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.

Carondelet St. Mary's Northwest, LLC (NPI 1487716650)

Field	Value
Entity Type	Organization
Organization	Carondelet St. Mary's Northwest, LLC
Address	2220 W Orange Grove Rd
City	Tucson
State	AZ
ZIP	85741
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	2,270	$1,600	$3.6M
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	3,550	$380	$1.3M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	2,190	$370	$810.6K
30140	This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).	280	$690	$196K
30520	Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.	170	$360	$60K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	30	$620	$19.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	50	$70	$3.3K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	20	$30	$470
L8699	Prosthetic implant, not otherwise specified	810	$0	$0
V2632	Posterior chamber intraocular lens	430	$0	$0

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

Carondelet St. Mary's Northwest, LLC — 1 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	4	40	210	$1,710	$1.2M
L8699	Prosthetic implant, not otherwise specified	6	20	560	$570	$405.3K
30140	This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).	8	20	230	$440	$397.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	3	40	190	$540	$334.2K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	5	80	390	$330	$311.6K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	27	30	770	$150	$236K
42830	The provider performs an initial adenoidectomy in a patient who is less than 12 years old.	8	10	70	$980	$221.6K
30520	Septoplasty is most often performed for a deviated septum which can be either C–shaped, S–shaped, or a cartilaginous deviation.	4	10	60	$370	$110.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	16	20	90	$100	$22.8K
V2632	Posterior chamber intraocular lens	2	10	430	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carondelet St. Mary's Northwest, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Camp Lowell Surgery Center,llc	AZ	Ambulatory Surgical Clinic/Center	$3.4M	$3.6M

Nearby Providers

Other providers in the same ZIP code as Carondelet St. Mary's Northwest, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Hospital LLC	AZ	General Acute Care Hospital	$0	$47.8M
A Man Tran LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$24.3M
Sean J. Mccafferty, Md, PC	AZ	Ophthalmology Physician	$0	$11.9M
Bridgewater La Cholla Operations, LLC	AZ	Assisted Living Facility	$0	$11.7M
Bayada Home Health Care, Inc.	AZ	Home Health Agency	$0	$10.3M
Northwest Hbp Medical Services LLC	AZ	Emergency Medicine Physician	$0	$8M
Tucson Digestive Institute LLC	AZ	Ambulatory Surgical Clinic/Center	$1M	$2.5M
Catalina Surgery Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$1M	$248.6K
Michael Huether	AZ	MOHS-Micrographic Surgery Physician	$1.2M	$0
Bradley Holt	AZ	Interventional Pain Medicine Physician	$473.4K	$0

Carondelet St. Mary's Northwest, LLC — Billing Profile & Reimbursement Data

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Carondelet St. Mary's Northwest, LLC — 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