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.

Mountain Park Health Center (NPI 1669878567)

Field	Value
Entity Type	Organization
Organization	Mountain Park Health Center
Address	3003 N Central Ave Ste 1600
City	Phoenix
State	AZ
ZIP	85012
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 5, 2014

Payer Source	Total Paid
Medicaid	$351.5M
Medicare	$0

Key Findings

MOUNTAIN PARK HEALTH CENTER is effectively a Medicaid-focused provider with $351.5M in Medicaid revenue on file and no Medicare billing recorded; the absence of Medicare revenue makes this entity functionally single-payer in the available claims data and suggests its operational footprint is concentrated in Medicaid-covered services.

Revenue is extremely concentrated in a small set of Medicaid codes: the top 3 Medicaid codes by revenue account for 99.5% of the provider's total Medicaid revenue, driven overwhelmingly by T1015 which alone represents $344.9M (98.1% of Medicaid revenue). This level of concentration indicates most of the organization’s billing activity and cashflow derive from one broad clinic visit/encounter code.

The code mix indicates FQHC-style primary and perinatal services dominate operations. T1015 (Clinic visit/encounter, all-inclusive) is the primary revenue driver, while significant secondary volume comes from obstetric and newborn-related codes such as 59409 (delivery/labor management) and 99238/99460 (inpatient discharge and newborn evaluation), consistent with integrated clinic and perinatal care activities at a Federally Qualified Health Center.

Competitive standing within Arizona is dominant for the top-revenue codes: the provider ranks #1 of 357 in-state for T1015 (100th percentile, labeled an extreme outlier) and #1 of 20 for 59409 (100th percentile, extreme outlier). These ranks indicate Mountain Park Health Center is a market leader for Medicaid clinic encounters and obstetric delivery services in the state.

Several supporting perinatal and inpatient codes are reported at very high state percentiles, reinforcing a high-volume maternity/newborn service line. Examples include 99238 ($982.4K; rank #4 of 232, 99th percentile, extreme outlier) and 99460 ($512.9K; rank #3 of 77, 97th percentile, notably above typical state volume), which together point to substantial hospital-based delivery and immediate newborn care activity paired with high outpatient clinic throughput.

Despite the outsized role of a few codes, many ancillary ultrasound, inpatient follow-up, and newborn care codes appear at typical or unremarkable state volumes (mid-to-upper percentiles) — for instance, 76816 (89th percentile), 76815 (88th percentile), and 99231 (95th percentile). This suggests that beyond the dominant clinic encounter and delivery services, the provider maintains routine obstetric imaging and inpatient follow-up consistent with expected care pathways.

The provider has an established enrollment history, with NPI enumeration dated 2014-11-05 (approximately 12 years ago), indicating multi-year presence in the market and time to scale the high-volume Medicaid service lines reflected in the data.

Given the extreme concentration in a single all-inclusive clinic encounter code (T1015) and top in-state ranks on delivery codes, payers should treat Mountain Park Health Center as a high-volume Medicaid partner for primary care and perinatal services, and anticipate that utilization and negotiations will hinge primarily on clinic-encounter reimbursement and associated obstetric delivery bundles.

Medicaid: Complete Services Breakdown

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

223 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	1,658,030	$210	$344.9M
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	4,310	$870	$3.8M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	16,370	$60	$982.4K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	7,770	$70	$512.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	3,820	$70	$275.2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	6,540	$30	$209.4K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	2,910	$50	$136.9K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	2,140	$60	$128.3K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	1,270	$100	$125.9K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	10,470	$10	$104.7K

Showing 1–10 of 223

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

Mountain Park Health Center — 5 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

223 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	1	360	3,640	$230	$7.7M
H0004	Behavioral health counseling and therapy, per 15 minutes	587	1,150	1,700	$90	$1M
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…	415	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.	41	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…	18	3,040	750	$50	$343.9K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	1	20	60	$890	$339.2K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	12	40	320	$160	$279.9K
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…	2	2,780	600	$50	$267K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	382	610	610	$50	$258.3K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	111	140	580	$70	$251.3K

Showing 1–10 of 223

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mountain Park Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roxanne Lorans	AZ	Diagnostic Radiology Physician	$270.7K	$0
Marina Giurescu	AZ	Diagnostic Radiology Physician	$242.7K	$0
Victor Pizzitola	AZ	Diagnostic Radiology Physician	$229.7K	$0
Bhavika Patel	AZ	Diagnostic Radiology Physician	$139.1K	$0
William Eversman	AZ	Vascular & Interventional Radiology Physician	$116.4K	$0
Leslie Mcdonald	AZ	Nurse Practitioner	$31.7K	$0
Corinne Jedynak-bell	AZ	Obstetrics & Gynecology Physician	$29.4K	$0
Sarah Stookey	AZ	Psychologist	$15.3K	$0

Nearby Providers

Other providers in the same ZIP code as Mountain Park Health Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Tungland Company, LLC	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$332M
Adelante Healthcare, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$245.5M
Banner-university Medical Group	AZ	Multi-Specialty Clinic/Center	$0	$133.7M
Prileo Healthcare LLC Dba Prileo Home Care	AZ	In Home Supportive Care Agency	$0	$88.8M
Denova Collaborative Health, LLC	AZ	Multi-Specialty Clinic/Center	$0	$87.9M
Southwest Behavioral Health Services Inc	AZ	Community/Behavioral Health Agency	$0	$83.5M
Terros, Inc.	AZ	Community/Behavioral Health Agency	$0	$81.7M
Accentcare At Home, Inc.	AZ	In Home Supportive Care Agency	$0	$65.7M
Banner Physician Super Specialists Arizona LLC	AZ	Multi-Specialty Clinic/Center	$0	$36.9M
Banner - University Hospital Based Physicians LLC	AZ	General Acute Care Hospital	$0	$29.7M

Mountain Park Health Center — Billing Profile & Reimbursement Data

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Mountain Park Health Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References