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.

Privia Medical Group Arizona, LLC (NPI 1760441141)

Privia Medical Group Arizona, LLC is a family medicine physician provider located in Phoenix, Arizona. This profile covers 0 Medicare and 221 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	Privia Medical Group Arizona, LLC
Address	3815 E Bell Rd Ste 4500
City	Phoenix
State	AZ
ZIP	85032
Taxonomy	Family Medicine Physician
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicaid	$45.6M
Medicare	$0

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

221 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	260,750	$60	$15.6M
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…	106,400	$40	$4.7M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	26,000	$120	$3M
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…	29,570	$90	$2.6M
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	950	$2,320	$2.2M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	8,870	$210	$1.9M
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	4,340	$300	$1.3M
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	7,370	$180	$1.3M
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	7,660	$150	$1.2M
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	8,000	$110	$847.6K

Showing 1–10 of 221

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

Privia Medical Group Arizona, LLC — 14 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

221 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	3	10	590	$1,670	$1.2M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	32	40	210	$1,710	$1.2M
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	22	80	510	$280	$643.5K
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…	126	540	900	$60	$475.8K
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.	216	400	200	$120	$403K
30140	This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).	14	20	230	$440	$397.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	18	180	590	$250	$360.9K
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…	5	3,040	750	$50	$343.9K
95951	N/A	6	10	60	$530	$339.3K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	16	80	150	$360	$320.3K

Showing 1–10 of 221

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shveta Mehra	AZ	Anatomic Pathology Physician	$728K	$27.7K
Riyaz Sumar	AZ	Cardiovascular Disease Physician	$538.4K	$0
Pranav Doshi	AZ	Interventional Cardiology Physician	$506.3K	$0
Lorne Murray	AZ	Cardiovascular Disease Physician	$462.2K	$0
Adhar Seth	AZ	Cardiovascular Disease Physician	$389.6K	$0
Islam Abujubara	AZ	Neurology Physician	$377.3K	$0
Pankaj Jain	AZ	Urology Physician	$363.3K	$0
Marc Eckhauser	AZ	Vascular Surgery Physician	$314.3K	$0
Sanjoy Bhattacharya	AZ	Clinical Cardiac Electrophysiology Physician	$306.1K	$0
Pedro Ortiz	AZ	Cardiovascular Disease Physician	$263.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Hope Of Arizona, Inc	AZ	Community/Behavioral Health Agency	$0	$50.2M
Clinica La Familia, PC	AZ	Internal Medicine Physician	$0	$39.4M
Urgent Home Care Inc	AZ	Nursing Facility/Intermediate Care Facility	$0	$32.6M
View Point Sunshine Village LLC	AZ	Alzheimer Center (Dementia Center)	$0	$29.4M
Radadvantage A Professional Corporation	AZ	Diagnostic Radiology Physician	$0	$28.3M
Vhs Acquisition Subsidiary Number 1 Inc	AZ	General Acute Care Hospital	$0	$24.3M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$16.2M
Arizona Arthritis & Rheumatology Associates P C	AZ	Rheumatology Physician	$0	$11.2M
Honorhealth Medical Group, LLC	AZ	Family Medicine Physician	$0	$10.1M
Extended Care Portfolio Multistate Pool Tenant, LLC	AZ	Assisted Living Facility	$0	$7.7M

Privia Medical Group Arizona, LLC — Billing Profile & Reimbursement Data

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Privia Medical Group 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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