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.

Sonora Behavioral Health Hospital, LLC (NPI 1750466892)

Sonora Behavioral Health Hospital, LLC is a psychiatric hospital provider located in Tucson, Arizona. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Sonora Behavioral Health Hospital, LLC
Address	6050 N Corona Rd
City	Tucson
State	AZ
ZIP	85704
Taxonomy	Psychiatric Hospital
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	7,670	$440	$3.4M
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	92,400	$30	$2.6M
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…	36,410	$50	$1.7M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	10,550	$100	$1.1M
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	11,800	$50	$566.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	5,340	$50	$283K
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…	900	$140	$127.2K
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…	520	$60	$29.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	230	$100	$22.1K
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…	470	$50	$21.6K

Showing 1–10 of 11

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

Sonora Behavioral Health Hospital, LLC — 6 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

11 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…	303	540	900	$60	$475.8K
90870	The provider applies an electric current to the patient's brain for the purpose of producing a seizure or series of seizures to alleviate symptoms of various mental disorders.	1	10	1,560	$190	$407K
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…	1,742	3,040	750	$50	$343.9K
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…	26	610	610	$50	$258.3K
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…	101	210	320	$70	$177.6K
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…	114	480	150	$110	$134.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	6	230	170	$50	$72.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4	250	100	$70	$59K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1	190	180	$20	$56.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	112	290	140	$90	$55.4K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Treusch	AZ	Psychiatry Physician	$228.3K	$10.8K
James Abanishe	NY	Psychiatry Physician	$112.2K	$69.2K
Victoria Soyannwo	AZ	Psychiatry Physician	$42.2K	$60.9K
Mohamed Coulibaly Dit Fall	AZ	Family Nurse Practitioner	$15.6K	$80.8K
Tejaskumar Patel	AZ	Psychiatry Physician	$34.1K	$3K
Aaron Wilson	AZ	Psychiatry Physician	$19.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Ob Gyn PLLC	AZ	Obstetrics & Gynecology Physician	$0	$21.7M
Rasw, PC	AZ	Retina Specialist (Ophthalmology) Physician	$0	$11.6M
Northwest Allied Physicians LLC	AZ	General Practice Physician	$0	$10.3M
Southern Arizona Urgent Care LLC	AZ	Urgent Care Clinic/Center	$0	$7.8M
Al Shaafi Medical PC	AZ	Pediatrics Physician	$0	$7.6M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$0	$7.6M
Pediatrics Gps, Inc	AZ	Pediatrics Physician	$0	$6.2M
Pima Heart Asc LLC	AZ	Ambulatory Surgical Clinic/Center	$3.7M	$59.7K
Ryan Wong	AZ	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Anthony Joseph	AZ	Retina Specialist (Ophthalmology) Physician	$2.2M	$0

Sonora Behavioral Health Hospital, LLC — Billing Profile & Reimbursement Data

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Sonora Behavioral Health Hospital, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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