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.

Medical Services Of Prescott, Inc. (NPI 1508816257)

Field	Value
Entity Type	Organization
Organization	Medical Services Of Prescott, Inc.
Address	1003 Willow Creek Rd
City	Prescott
State	AZ
ZIP	86301
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$12.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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.	52,950	$120	$6.5M
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.	54,110	$90	$4.9M
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.	16,310	$50	$799.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	17,860	$10	$107.1K
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…	450	$140	$64.5K
99053	The provider renders overnight services at a 24 hour facility.	5,070	$1	$5.1K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	570	$1	$2.3K

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

Medical Services Of Prescott, Inc. — 0 of 7 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

7 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.	21	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.	25	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.	68	260	2,600	$170	$2.6M
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…	93	200	410	$170	$442.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	17	140	570	$10	$57.2K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	7	20	160	$1	$10.4K
99053	The provider renders overnight services at a 24 hour facility.	7	30	810	$1	$5.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Medical Services Of Prescott, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrew Rounseville	AZ	Emergency Medical Services (Emergency Medicine) Physician	$153.5K	$0
Blake Sherman	AZ	Emergency Medicine Physician	$145.7K	$0
Martin Dekort	AZ	Emergency Medical Services (Emergency Medicine) Physician	$126.7K	$0
Mark Lopez	AZ	Emergency Medical Services (Emergency Medicine) Physician	$118.4K	$0
Nicole Fennell	OR	Physician Assistant	$21.6K	$48K
Patrick Mcgrath	AZ	Physician Assistant	$31.3K	$0
William Thrift	AZ	Family Medicine Physician	$26.7K	$0
Cory Gingold	AZ	Emergency Medical Services (Emergency Medicine) Physician	$26.3K	$0
Victoria Bernard	ID	Family Medicine Physician	$23K	$0
Michelle Riley	AZ	Family Nurse Practitioner	$20.7K	$0

Nearby Providers

Other providers in the same ZIP code as Medical Services Of Prescott, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yavapai Community Hospital Association	AZ	General Acute Care Hospital	$0	$66.2M
Prescott Healthcare Solutions LLC	AZ	Family Medicine Physician	$0	$13.3M
Summit Behavioral Health Of Az, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$13.3M
Prescott Whipple Stage	AZ	Taxi	$0	$9.2M
Iyad Hamarneh	AZ	Medical Oncology Physician	$3.5M	$0
Alan Langerak	AZ	Hematology & Oncology Physician	$2.7M	$0
Allan Espinosa Morazan	AZ	Medical Oncology Physician	$2.2M	$0
Prescott Outpatient Surgical Center LLC	AZ	Ambulatory Surgical Clinic/Center	$1.7M	$25.7K
Arizona Institute Of Eye Surgery LLC	AZ	Ambulatory Surgical Clinic/Center	$1.4M	$24.7K
Ayad Agha	AZ	Diagnostic Radiology Physician	$1M	$0

Medical Services Of Prescott, Inc. — Billing Profile & Reimbursement Data

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Medical Services Of Prescott, Inc. — 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