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.

Salt River Pima-maricopa Indian Community (NPI 1538583125)

Field	Value
Entity Type	Organization
Organization	Salt River Pima-maricopa Indian Community
Address	10901 E Mcdowell Rd
City	Scottsdale
State	AZ
ZIP	85256
Taxonomy	Community Health Clinic/Center
NPI Enumerated	February 18, 2014

Payer Source	Total Paid
Medicaid	$42.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

207 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	63,810	$670	$42.8M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	2,270	$60	$140.7K
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…	2,530	$10	$17.7K
0094A	N/A	30	$0	$0
0124A	N/A	50	$0	$0
0134A	N/A	140	$0	$0
0202U	This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0202U for the…	30	$0	$0
0502F	No Summary found for this code	50	$0	$0
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	850	$0	$0
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	90	$0	$0

Showing 1–10 of 207

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

Salt River Pima-maricopa Indian Community — 0 of 3 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

207 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	46	360	3,640	$230	$7.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	1,055	1,150	1,700	$90	$1M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	400	510	1,320	$60	$454.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	68	400	200	$120	$403K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	20	20	550	$10	$368.9K
H0031	Mental health assessment, by non-physician	604	810	280	$120	$360.5K
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…	444	3,040	750	$50	$343.9K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	77	100	1,040	$20	$327.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	77	100	1,120	$10	$311.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	63	110	1,470	$50	$309.4K

Showing 1–10 of 207

Related Providers

Other providers that share a Tax Identification Number (TIN) with Salt River Pima-maricopa Indian Community, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salt River Pima-maricopa Indian Community	AZ	Community Health Clinic/Center	$0	$17.5M

Nearby Providers

Other providers in the same ZIP code as Salt River Pima-maricopa Indian Community, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Klassen	AZ	Cardiovascular Disease Physician	$513.1K	$0
Robert Burke	AZ	Cardiovascular Disease Physician	$348.7K	$0
David Rizik	AZ	Cardiovascular Disease Physician	$186.1K	$0
Nchekwube Okafor	AZ	Psychiatric/Mental Health Nurse Practitioner	$2.2K	$0

Salt River Pima-maricopa Indian Community — Billing Profile & Reimbursement Data

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Salt River Pima-maricopa Indian Community — 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