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.

Northern Arizona Healthcare Corporation (NPI 1669914552)

Field	Value
Entity Type	Organization
Organization	Northern Arizona Healthcare Corporation
Address	1200 N. Beaver Street
City	Flagstaff
State	AZ
ZIP	86001
Taxonomy	Family Medicine Physician
NPI Enumerated	November 9, 2016

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

119 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	36,460	$60	$2.3M
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…	35,080	$60	$2.1M
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…	17,660	$50	$847.5K
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…	15,610	$50	$702.6K
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…	8,010	$70	$568.6K
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…	4,240	$120	$487.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	6,600	$70	$455.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,610	$70	$387.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	7,160	$50	$379.5K
T1015	Clinic visit/encounter, all-inclusive	760	$340	$255.6K

Showing 1–10 of 119

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

Northern Arizona Healthcare Corporation — 2 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

119 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	240	360	3,640	$230	$7.7M
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.	180	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.	133	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.	147	260	2,600	$170	$2.6M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	19	20	160	$270	$1.1M
J0585	Injection, onabotulinumtoxina, 1 unit	17	20	260	$670	$920K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	110	400	2,110	$70	$800.7K
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.	124	160	1,640	$110	$710.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	204	310	960	$60	$705.5K
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…	22	540	900	$60	$475.8K

Showing 1–10 of 119

Related Providers

Other providers that share a Tax Identification Number (TIN) with Northern Arizona Healthcare Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Arizona Healthcare Corporation	AZ	Multi-Specialty Clinic/Center	$0	$6M
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Sarah Conlon	AZ	Medical Oncology Physician	$908.6K	$0
Gerges Makar	AZ	Hospitalist Physician	$701.1K	$89.3K
Nachiket Patel	AZ	Interventional Cardiology Physician	$582.5K	$0
Naeem Chavla	WA	Urology Physician	$389.6K	$0
Kartik Reddy	AZ	Clinical Cardiac Electrophysiology Physician	$387.5K	$0
Imani Rosario	NJ	Urology Physician	$342.4K	$0
Omar Wani	AZ	Cardiovascular Disease Physician	$320K	$0
Sanjiv Faldu	CA	Cardiovascular Disease Physician	$314.9K	$0

Nearby Providers

Other providers in the same ZIP code as Northern Arizona Healthcare Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flagstaff Medical Center	AZ	General Acute Care Hospital	$0	$63.3M
Flagstaff Medical Center	AZ	Land Ambulance	$0	$46.2M
Flagstaff Medical Center	AZ	Air Ambulance	$0	$37.6M
New Life Wellness Flagstaff	AZ	Community/Behavioral Health Agency	$0	$14.6M
Flagstaff Emergency Physicians	AZ	Emergency Medicine Physician	$0	$10.4M
Flagstaff Dentistry 4 Kids, PLLC	AZ	General Practice Dentistry	$0	$10.4M
North Country Healthcare, Inc.	AZ	Pediatrics Physician	$0	$7.5M
Emeritol Lo Flagstaff LLC	AZ	Assisted Living Facility	$0	$6.5M
Alexander Hu	AZ	Internal Medicine Physician	$3.8M	$0
Flagstaff Bone & Joint Surgical Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$3.1M	$229K

Northern Arizona Healthcare Corporation — Billing Profile & Reimbursement Data

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Northern Arizona Healthcare Corporation — 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