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.

Circle The City (NPI 1548775570)

Field	Value
Entity Type	Organization
Organization	Circle The City
Address	220 S 12th Ave
City	Phoenix
State	AZ
ZIP	85007
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 13, 2017

Payer Source	Total Paid
Medicaid	$14M
Medicare	$0

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	50,550	$280	$14M
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…	1,180	$1	$1.2K
0011A	N/A	20	$0	$0
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,180	$0	$0
36416	In this procedure, the provider pricks the patient’s finger, heel, or ear with a pointed instrument and collects specimen of droplets of blood by pressing the pricking site.	1,220	$0	$0
81000	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	970	$0	$0
82948	The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.	90	$0	$0
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	3,460	$0	$0
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	800	$0	$0
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	110	$0	$0

Showing 1–10 of 39

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

Circle The City — 0 of 2 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	57	360	3,640	$230	$7.7M
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…	211	3,040	750	$50	$343.9K
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…	168	2,780	600	$50	$267K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	363	480	150	$110	$134.3K
99203	The provider sees a new 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 provider…	140	1,030	130	$70	$134.1K
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…	233	930	200	$70	$97.7K
99204	The provider sees a new 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 provider…	232	1,160	150	$90	$96.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	412	850	230	$40	$72.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	186	250	100	$70	$59K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	100	210	420	$20	$43.1K

Showing 1–10 of 39

Related Providers

Other providers that share a Tax Identification Number (TIN) with Circle The City, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$30.7M
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$20M
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$17.3M
Funmilayo Oluwole	AZ	Psychiatric/Mental Health Nurse Practitioner	$110.8K	$0

Nearby Providers

Other providers in the same ZIP code as Circle The City, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Going The Extra Mile LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.2M
Another Level Of Community Services	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.5M
Connectionsaz, LLC	AZ	Multi-Specialty Clinic/Center	$0	$14.3M
Arizona State Public Health Laboratory	AZ	Clinical Medical Laboratory	$0	$8.2M
Michael Rosen	AZ	Oral and Maxillofacial Surgery (Dentist)	$142.1K	$0
John Mcmullen	AZ	Physician Assistant	$20.9K	$0
Lisa De Los Santos	AZ	Speech-Language Pathologist	$6.3K	$0
Theresa Costales	AZ	Psychiatry Physician	$530	$0

Circle The City — Billing Profile & Reimbursement Data

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Circle The City — 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