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.

Banner Desert Medical Center (NPI 1720011810)

Field	Value
Entity Type	Organization
Organization	Banner Desert Medical Center
Address	1400 S Dobson Rd
City	Mesa
State	AZ
ZIP	85202
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$199.4M
Medicare	$0

Key Findings

BANNER DESERT MEDICAL CENTER is effectively a Medicaid-centered provider: there is no Medicare billing on file and reported Medicaid revenue totals $199.4M, so the facility operates with a single-payer footprint in the available data. Its NPI has been enumerated since 2006-07-09 (≈20 years), indicating an established presence in the market despite the absence of Medicare claims in the dataset.

Revenue is highly concentrated in emergency department E/M services: the top three Medicaid codes (99285, 99284, 99283) together account for 63.8% of the provider's total Medicaid revenue. Individually these codes generate $46.6M (25.4%), $42M (22.9%), and $28.4M (15.5%) respectively, making ED visits the primary revenue driver for this hospital.

The code mix signals a high-volume acute care and emergency operation: 99285 (91.3K claims), 99284 (128.5K claims) and 99283 (100.8K claims) are the largest contributors, and the facility also bills 66.6K claims for observation care under G0378 ($2.3M, 1.2% of Medicaid revenue). This pattern—heavy ED claims plus significant observation hours—suggests throughput from emergency evaluation into short-term observation is a core operational flow.

Competitive standing within Arizona is strong for emergency services: 99284 ranks #7 of 259 providers in-state (98th percentile; labeled an extreme outlier, far above typical state volume), 99283 ranks #7 of 258 (98th percentile; notably above typical state volume), and 99285 ranks #10 of 257 (96th percentile; notably above typical state volume). Those ranks position the hospital as a major in-state ED provider rather than a modest participant for its top-coded services.

Imaging and diagnostic services are important supporting lines: CT abdomen/pelvis with contrast 74177 contributes $16.4M (8.9% of Medicaid revenue) and is ranked #17 of 175 providers in-state (91th percentile; typical, unremarkable volume for this code), while CT without contrast 74176 adds $6.8M (3.7%) and ranks #6 of 150 (97th percentile; typical, unremarkable volume). Multiple other high-volume imaging codes (e.g., 70450 at $5M and 70496 at $1.3M) indicate substantial on‑site radiology capacity that supports the ED and acute surgical workup.

The hospital demonstrates surgical capability for common acute procedures: laparoscopic appendectomy 44970 brings $6.3M (3.4% of Medicaid revenue) and ranks #2 of 14 providers in-state (92th percentile; typical, unremarkable volume), and laparoscopic cholecystectomy 47562 accounts for $3.9M (2.1%) and ranks #4 of 30 (90th percentile; typical, unremarkable volume). These contributions show the facility manages operative acute care beyond evaluation and imaging, supporting its role as an acute referral point.

Critical care services appear present but are a smaller share of Medicaid revenue: 99291 generates $2.2M (1.2% of Medicaid revenue) and ranks #45 of 200 providers in-state (78th percentile; typical, unremarkable volume). In combination with the dominant ED coding, this suggests the hospital focuses more on high-volume emergency evaluation and procedural throughput than on a proportionally large critical-care revenue base.

Payer mix and contracting implications: with zero Medicare revenue on file and $199.4M in Medicaid revenue, the provider's revenue exposure is concentrated in Medicaid payments and state-level payer dynamics. Analysts and negotiators should treat the hospital as highly dependent on Medicaid volume—particularly ED-related codes that are extreme or notable outliers in statewide rankings—when assessing network value, rate sensitivity, and risk exposure.

Medicaid: Complete Services Breakdown

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

503 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	91,290	$510	$46.6M
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.	128,460	$330	$42M
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.	100,820	$280	$28.4M
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.	20,890	$790	$16.4M
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.	12,920	$520	$6.8M
44970	Laparoscopy, surgical, appendectomy	1,410	$4,470	$6.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	35,250	$140	$5M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	3,230	$1,360	$4.4M
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.	950	$4,140	$3.9M
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.	29,950	$130	$3.7M

Showing 1–10 of 503

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

Banner Desert Medical Center — 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

503 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.	10	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.	7	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.	7	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.	17	180	1,490	$320	$2.2M
44970	Laparoscopy, surgical, appendectomy	2	10	110	$4,670	$2.1M
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…	13	110	960	$70	$1.7M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	15	40	210	$1,710	$1.2M
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…	15	20	160	$270	$1.1M
J1745	Injection, infliximab, excludes biosimilar, 10 mg	3	10	240	$3,390	$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.	4	30	70	$3,620	$999.9K

Showing 1–10 of 503

Related Providers

Other providers that share a Tax Identification Number (TIN) with Banner Desert Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hany Ashamalla	AZ	Psychiatry Physician	$142.9K	$0
Kimberlee Wilson	AZ	Psychiatry Physician	$137.2K	$0
Jagveer Sandhu	AZ	Psychiatry Physician	$120.9K	$0
Navaid Khan	SD	Psychiatry Physician	$77.8K	$0
Saurabh Jauhari	AZ	Psychiatry Physician	$50.6K	$0
Sameer Bellapravalu	MO	Psychosomatic Medicine Physician	$47.4K	$0
Evan Weiden	AZ	Psychiatry Physician	$46.6K	$0
Kristie Julien	UT	Psychiatry Physician	$23.9K	$0

Nearby Providers

Other providers in the same ZIP code as Banner Desert Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Bridges, Inc.	AZ	Community/Behavioral Health Agency	$0	$172.9M
Sonoran Radiology Ltd	AZ	Vascular & Interventional Radiology Physician	$0	$33.4M
Obstetrix Medical Group Of Phoenix PC	AZ	Neonatal-Perinatal Medicine Physician	$0	$31M
Progressive Medical Associates PLLC	AZ	Emergency Medicine Physician	$0	$30.3M
Woodward Foundation For The Disabled	AZ	Developmentally Disabled Services Day Training Agency	$0	$23M
Endredy Enterprises, LLC	AZ	Home Health Agency	$0	$21.2M
A.f.c. Transportation, Inc	AZ	Taxi	$0	$10.1M
Apollo Hospitalists PLLC	AZ	Internal Medicine Physician	$0	$9.5M
Banner Mesa Surgery Center LLC	AZ	Ambulatory Surgical Clinic/Center	$1.3M	$2.8M
Daniel Skinner	AZ	MOHS-Micrographic Surgery Physician	$1.4M	$0

Banner Desert Medical Center — Billing Profile & Reimbursement Data

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Banner Desert Medical 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