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.

Neurological Associates Of Tucson (NPI 1669588158)

Neurological Associates Of Tucson is a neurological surgery physician provider located in Tucson, Arizona. This profile covers 0 Medicare and 66 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Neurological Associates Of Tucson
Address	2450 E River Rd
City	Tucson
State	AZ
ZIP	85718
Taxonomy	Neurological Surgery Physician
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicaid	$17.9M
Medicare	$0

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	5,550	$770	$4.3M
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…	37,210	$90	$3.2M
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…	15,870	$130	$2.1M
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	8,690	$160	$1.4M
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…	22,620	$60	$1.3M
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	4,190	$240	$1M
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…	4,410	$150	$660.8K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	2,450	$220	$537K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,940	$90	$435.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1,990	$160	$326.7K

Showing 1–10 of 66

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

Neurological Associates Of Tucson — 4 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

66 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.	222	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.	221	260	3,030	$190	$3.4M
J0585	Injection, onabotulinumtoxina, 1 unit	1	20	260	$670	$920K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	27	70	260	$270	$570.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	118	540	900	$60	$475.8K
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.	118	400	200	$120	$403K
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…	103	3,040	750	$50	$343.9K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	54	60	170	$520	$343.4K
95951	N/A	12	10	60	$530	$339.3K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	7	10	310	$180	$295.8K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tijana Skrepnik	AZ	Radiation Oncology Physician	$707.3K	$0
Matthew Mcfarlane	AZ	Radiation Oncology Physician	$622.9K	$0
Francisco Valdivia	AZ	Neurology Physician	$252.5K	$0
Robert Dean	AZ	Otolaryngology Physician	$227.8K	$0
W Noland	AZ	Neurology Physician	$221.6K	$0
Abraham Jacob	AZ	Otology & Neurotology Physician	$211.6K	$0
Elias Stratigouleas	AZ	Otolaryngology Physician	$210.9K	$0
David Hu	AZ	Otolaryngology Physician	$171.7K	$3.1K
Yeeck Sim	AZ	Neurology Physician	$172.9K	$0
Mitzi Barmatz	AZ	Urology Physician	$155.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pima Heart Physicians, PC	AZ	Cardiovascular Disease Physician	$0	$18.5M
Anil Rama Rao	AZ	Anatomic Pathology & Clinical Pathology Physician	$1.3M	$0
Carlos Rodriguez	AZ	Dermatopathology Physician	$788.6K	$0
Paul Sagerman	AZ	Anatomic Pathology Physician	$707.9K	$54.1K
Robyn Glaesser	AZ	Dermatology Physician	$564.8K	$0
Monty Morales	AZ	Cardiovascular Disease Physician	$524.9K	$0
Scott Sheftel	AZ	Dermatology Physician	$435.8K	$0
Natalie Radloff	AZ	Physician Assistant	$423.1K	$0
Eric Cornidez	AZ	Pain Medicine Physician	$411.7K	$0
James Myer	AZ	Cardiovascular Disease Physician	$385.9K	$0

Neurological Associates Of Tucson — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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