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.

Banner-university Medical Group (NPI 1508809427)

Key Findings

Field	Value
Entity Type	Organization
Organization	Banner-university Medical Group
Address	2901 N Central Ave
City	Phoenix
State	AZ
ZIP	85012
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicaid	$133.7M
Medicare	$0

BANNER-UNIVERSITY MEDICAL GROUP reports $133.7M in lifetime Medicaid revenue and has no Medicare billing on file, making its measurable public payer footprint effectively single‑payer (Medicaid). The NPI was enumerated on 2006-06-14 (~20 years ago), indicating long tenure in the market and an established billing history under this identifier.

Revenue concentration is highly focused: the precomputed top 3 Medicaid codes by revenue account for 41.3% of this provider's total Medicaid revenue. Those top codes are 99285 ($17.8M, 143.4K claims, $124 avg paid/claim, ranks #2 of 257 — 100th percentile; extreme outlier), 99214 ($13.7M, 213.6K claims, $64 avg paid/claim, ranks #9 of 3041 — 100th percentile; extreme outlier), and 99284 ($10.9M, 114.6K claims, $95 avg paid/claim, ranks #9 of 259 — 97th percentile; notably above typical).

The code mix indicates an emergency‑department and acute‑care orientation: high revenue and volume for ED E/M codes 99285 (high acuity), 99284 (moderate acuity), and 99283 (lower acuity) together with substantial critical care billing via 99291 ($5.2M, ranks #2 of 200 — 99th percentile; extreme outlier). This pattern reflects a clinical operation that delivers significant urgent and critical care services alongside throughput-driven ED encounters.

Simultaneously, the provider shows very large ambulatory E/M activity consistent with broad outpatient clinics: 99214 (213.6K claims, $13.7M, ranks #9 of 3041 — 100th percentile; extreme outlier), 99213 (164.7K claims, $8.1M, ranks #12 of 2775 — 100th percentile; extreme outlier), and 99215 (44.3K claims, $3.9M, ranks #4 of 927 — 100th percentile; extreme outlier). These volumes suggest integrated outpatient primary/specialty visit capacity feeding high overall Medicaid visit counts.

Inpatient and observation follow‑up services are also significant: 99233 ($7.1M, 107.4K claims, ranks #8 of 537 — 99th percentile; extreme outlier), 99232 ($6.1M, 131.6K claims, ranks #4 of 613 — 100th percentile; extreme outlier), and 99223 ($1.4M, ranks #14 of 500 — 97th percentile; notably above typical) indicate substantial hospital-based continuity of care and high acuity inpatient workload. This supports a mixed acute/hospitalist service line in addition to ED operations.

Advanced diagnostics and specialty procedures contribute meaningfully to revenue, demonstrating onsite imaging and subspecialty capabilities: 74177 (CT abdomen/pelvis) $3.1M (ranks #4 of 175 — 98th percentile; notably above typical), 93306 (transthoracic echo) $2.3M (ranks #1 of 240 — 100th percentile; extreme outlier), 74183 (abdominal MRI with and without contrast) $1.2M (ranks #1 of 23 — 100th percentile; extreme outlier), and 70450 (CT head) $1.6M (ranks #4 of 177 — 98th percentile; notably above typical). These code-level patterns point to substantial in‑system imaging and cardiology diagnostic capacity billed to Medicaid.

Statewide competitive standing is dominant for many high‑volume codes: multiple codes sit at or near the 100th percentile and are labeled "extreme outlier" (examples include 99285, 99214, 99213, 99233, 99232, 93306, 74183), and several other high-revenue codes are in the 97th–99th percentiles. For payers and analysts, these rank/percentile signals indicate BANNER-UNIVERSITY MEDICAL GROUP is a major market leader in Arizona Medicaid for both ED/critical care and high-volume ambulatory services.

From a payer‑management perspective, the combination of heavy ED/critical care billing, concentrated revenue in the top three codes (41.3% of Medicaid revenue), and very large ambulatory visit volumes suggests revenue and utilization risk are concentrated in acute and outpatient E/M services. Contracting, network adequacy assessments, and utilization management should account for the provider's size and specialty mix rather than treating it as a typical community clinic.

Medicaid: Complete Services Breakdown

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

458 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	143,430	$120	$17.8M
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…	213,570	$60	$13.7M
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.	114,550	$100	$10.9M
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…	164,690	$50	$8.1M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	107,390	$70	$7.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	131,580	$50	$6.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	36,380	$140	$5.2M
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.	83,160	$60	$4.7M
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…	44,300	$90	$3.9M
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.	41,400	$80	$3.1M

Showing 1–10 of 458

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

Banner-university Medical Group — 19 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

458 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.	2	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.	9	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.	10	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.	4	180	1,490	$320	$2.2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	102	110	960	$70	$1.7M
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	6	20	380	$140	$1.3M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	14	40	210	$1,710	$1.2M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	5	20	160	$270	$1.1M
99479	The provider directs the care of a recovering low birth weight infant, whose current weight is between 1500 and 2500 grams.	4	10	4,480	$110	$1.1M
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	3	10	3,790	$100	$1.1M

Showing 1–10 of 458

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner - University Medical Center Tucson Campus LLC	AZ	General Acute Care Hospital	$0	$194.2M
Iftikhar Ahmad	NY	Diagnostic Radiology Physician	$3.8M	$650.3K
John Christoforidis	AZ	Ophthalmology Physician	$2.8M	$0
Hani Babiker	FL	Hematology & Oncology Physician	$1.3M	$0
Ayad Agha	AZ	Diagnostic Radiology Physician	$1M	$0
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Tamara Lundeen	AZ	Diagnostic Radiology Physician	$802.6K	$0
Roscoe Chan	AZ	Radiation Oncology Physician	$738.6K	$0
Caroline Cranford	AZ	Diagnostic Radiology Physician	$724.7K	$0
Catherine Azar	AZ	Hematology & Oncology Physician	$698K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Park Health Center	AZ	Federally Qualified Health Center (FQHC)	$0	$351.5M
The Tungland Company, LLC	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$332M
Adelante Healthcare, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$245.5M
Prileo Healthcare LLC Dba Prileo Home Care	AZ	In Home Supportive Care Agency	$0	$88.8M
Denova Collaborative Health, LLC	AZ	Multi-Specialty Clinic/Center	$0	$87.9M
Southwest Behavioral Health Services Inc	AZ	Community/Behavioral Health Agency	$0	$83.5M
Terros, Inc.	AZ	Community/Behavioral Health Agency	$0	$81.7M
Accentcare At Home, Inc.	AZ	In Home Supportive Care Agency	$0	$65.7M
Banner Physician Super Specialists Arizona LLC	AZ	Multi-Specialty Clinic/Center	$0	$36.9M
Banner - University Hospital Based Physicians LLC	AZ	General Acute Care Hospital	$0	$29.7M

Banner-university Medical Group — 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