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    OpenPayerNPI Medicare & MedicaidHonorhealth
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    Honorhealth — Billing Profile & Reimbursement Data

    NPI 1770690695 · Phoenix, AZ · General Acute Care Hospital

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    Honorhealth is a general acute care hospital provider located in Phoenix, Arizona. This profile covers 0 Medicare and 500 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHonorhealth
    Address250 E Dunlap Ave
    CityPhoenix
    StateAZ
    ZIP85020
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedAugust 24, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$107.2M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer at the federal level: there is no Medicare billing on file while total Medicaid revenue is $107.2M, so Medicaid drives the lifetime public payer footprint for this hospital. That concentration means analyses of volume, reimbursement, and service mix should focus on Medicaid data rather than Medicare patterns.

    Revenue is highly concentrated in a few service lines: the top 3 Medicaid codes by revenue account for 45.2% of this provider's total Medicaid revenue, led by 99285 ($18.5M, 20.2%), J9271 ($14.2M, 15.5%), and 99283 ($8.6M, 9.4%). This concentration indicates that a small set of high‑yield emergency and oncology codes dominate the provider’s Medicaid receipts and should be prioritized in financial and contract reviews.

    The facility shows heavy emergency department throughput: multiple ED E/M codes appear in the top revenue list (99285, 99284, 99283, 99282) with large claim volumes and meaningful Medicaid revenue. Individual ED codes rank in high state percentiles (for example, 99285 ranks #28 of 257, 89th percentile; 99283 ranks #36 of 258, 86th percentile) which points to strong but not state‑dominant ED activity supporting both acute care and observation services.

    Observation and acute care utilization is elevated relative to peers: G0378 (hospital observation service) generates $3.7M (4.1% of Medicaid revenue) and ranks #6 of 76 providers (93rd percentile), a label already flagged as "notably above typical." That pattern, together with ED volumes, suggests the hospital manages a substantial observation caseload and related throughput pressures that affect bed management and short‑stay billing.

    Oncology and infusion therapies are a clear specialty focus. J9271 (pembrolizumab) is $14.2M (15.5% of Medicaid revenue) and ranks #1 of 6 in‑state (100th percentile), and other high‑revenue oncology drugs and chemo administration codes — J9306 $4.8M (5.2%), J9355 $4.1M (4.5%), J9035 $2.6M (2.8%), J9299 $1.2M (1.3%), and 96413 $1.7M (1.8%) — include several #1 in‑state placements and an "extreme outlier" label for 96413. Together these entries indicate a large oncology infusion program and suggest the hospital is a major in‑state destination for high‑cost systemic cancer therapies.

    Infusion administration and supportive oncology services are materially above typical state volumes: 96361 (additional hour IV fluids) shows 42.5K claims and $2M revenue (rank #2 of 115, 99th percentile), 96365 (initial IV infusion) has 29.4K claims and $1.1M (rank #5 of 130, 97th percentile), and J2505 (pegfilgrastim) is $1.6M and ranks #1 of 6 (100th percentile). These data points reinforce that the provider operates substantial infusion capacity and associated pharmacy/infusion nursing resources, which are operational and contracting levers for payers and partners.

    Diagnostic imaging is an important supporting service line for the hospital’s acute and ED activity: CT abdomen/pelvis with contrast (74177) brings $4.9M (5.4% of Medicaid revenue) and ranks in the 90th percentile statewide, while other CT codes (72125, 70450, 74176, 70498, 72131) also appear with multi‑hundred‑thousand to multi‑million dollar contributions. High imaging volumes aligned with ED and inpatient care suggest integrated radiology capacity that underpins both acute diagnostics and procedural workflows.

    The provider has long tenure in the NPI registry (enumerated 2006-08-24 (~20 years ago)), indicating an established operating history and likely stable contracts and referral relationships in the market. Combined with the code‑level competitive picture — top in‑state for several oncology drugs but high‑percentile yet more modest ED rankings — the hospital presents as a long‑standing acute care center that is a major regional oncology player while remaining a high‑volume, but not necessarily dominant, emergency care provider.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    500 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.42,880$430$18.5M
    J9271Injection, pembrolizumab, 1 mg2,300$6,200$14.2M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.33,890$260$8.6M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.36,570$190$6.8M
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.20,590$240$4.9M
    J9306Injection, pertuzumab, 1 mg900$5,350$4.8M
    J9355Injection, trastuzumab, excludes biosimilar, 10 mg3,110$1,320$4.1M
    G0378Hospital observation service, per hour50,920$70$3.7M
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.8,100$360$2.9M
    J9035Injection, bevacizumab, 10 mg1,120$2,310$2.6M

    Showing 1–10 of 500

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    500 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9271Injection, pembrolizumab, 1 mg110770$7,180$7.1M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.282601,330$240$3.5M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.392603,030$190$3.4M
    J9306Injection, pertuzumab, 1 mg110500$5,420$2.7M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.362602,600$170$2.6M
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.181801,490$320$2.2M
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…15110960$70$1.7M
    J9355Injection, trastuzumab, excludes biosimilar, 10 mg110410$1,540$1.6M
    J9299Injection, nivolumab, 1 mg210390$3,740$1.4M
    J2505Injection, pegfilgrastim, 6 mg110450$3,170$1.3M

    Showing 1–10 of 500

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Honorhealth, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    HonorhealthAZGeneral Acute Care Hospital$0$65.7M
    HonorhealthAZGeneral Acute Care Hospital$0$47M
    St Lukes Medical Center LPAZGeneral Acute Care Hospital$0$23.8M
    HonorhealthAZGeneral Acute Care Hospital$0$23.8M
    Mountain Vista Medical Center LPAZGeneral Acute Care Hospital$0$20.7M
    Honorhealth Medical Group, LLCAZFamily Medicine Physician$0$10.1M
    Mountain Vista Medical Center, LPAZGeneral Acute Care Hospital$0$8.2M
    HonorhealthAZGeneral Acute Care Hospital$0$8M
    HonorhealthAZGeneral Acute Care Hospital$0$7.4M
    Honorhealth AmbulatoryAZCardiovascular Disease Physician$0$6.8M

    Nearby Providers

    Other providers in the same ZIP code as Honorhealth, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    All Valley Home Health Care & Nursing IncAZHome Health Agency$0$55.7M
    Bowie Investment Group IncAZHome Health Agency$0$31.9M
    Gina PalaciosAZNurse Practitioner$27M$0
    Affiliated Hospitalists, PlcAZHospitalist Physician$0$21M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$19.6M
    Avista Senior Living Desert Springs, LLCAZAssisted Living Facility$0$17.6M
    Unomed LLCAZCritical Care Medicine (Internal Medicine) Physician$0$15.4M
    Bayada Home Health Care, Inc.AZHome Health Agency$0$10.7M
    Emcare - Pnx Emergency Physicians LLCAZEmergency Medicine Physician$0$9.6M
    Providence General Medicine, PCAZInternal Medicine Physician$0$8.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arizona Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Honorhealth — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona