Organization
Organization	The Fort Defiance Indian Hospital Board, Incorporation
Address	Corner Of Route N12 & N7
City	Fort Defiance
State	AZ
ZIP	86504
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 2, 2010

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

Medicaid: Complete Services Breakdown

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

97 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	37,610	$100	$3.9M
Q3014	Telehealth originating site facility fee	4,180	$550	$2.3M
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.	32,200	$60	$2.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	28,690	$50	$1.3M
51900	A vesicovaginal fistula is an opening between the vagina and the urinary bladder. A urethrovaginal fistula is an opening between the vagina and the urethra. These afflictions often occur following…	700	$560	$391.2K
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…	4,270	$50	$226.4K
0002A	N/A	450	$470	$211.9K
97602	The provider removes dead tissue from a wound without differentiating between viable and nonviable tissues. This service helps in assessing the depth of the wound, reduces the risk of infection and…	2,180	$90	$196.3K
42700	The provider uses an incision to drain an abscess next to one of the tonsils.	480	$410	$195K
0001A	N/A	360	$490	$175.8K

Showing 1–10 of 97

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

The Fort Defiance Indian Hospital Board, Incorporation — 4 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

97 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	211	260	1,330	$240	$3.5M
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.	156	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.	38	260	2,600	$170	$2.6M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	92	180	1,490	$320	$2.2M
T1016	Case management, each 15 minutes	882	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	387	510	4,610	$40	$1.2M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	106	150	1,040	$240	$764.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8	160	1,640	$110	$710.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	92	180	1,770	$80	$635.2K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	87	110	1,070	$170	$482K

Showing 1–10 of 97

Nearby Providers

Other providers in the same ZIP code as The Fort Defiance Indian Hospital Board, Incorporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bernadette Giangreco	AZ	Podiatrist	$174.6K	$0
Evan Ross	AZ	Foot & Ankle Surgery Podiatrist	$108.5K	$0
William Reno	AZ	Certified Registered Nurse Anesthetist	$60.3K	$0
Christian Gomez-castro	AZ	Diagnostic Radiology Physician	$33.4K	$0
James Villareal	AZ	Emergency Medicine Physician	$32.1K	$0
Amber Heym	AZ	Emergency Medicine Physician	$8.8K	$0
Tyrone Walker	AZ	Emergency Medicine Physician	$8K	$0
Charles Page	AZ	Emergency Medicine Physician	$6.6K	$0
Miriam Rollason	AZ	Physician Assistant	$4.9K	$0
Tessa Facer	AZ	Physician Assistant	$4.3K	$0

The Fort Defiance Indian Hospital Board, Incorporation — Billing Profile & Reimbursement Data

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The Fort Defiance Indian Hospital Board, Incorporation — 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