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.

Honorhealth (NPI 1528169125)

Key Findings

Field	Value
Entity Type	Organization
Organization	Honorhealth
Address	19829 N 27th Ave
City	Phoenix
State	AZ
ZIP	85027
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$65.7M
Medicare	$0

HONORHEALTH appears effectively single-payer in the available dataset: there is no Medicare billing on file while total Medicaid revenue is $65.7M, indicating Medicaid is the primary clinical payer represented in this profile. Analysts should treat conclusions as Medicaid-driven unless Medicare records are later provided.

Revenue is highly concentrated in emergency department evaluation-and-management services: the top three Medicaid codes (99285, 99283, 99284) together account for 53.0% of the provider's total Medicaid revenue. Those three codes individually are 99285 $16M (25.6%), 99283 $10.9M (17.5%), and 99284 $6.2M (9.9%), which signals ED care as the dominant revenue driver.

The code mix indicates a hospital operation centered on emergency care with substantial diagnostic imaging and procedural throughput. High-revenue imaging and procedural codes include 74177 $4.7M (7.5%) for CT abdomen/pelvis with contrast, 72125 $2.7M (4.3%) for cervical spine CT, and endoscopy 43239 $2.7M (4.3%), showing significant inpatient/ED-driven imaging and GI procedural activity alongside the ED volume.

State-level competitive standing for the main ED codes is strong but not singularly dominant: 99285 ranks #38 of 257 providers in-state (86th percentile; typical, unremarkable volume), 99283 ranks #27 of 258 (90th percentile; typical, unremarkable volume), and 99284 ranks #40 of 259 (85th percentile; typical, unremarkable volume). These ranks suggest HONORHEALTH is a substantial Medicaid ED participant in Arizona but generally within the expected range for high-volume hospitals rather than an outlier leader for these core codes.

Several specific service lines show statistically elevated activity relative to peers, pointing to operational strengths beyond headline ED volumes. Notable examples flagged as "notably above typical" are 99282 (rank #6 of 159, 97th percentile), 96361 (rank #5 of 115, 96th percentile), 45380 (rank #5 of 120, 97th percentile), 96366 (rank #6 of 77, 93rd percentile), and 43239 (rank #13 of 177, 93th percentile); these call out higher-than-typical throughput in low-acuity ED visits, infusion/IV therapy, colon biopsy/therapy, and upper endoscopy.

Observation, rehabilitation, and ancillary outpatient services contribute meaningfully to Medicaid revenue, consistent with an acute-care hospital with downstream care. G0378 hospital observation service appears as $2.6M (4.2%), therapeutic exercise 97110 is $1.7M (2.7%), and manual therapy 97140 is $594.8K (1.0%), indicating a nontrivial share of observation and post-acute/therapy work in the revenue mix.

Tenure and operational stability are evident: the NPI was enumerated on 2006-09-26 (~20 years ago), which supports interpreting the billing pattern as that of an established general acute care hospital with sustained Medicaid activity rather than a newly entered facility.

Medicaid: Complete Services Breakdown

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

360 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.	36,340	$440	$16M
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.	41,560	$260	$10.9M
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.	35,880	$170	$6.2M
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.	18,090	$260	$4.7M
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.	33,730	$110	$3.8M
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	7,450	$360	$2.7M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,680	$570	$2.7M
G0378	Hospital observation service, per hour	36,720	$70	$2.6M
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.	7,150	$260	$1.9M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	24,900	$70	$1.7M

Showing 1–10 of 360

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

Honorhealth — 3 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

360 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.	38	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.	40	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.	27	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.	21	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…	29	110	960	$70	$1.7M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	18	30	70	$3,620	$999.9K
G0378	Hospital observation service, per hour	13	80	6,320	$70	$961.9K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	15	50	450	$920	$775.4K
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.	15	150	1,040	$240	$764.4K
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	17	30	470	$20	$761.9K

Showing 1–10 of 360

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Networks, L.L.C.	AZ	Case Management Agency	$0	$159.4M
Rescare Arizona, Inc.	AZ	Intellectual Disabilities Intermediate Care Facility	$0	$99.3M
Sonoran Sky Community Services, Inc.	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$38.9M
United Cerebral Palsy Association Of Central Arizona	AZ	Developmentally Disabled Services Day Training Agency	$0	$31.1M
Tp Deer Valley Operations, LLC	AZ	Assisted Living Facility	$0	$18.8M
Kci Usa, Inc.	AZ	Durable Medical Equipment & Medical Supplies	$0	$15.9M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$14.1M
North Valley Pediatric Therapy, LLC	AZ	Multi-Specialty Clinic/Center	$0	$11.1M
Loop 101 Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$9.1M
Uhs Of Phoenix, LLC	AZ	Psychiatric Hospital	$0	$7.3M

Honorhealth — Billing Profile & Reimbursement Data

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Honorhealth — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Honorhealth	AZ	General Acute Care Hospital	$0	$107.2M
Honorhealth	AZ	General Acute Care Hospital	$0	$47M
St Lukes Medical Center LP	AZ	General Acute Care Hospital	$0	$23.8M
Honorhealth	AZ	General Acute Care Hospital	$0	$23.8M
Mountain Vista Medical Center LP	AZ	General Acute Care Hospital	$0	$20.7M
Honorhealth Medical Group, LLC	AZ	Family Medicine Physician	$0	$10.1M
Mountain Vista Medical Center, LP	AZ	General Acute Care Hospital	$0	$8.2M
Honorhealth	AZ	General Acute Care Hospital	$0	$8M
Honorhealth	AZ	General Acute Care Hospital	$0	$7.4M
Honorhealth Ambulatory	AZ	Cardiovascular Disease Physician	$0	$6.8M