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.

Marana Health Center, Inc (NPI 1679724124)

Field	Value
Entity Type	Organization
Organization	Marana Health Center, Inc
Address	2355 N Wyatt Dr Ste 101
City	Tucson
State	AZ
ZIP	85712
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 2, 2008

Payer Source	Total Paid
Medicaid	$9.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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
T1015	Clinic visit/encounter, all-inclusive	44,690	$220	$9.9M
0003A	N/A	20	$0	$0
1000F	No Summary found for this code	20	$0	$0
1034F	No Summary found for this code	40	$0	$0
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	70	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	100	$0	$0
1157F	No Summary found for this code	140	$0	$0
1158F	No Summary found for this code	140	$0	$0
1159F	No Summary found for this code	50	$0	$0
1170F	The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…	160	$0	$0

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

Marana Health Center, Inc — 0 of 1 code 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
T1015	Clinic visit/encounter, all-inclusive	62	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…	464	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…	164	2,780	600	$50	$267K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	159	420	600	$30	$177K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	232	300	860	$50	$165.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	224	300	690	$60	$155.9K
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…	235	1,030	130	$70	$134.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	217	310	470	$60	$131.9K
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…	458	1,160	150	$90	$96.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	205	300	270	$60	$90.1K

Showing 1–10 of 66

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tucson Medical Center	AZ	General Acute Care Hospital	$0	$127.3M
Codac Health Recovery And Wellness	AZ	Community/Behavioral Health Agency	$0	$97.8M
Children's Clinics For Rehabilitative Services	AZ	Multi-Specialty Clinic/Center	$0	$58.8M
Nsi-nursing Service Inc.	AZ	Home Health Agency	$0	$29.8M
Tmc Medical Network	AZ	Multi-Specialty Clinic/Center	$0	$20.3M
Arlene Bautista	AZ	Family Nurse Practitioner	$16.8M	$0
I-groupsmedicaltransportaion@wheelchair	AZ	Non-emergency Medical Transport (VAN)	$0	$15.5M
Bodycentral Physical Therapy P C	AZ	Physical Therapy Clinic/Center	$0	$14.5M
Arizona Oncology Associates PC	AZ	Specialist	$0	$13.9M
Child & Family Support Services, Inc	AZ	Community/Behavioral Health Agency	$0	$13.4M

Marana Health Center, Inc — Billing Profile & Reimbursement Data

Sign up for Marana Health Center, Inc — Billing Profile & Reimbursement Data policy alerts

Marana Health Center, Inc — Billing Profile & Reimbursement Data

Sign up for Marana Health Center, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References