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 Urgent Care Arizona LLC (NPI 1750665980)

Banner Urgent Care Arizona LLC is a urgent care clinic/center provider located in Casa Grande, Arizona. This profile covers 0 Medicare and 21 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	Banner Urgent Care Arizona LLC
Address	1676 E Mcmurray Blvd Ste 1
City	Casa Grande
State	AZ
ZIP	85122
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	October 6, 2011

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	57,190	$110	$6.1M
99203	The provider sees a new 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 provider…	22,700	$100	$2.3M
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…	12,310	$100	$1.3M
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,…	3,220	$110	$363.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	2,500	$110	$265.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	3,120	$80	$249.7K
99204	The provider sees a new 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 provider…	310	$120	$35.6K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	2,330	$1	$7K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	690	$10	$4.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,450	$1	$4.3K

Showing 1–10 of 21

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 Urgent Care Arizona LLC — 2 of 14 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	42	400	200	$120	$403K
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…	317	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…	43	2,780	600	$50	$267K
99203	The provider sees a new 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 provider…	16	1,030	130	$70	$134.1K
99204	The provider sees a new 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 provider…	454	1,160	150	$90	$96.5K
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,…	76	850	230	$40	$72.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	19	310	80	$40	$34.6K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	134	340	350	$10	$20.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	171	640	360	$10	$14.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	73	410	340	$10	$12.9K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Urgent Care Services, LLC	AZ	Urgent Care Clinic/Center	$0	$85.2M
Eric Ogari	AZ	Family Nurse Practitioner	$6.9M	$0
Chelsea Barson	KS	Family Nurse Practitioner	$187.6K	$0
Michael Sassmann	AZ	Medical Physician Assistant	$78.9K	$0
Michael Elson	OH	Physician Assistant	$55.3K	$0
R West	AZ	Medical Physician Assistant	$33.4K	$0
Angela Day	AZ	Family Nurse Practitioner	$30.1K	$0
Rod Genck	AZ	Family Medicine Physician	$26.8K	$0
Jojin Mathews	OK	Physician Assistant	$23.1K	$0
Taylor Kovach	AZ	Physician Assistant	$22.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sun Life Family Health Center, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$76.7M
Southwest Ambulance Of Casa Grande, Inc.	AZ	Land Ambulance	$2M	$59M
Banner Health	AZ	General Acute Care Hospital	$0	$55M
Helping Associates Inc	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.8M
Sun Life Family Health Center, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$12.9M
Bhsm Rehabilitation LLC	AZ	Physical Therapy Clinic/Center	$0	$10.3M
Corazon Inc.	AZ	Mental Health Counselor	$0	$9.8M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$0	$7.8M
Robert Mcdonald	AZ	Diagnostic Radiology Physician	$7.5M	$0
Fc Ranger Ops Garnet Of Casa Grande (az), LLC	AZ	Assisted Living Facility	$0	$6.8M

Banner Urgent Care Arizona LLC — Billing Profile & Reimbursement Data

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Banner Urgent Care Arizona 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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