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.

El Rio Santa Cruz Neighborhood Health Center, Inc (NPI 1750672929)

Field	Value
Entity Type	Organization
Organization	El Rio Santa Cruz Neighborhood Health Center, Inc
Address	1500 W Commerce Ct
City	Tucson
State	AZ
ZIP	85746
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 22, 2011

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	32,520	$270	$8.9M
0001A	N/A	150	$1	$450
0002A	N/A	150	$1	$300
1036F	N/A	2,560	$0	$0
1125F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.	470	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	210	$0	$0
1157F	No Summary found for this code	920	$0	$0
1158F	No Summary found for this code	980	$0	$0
1159F	No Summary found for this code	950	$0	$0
1160F	No Summary found for this code	30	$0	$0

Showing 1–10 of 62

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

El Rio Santa Cruz Neighborhood Health Center, Inc — 0 of 3 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	77	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…	516	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…	356	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.	277	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…	104	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…	106	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.	97	310	470	$60	$131.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	78	300	270	$60	$90.1K
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,…	142	850	230	$40	$72.5K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	104	150	320	$20	$40.6K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with El Rio Santa Cruz Neighborhood Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$360M
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$11.9M
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$10.4M
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$10.1M
Healthfront PC	NM	Emergency Medicine Physician	$0	$8.9M
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$7.7M
Steven Rosenfeld	FL	Ophthalmology Physician	$453.5K	$0
James Collins	AZ	Diagnostic Radiology Physician	$195.9K	$12K
Cassidy Pattik	AZ	Internal Medicine Physician	$139.1K	$0
Dara Ulibarri	AZ	Clinical Social Worker	$125.6K	$0

Nearby Providers

Other providers in the same ZIP code as El Rio Santa Cruz Neighborhood Health Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cope Community Services, Inc.	AZ	Community Health Clinic/Center	$0	$7.2M
Renee Kellems	AZ	Family Nurse Practitioner	$321.2K	$0
Walgreen Co	AZ	Pharmacy	$99.2K	$0
Timothy Martinez	AZ	Medical Physician Assistant	$22.1K	$0
Catherine Benoit	AZ	Family Nurse Practitioner	$940	$0
Rama Dasari	AZ	Geriatric Medicine (Internal Medicine) Physician	$710	$0

El Rio Santa Cruz Neighborhood Health Center, Inc — Billing Profile & Reimbursement Data

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El Rio Santa Cruz Neighborhood Health Center, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References