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.

Dignity Community Care (NPI 1700910189)

Key Findings

Field	Value
Entity Type	Organization
Organization	Dignity Community Care
Address	475 S Dobson Rd
City	Chandler
State	AZ
ZIP	85224
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 15, 2007

Payer Source	Total Paid
Medicaid	$71M
Medicare	$0

This provider is effectively a Medicaid-focused organization: lifetime Medicaid revenue on file is $71M and there is no Medicare billing on file, so Medicaid represents the overwhelming share of reported public-payer activity. The absence of any Medicare claims on file means the provider operates, for our data window, as effectively single‑payer (Medicaid) in scale rather than a mixed Medicare/Medicaid hospital.

Revenue is highly concentrated in a small set of codes: the top 3 Medicaid codes (99284, 99285, 74177) together account for 47.4% of this provider’s total Medicaid revenue. Those three codes individually contribute $11.5M (18.0%), $10.2M (16.0%), and $8.6M (13.4%) respectively, showing a material dependency on a few high‑revenue services.

The code mix points to an emergency‑department–centric operation with heavy imaging support: 99284 (54.2K claims, $212 avg paid/claim, $11.5M) and 99285 (34K claims, $300 avg paid/claim, $10.2M) are the top revenue drivers alongside 74177 CT abdomen/pelvis with contrast (14.7K claims, $583 avg paid/claim, $8.6M). Combined with hospital observation service G0378 (26.7K claims, $176 avg paid/claim, $4.7M), the pattern is consistent with high ED volume, frequent advanced imaging, and substantial short‑term observation throughput.

Against in‑state peers the provider shows above‑typical but not dominant volume for key ED and imaging codes: 99284 ranks #24 of 259 (91th percentile), 99285 ranks #39 of 257 (85th percentile), and 74177 ranks #24 of 175 (87th percentile). These percentiles indicate a meaningful statewide presence in emergency visits and CT imaging, but the provider is not the statewide volume leader for these services.

The outpatient/ambulatory side shows unusually high volume for lower‑complexity office visits: 99212 is an "extreme outlier" at the 99th percentile (36.1K claims, $56 avg paid/claim, $2M), and 99213 is "notably above typical" at the 98th percentile (55.8K claims, $44 avg paid/claim, $2.5M). This combination suggests either a large established‑patient clinic footprint or systematic use of low‑acuity office codes for follow‑up and triage visits, contributing nontrivial Medicaid revenue outside the ED.

Diagnostic and ancillary services are a meaningful secondary revenue stream: beyond 74177, other imaging codes such as 71275 (5K claims, $289 avg paid/claim, $1.4M), 70450 (17.1K claims, $71 avg paid/claim, $1.2M), and 74176 (4.7K claims, $401 avg paid/claim, $1.9M) together support significant CT and CTA capacity. Lab and pathology codes (80307 drug screens $2.3M; 87086 urine culture $348.2K; 88305 pathology $1.2M) further indicate embedded diagnostic throughput that complements ED and inpatient workflows.

Intensity of critical care billing is modest relative to ED and observation services: 99291 (critical care) generated $415.8K (0.7% of Medicaid revenue) and ranks #96 of 200 (52th percentile), while G0378 observation service accounts for $4.7M (7.4% of Medicaid revenue). This suggests the provider leans more on ED evaluation, imaging, and observation than on high volumes of billed critical‑care time.

The provider has an established tenure in the NPI file—NPI enumerated 2007-03-15 (~19 years ago)—which, combined with the current Medicaid concentration, implies a long‑standing Medicaid operational footprint. That tenure may provide negotiating and operational advantages within Medicaid networks, but the lack of Medicare billing on file also means limited diversification of public‑payer revenue streams in the observed data set.

Medicaid: Complete Services Breakdown

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

352 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	54,240	$210	$11.5M
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.	33,970	$300	$10.2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	14,680	$580	$8.6M
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.	40,300	$160	$6.5M
G0378	Hospital observation service, per hour	26,690	$180	$4.7M
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…	55,840	$40	$2.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	20,130	$120	$2.3M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	36,070	$60	$2M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,730	$400	$1.9M
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	4,990	$290	$1.4M

Showing 1–10 of 352

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

Dignity Community Care — 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

352 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.	39	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.	24	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.	31	260	2,600	$170	$2.6M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	24	180	1,490	$320	$2.2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	17	110	960	$70	$1.7M
S9083	Global fee urgent care centers	2	10	540	$80	$1.1M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	11	30	70	$3,620	$999.9K
G0378	Hospital observation service, per hour	15	80	6,320	$70	$961.9K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	37	50	450	$920	$775.4K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	27	150	1,040	$240	$764.4K

Showing 1–10 of 352

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dignity Health	CA	General Acute Care Hospital	$0	$109.2M
Dignity Community Care	CA	General Acute Care Hospital	$0	$27.7M
Zelalem Yilma	AZ	Cardiovascular Disease Physician	$1.1M	$0
Elizabeth Olarte	AZ	Surgical Physician Assistant	$83.6K	$0
William Naylor	AZ	Orthopaedic Trauma Physician	$68.9K	$0
Dipak Ramkumar	AZ	Surgical Oncology Physician	$63.6K	$0
Neil Motzkin	AZ	Orthopaedic Surgery Physician	$58.8K	$0
Vafa Ghaemmaghami	AZ	Surgical Critical Care Physician	$53.3K	$0
Ammar Karim	AZ	Orthopaedic Trauma Physician	$52.6K	$0
Daniel Gonzalez	AZ	Vascular Neurology Physician	$47.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arion Care Solutions, LLC	AZ	In Home Supportive Care Agency	$0	$608.8M
Momdoc, LLC	AZ	Obstetrics & Gynecology Physician	$0	$63.3M
Valley Perinatal Services, LLC	AZ	Maternal & Fetal Medicine Physician	$0	$23.6M
Amy Grulke, PLLC	AZ	Speech-Language Pathologist	$0	$21M
Phoenix Neurological Institute, Inc	AZ	Neurology Physician	$0	$18M
360 Physical Therapy LLC	AZ	Multi-Specialty Clinic/Center	$0	$16.8M
Phoenician Medical Center, Inc	AZ	Family Medicine Physician	$0	$15.7M
Twelfth One, LLC	AZ	Home Infusion Therapy Pharmacy	$0	$14.3M
Chandler Emergency Medical Group, LLC	AZ	Emergency Medicine Physician	$0	$14.3M
Emeritus Properties Ngh, LLC	AZ	Assisted Living Facility	$0	$13.3M

Dignity Community Care — 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