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NPI 1558759498 · Tucson, AZ · General Acute Care Hospital
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Banner - University Medical Center South Campus LLC is a general acute care hospital provider located in Tucson, Arizona. This profile covers 0 Medicare and 355 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Banner - University Medical Center South Campus LLC |
| Address | 2800 E Ajo Way |
| City | Tucson |
| State | AZ |
| ZIP | 85713 |
| Taxonomy | General Acute Care Hospital |
| NPI Enumerated | December 30, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $82.4M |
| Medicare | $0 |
This provider reports no Medicare billing on file and $82.4M in lifetime Medicaid revenue, meaning its current claims footprint is effectively single‑payer Medicaid; analysts trying to benchmark against national Medicare peers will lack Medicare activity for direct comparison. The absence of Medicare billing also concentrates financial and utilization risk in Medicaid revenue flows.
Revenue is highly concentrated in emergency department evaluation & management codes: the top three Medicaid codes (99285, 99284, 99283) together account for 62.4% of the provider's total Medicaid revenue. Individually these appear as $21M (99285, 27.1%), $17.5M (99284, 22.5%), and $10M (99283, 12.9%), signaling that ED visits are the dominant revenue driver for the facility.
The code mix indicates this facility operates as a high‑volume acute care hospital with an ED focus supported by substantial diagnostic imaging and interventional services. Significant ancillary revenue lines include CT abdomen/pelvis with contrast 74177 ($8.7M, 11.2%) and CT head 70450 ($2.8M, 3.6%), plus operative and endoscopic procedures such as 47562 ($2.1M, 2.7%) and 43239 ($1.7M, 2.2%), consistent with an emergency and inpatient surgical case mix.
Compared with in‑state peers, the provider posts above‑average ED volumes: 99285 is ranked #25 of 257 (91th percentile), 99284 is #23 of 259 (91th percentile), and 99283 is #33 of 258 (88th percentile). Despite those high percentiles, each of these ED codes is described in the dataset as "typical, unremarkable volume for this code," which suggests volumes are large but still within the expected range among the set of comparable hospitals.
Several ancillary and specialty lines are meaningful contributors but not dominant statewide: 74177 ranks #29 of 175 (84th percentile) and 93306 (echocardiography) contributes $1.5M while ranking #50 of 240 (79th percentile), both labeled as "typical, unremarkable volume for this code." These placements indicate reliable, peer‑level capacity in radiology and cardiac imaging rather than outlier status.
There are targeted high‑rank positions in smaller peer groups for certain costly therapies and implants, for example J1745 (infliximab) generates $1.4M and is ranked #2 of 13 in‑state (92th percentile) but is still labeled "typical, unremarkable volume for this code" in the dataset; similarly, C1713 implantable anchors produce $1.4M and rank #18 of 52 (67th percentile). This pattern points to concentrated provision of specialty infusions and implantables within a limited set of providers rather than broad statewide dominance.
Operational tenure is established but relatively recent: the NPI was enumerated 2014-12-30 (~12 years ago), indicating about a decade of claims history under this identifier for analysts to evaluate trends. That tenure is long enough to observe stable Medicaid patterns but short of multi‑decade legacy footprints.
From a payer perspective, the combination of heavy Medicaid concentration and ED‑centric revenue suggests focus areas for utilization management and contracting: high acuity ED evaluation & management codes and associated imaging account for the majority of spend, and observation use (G0378: 17K claims, $559.6K, 0.7%) also appears in the mix. These concrete line‑item patterns provide specific levers for payers to monitor when negotiating rates or designing value‑based arrangements for this provider.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
355 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. | 45,840 | $460 | $21M |
| 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. | 54,280 | $320 | $17.5M |
| 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. | 39,840 | $250 | $10M |
| 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. | 11,890 | $730 | $8.7M |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 13,360 | $210 | $2.8M |
| 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. | 15,250 | $140 | $2.1M |
| 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. | 440 | $4,800 | $2.1M |
| 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. | 2,610 | $650 | $1.7M |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 3,630 | $400 | $1.5M |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 930 | $1,520 | $1.4M |
Showing 1–10 of 355
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
355 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. | 25 | 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. | 23 | 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. | 33 | 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. | 29 | 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… | 20 | 110 | 960 | $70 | $1.7M |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 4 | 10 | 290 | $1,770 | $1.1M |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 2 | 10 | 240 | $3,390 | $1M |
| 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. | 6 | 30 | 70 | $3,620 | $999.9K |
| G0378 | Hospital observation service, per hour | 22 | 80 | 6,320 | $70 | $961.9K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 16 | 20 | 260 | $670 | $920K |
Showing 1–10 of 355
Other providers in the same ZIP code as Banner - University Medical Center South Campus LLC, ranked by combined Medicare and Medicaid revenue.
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