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.

Progressive Medical Associates PLLC (NPI 1548218613)

Field	Value
Entity Type	Organization
Organization	Progressive Medical Associates PLLC
Address	1400 S Dobson Rd
City	Mesa
State	AZ
ZIP	85202
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$30.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 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.	128,560	$120	$14.8M
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.	128,470	$90	$11M
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.	77,360	$50	$3.9M
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…	3,070	$150	$457.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22,950	$10	$114.8K
99053	The provider renders overnight services at a 24 hour facility.	26,640	$1	$26.6K
99292	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…	30	$140	$3.8K
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.	50	$30	$1.6K
G8783	Normal blood pressure reading documented, follow-up not required	3,610	$0	$0
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	6,370	$0	$0

Showing 1–10 of 18

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

Progressive Medical Associates PLLC — 3 of 8 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

18 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.	6	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.	6	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.	11	260	2,600	$170	$2.6M
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.	132	160	1,640	$110	$710.7K
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…	35	200	410	$170	$442.7K
99292	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…	23	30	70	$70	$71.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	13	140	570	$10	$57.2K
99053	The provider renders overnight services at a 24 hour facility.	3	30	810	$1	$5.7K
3210F	No Summary found for this code	2	10	50	$1	$1
G8783	Normal blood pressure reading documented, follow-up not required	6	50	240	$0	$0

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Progressive Medical Associates PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blake Sherman	AZ	Emergency Medicine Physician	$145.7K	$0
Scott Schleifer	AZ	Emergency Medicine Physician	$113.5K	$0
James Mead	AZ	Emergency Medicine Physician	$64.9K	$0
Zachary Bair	AZ	Emergency Medicine Physician	$45K	$0
Raphael Colon-hernandez	PR	Emergency Medicine Physician	$37.8K	$0
Cheryl Draper	WA	Physician Assistant	$31.3K	$0

Nearby Providers

Other providers in the same ZIP code as Progressive Medical Associates PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Desert Medical Center	AZ	General Acute Care Hospital	$0	$199.4M
Community Bridges, Inc.	AZ	Community/Behavioral Health Agency	$0	$172.9M
Sonoran Radiology Ltd	AZ	Vascular & Interventional Radiology Physician	$0	$33.4M
Obstetrix Medical Group Of Phoenix PC	AZ	Neonatal-Perinatal Medicine Physician	$0	$31M
Woodward Foundation For The Disabled	AZ	Developmentally Disabled Services Day Training Agency	$0	$23M
Endredy Enterprises, LLC	AZ	Home Health Agency	$0	$21.2M
A.f.c. Transportation, Inc	AZ	Taxi	$0	$10.1M
Apollo Hospitalists PLLC	AZ	Internal Medicine Physician	$0	$9.5M
Banner Mesa Surgery Center LLC	AZ	Ambulatory Surgical Clinic/Center	$1.3M	$2.8M
Daniel Skinner	AZ	MOHS-Micrographic Surgery Physician	$1.4M	$0

Progressive Medical Associates PLLC — Billing Profile & Reimbursement Data

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Progressive Medical Associates PLLC — 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