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.

Scottsdale Physicians Group Plc (NPI 1689799579)

Field	Value
Entity Type	Organization
Organization	Scottsdale Physicians Group Plc
Address	7975 N Hayden Rd Ste D354
City	Scottsdale
State	AZ
ZIP	85258
Taxonomy	Internal Medicine Physician
NPI Enumerated	March 20, 2007

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

74 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	35,140	$180	$6.2M
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	117,050	$40	$4.2M
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	39,860	$60	$2.4M
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…	26,980	$60	$1.5M
99205	The provider sees a new 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 provider…	3,500	$230	$814.6K
99337	N/A	8,300	$40	$340.2K
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…	2,620	$110	$285.9K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	3,330	$70	$246.6K
99220	N/A	1,810	$90	$169.8K
99417	The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.	3,590	$50	$168.8K

Showing 1–10 of 74

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

Scottsdale Physicians Group Plc — 10 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

74 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	26	540	900	$60	$475.8K
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…	1,010	3,040	750	$50	$343.9K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	170	960	$40	$295.2K
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…	1,835	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…	426	610	610	$50	$258.3K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	11	80	420	$50	$191.4K
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…	37	210	320	$70	$177.6K
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…	54	500	250	$110	$164.5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	2	110	330	$60	$157.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	288	480	150	$110	$134.3K

Showing 1–10 of 74

Related Providers

Other providers that share a Tax Identification Number (TIN) with Scottsdale Physicians Group Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Miller	AZ	Family Nurse Practitioner	$512.3K	$0
Gobi Paramanandam	AZ	Pain Medicine Physician	$452.3K	$0
Vinay Prabhakaran	AZ	Internal Medicine Physician	$395.2K	$0
Mehran Darzy	AZ	Family Nurse Practitioner	$373.2K	$0
Omid Dilmaghanian	AZ	Family Medicine Physician	$341.1K	$0
Mufid Khoury	AZ	Family Medicine Physician	$163.2K	$166.2K
Steven Seymour	AZ	Family Nurse Practitioner	$272.3K	$0
Harjinder Bal	AZ	Internal Medicine Physician	$205.9K	$0
Mohammad Abdulrasool	OH	Family Medicine Physician	$179.7K	$0
Nagaraj Madugonde	AZ	Hospitalist Physician	$155.7K	$0

Nearby Providers

Other providers in the same ZIP code as Scottsdale Physicians Group Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dependable Nurses Of Phoenix, LLC	AZ	Home Health Agency	$0	$49.4M
Community Medical Services Montana-private, LLC	AZ	Addiction (Substance Use Disorder) Counselor	$0	$43.2M
Desert Tranquility Integrated Wellness Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Arizona Pulmonary Specialists Ltd	AZ	Pulmonary Disease Physician	$0	$15.1M
Scottsdale Recovery Ii, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$13.7M
Arbor Medical Partners, LLC	AZ	Pediatrics Physician	$0	$12.7M
Purpose Healing Center, LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.5M
Purpose Healing Center, LLC	AZ	Substance Use Disorder Rehabilitation Clinic/Center	$0	$11.1M
Texan Urgent Care PLLC	AZ	Emergency Medicine Physician	$0	$8.5M
Scottsdale Eye Surgery Center, P.C	AZ	Ambulatory Surgical Clinic/Center	$5.7M	$1.9M

Scottsdale Physicians Group Plc — Billing Profile & Reimbursement Data

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Scottsdale Physicians Group Plc — 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