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.

Gila Valley Clinic PC (NPI 1740767664)

Field	Value
Entity Type	Organization
Organization	Gila Valley Clinic PC
Address	1680 S 20th Ave
City	Safford
State	AZ
ZIP	85546
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	July 24, 2018

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	41,860	$310	$12.9M
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…	16,500	$1	$16.5K
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…	8,090	$1	$16.2K
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.	3,950	$1	$7.9K
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…	2,950	$1	$5.9K
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…	1,760	$1	$5.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,470	$1	$2.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,170	$1	$1.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	760	$1	$760
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	340	$1	$340

Showing 1–10 of 40

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

Gila Valley Clinic PC — 0 of 11 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	64	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…	452	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…	200	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.	109	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…	68	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…	99	300	690	$60	$155.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	102	310	470	$60	$131.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	112	380	380	$80	$121.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	115	220	300	$50	$113.5K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	102	300	270	$60	$90.1K

Showing 1–10 of 40

Nearby Providers

Other providers in the same ZIP code as Gila Valley Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mt Graham Regional Medical Center Inc	AZ	Critical Access Hospital	$0	$27.7M
Southwest Ambulance Of Southeastern Arizona Inc	AZ	Land Ambulance	$244.1K	$7.5M
Graham County Rc	AZ	Developmentally Disabled Services Day Training Agency	$0	$6.5M
Guardian Flight LLC	AZ	Air Ambulance	$96K	$2.1M
Ponderosa Aviation, Inc	AZ	Land Ambulance	$664.9K	$1.1M
Michael Jerman	AZ	Cardiovascular Disease Physician	$116.2K	$0
Rex Bryce	AZ	Orthopaedic Surgery Physician	$109K	$0
Lydia Palafox	AZ	Certified Registered Nurse Anesthetist	$41.6K	$0
Burkley Jensen	AZ	Foot & Ankle Surgery Podiatrist	$30.4K	$2K
Hector Varela	AZ	Certified Registered Nurse Anesthetist	$7.8K	$0

Gila Valley Clinic PC — Billing Profile & Reimbursement Data

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Gila Valley Clinic PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References