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.

Javier R Rios Md A Medical Professional Corporation (NPI 1497829949)

Javier R Rios Md A Medical Professional Corporation is a family medicine physician provider located in Tucson, Arizona. This profile covers 0 Medicare and 100 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Javier R Rios Md A Medical Professional Corporation
Address	3770 S 16th Ave
City	Tucson
State	AZ
ZIP	85713
Taxonomy	Family Medicine Physician
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

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

100 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	40,580	$60	$2.5M
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…	44,740	$40	$2M
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	4,390	$90	$377.3K
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…	2,730	$80	$229.4K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,170	$80	$178.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,140	$80	$162.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,760	$90	$156.9K
99392	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…	1,640	$80	$124.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,380	$20	$110.6K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	1,020	$80	$82.5K

Showing 1–10 of 100

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

Javier R Rios Md A Medical Professional Corporation — 5 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

100 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	92	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…	68	2,780	600	$50	$267K
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…	128	300	860	$50	$165.9K
99392	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…	105	300	690	$60	$155.9K
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…	193	1,030	130	$70	$134.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	82	310	470	$60	$131.9K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	32	140	230	$80	$115.3K
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…	85	930	200	$70	$97.7K
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…	858	1,160	150	$90	$96.5K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	122	180	470	$60	$96.4K

Showing 1–10 of 100

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kasandra Rodriguez	AZ	Acute Care Nurse Practitioner	$159.1K	$0
Timothy Martinez	AZ	Medical Physician Assistant	$22.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Frontera Center, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$136.5M
Banner - University Medical Center South Campus LLC	AZ	General Acute Care Hospital	$0	$82.4M
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$11.9M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$11.4M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$86.1K	$10.7M
Edward Oh	AZ	Diagnostic Radiology Physician	$440.8K	$0
Satinder Singh	AZ	Cardiovascular Disease Physician	$180.5K	$0
Corbin Ballam	AZ	Internal Medicine Physician	$175.5K	$0
Richard Rhoads	AZ	Psychiatry Physician	$2.5K	$125.6K
Guyve Shalileh	AZ	Emergency Medicine Physician	$87.7K	$0

Javier R Rios Md A Medical Professional Corporation — Billing Profile & Reimbursement Data

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Javier R Rios Md A Medical Professional Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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