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.

Flagstaff Medical Center (NPI 1780635078)

Field	Value
Entity Type	Organization
Organization	Flagstaff Medical Center
Address	1200 N. Beaver St.
City	Flagstaff
State	AZ
ZIP	86001
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$63.3M
Medicare	$0

Key Findings

FLAGSTAFF MEDICAL CENTER reports no Medicare billing on file and $63.3M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid) in the available data; the organization’s NPI was enumerated 2006-05-12 (~20 years ago), indicating roughly two decades of operation under this NPI.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top-three Medicaid codes account for 52.5% of the provider’s Medicaid revenue, driven by 99284 ($12.9M, 21.4%), 99285 ($9.5M, 15.7%), and 99283 ($9.2M, 15.3%). This concentration signals that ED throughput and complexity are the primary revenue drivers for the facility.

The mix of high-volume ED E/M codes alongside a large hospital observation service line reinforces an ED-centric operating model: G0378 (38.4K claims, $4.7M, 7.9%) ranks #10 of 76 in-state (88th percentile), consistent with substantial observation-unit utilization and downstream short-stay care tied to the ED. This combination suggests operational emphasis on unscheduled acute care and observation management.

Flagstaff shows significant imaging and diagnostic capacity supporting acute care workflows: 74177 (7.7K claims, $6.6M, 11.0%) is a major single code driver and 70450 (10.6K claims, $1.5M, 2.4%), 71275 (4.1K claims, $1.8M, 3.0%), and 72125 (3.8K claims, $1.5M, 2.4%) further indicate heavy CT/MRI and CTA use aligned with ED and trauma evaluation. These imaging lines together represent material clinical and capital intensity in radiology.

The provider also maintains on-site lab and specialized testing capacity: PLA code 0202U produced $1.2M (1.9%) and ranks #3 of 12 providers in-state (82nd percentile), indicating deployment of a proprietary respiratory PCR panel at scale relative to the small group of in-state labs billing this code. Presence of high-volume molecular testing supports infectious disease and ED diagnostic workflows.

Rehabilitation and ancillary therapy services show unusually high relative volume for certain codes: 97110 (23.1K claims, $484.8K) ranks in the 92nd percentile statewide, 97530 (15.7K claims, $314.5K) sits in the 90th percentile, and 97140 (14.6K claims, $203.9K) is in the 91st percentile. This pattern suggests a sizable PT/OT program supporting both inpatient recovery and outpatient follow-up care.

A standout statistical outlier is 97597 (1.9K claims, $233.5K), which ranks #3 of 59 providers in-state (97th percentile) and is labeled notably above typical state volume; this indicates wound debridement services are an unusually strong clinical niche relative to peers and may reflect targeted wound care or surgical case mix.

Across its top Medicaid codes the facility typically ranks in the upper state percentiles (many codes in the ~76th–92nd percentiles) rather than occupying the very top statewide positions; examples include 99284 and 99283 at the 87th percentile and 99285 at the 80th percentile. That pattern characterizes Flagstaff as a high-volume regional provider for ED, observation, imaging, and select ancillary services rather than as a dominant outlier across most billing areas.

Medicaid: Complete Services Breakdown

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

355 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The 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.	42,930	$300	$12.9M
99285	The 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.	23,350	$410	$9.5M
99283	The 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.	34,570	$270	$9.2M
74177	The 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.	7,700	$860	$6.6M
G0378	Hospital observation service, per hour	38,410	$120	$4.7M
T1015	Clinic visit/encounter, all-inclusive	7,570	$510	$3.9M
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	4,120	$440	$1.8M
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	3,810	$390	$1.5M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	10,630	$140	$1.5M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	830	$1,500	$1.2M

Showing 1–10 of 355

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

Flagstaff Medical Center — 1 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

355 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	140	360	3,640	$230	$7.7M
A0436	Rotary wing air mileage, per statute mile	10	10	340	$1,840	$3.9M
99285	The 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.	53	260	1,330	$240	$3.5M
99284	The 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.	35	260	3,030	$190	$3.4M
99283	The 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.	34	260	2,600	$170	$2.6M
A0431	Ambulance service, conventional air services, transport, one way (rotary wing)	10	10	340	$1,200	$2.4M
74177	The 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.	42	180	1,490	$320	$2.2M
U0003	Infectious 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…	51	110	960	$70	$1.7M
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	18	20	160	$270	$1.1M
G0378	Hospital observation service, per hour	10	80	6,320	$70	$961.9K

Showing 1–10 of 355

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flagstaff Medical Center	AZ	Land Ambulance	$0	$46.2M
Flagstaff Medical Center	AZ	Air Ambulance	$0	$37.6M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$26.1M
North Country Healthcare Inc	AZ	Multi-Specialty Clinic/Center	$0	$15.1M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$9.6M
North Country Healthcare, Inc.	AZ	Pediatrics Physician	$0	$7.5M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$7.5M
North Country Healthcare, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$7.4M
Roger Chan	WA	Cardiovascular Disease Physician	$439.7K	$0
Omar Wani	AZ	Cardiovascular Disease Physician	$320K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Life Wellness Flagstaff	AZ	Community/Behavioral Health Agency	$0	$14.6M
Northern Arizona Healthcare Corporation	AZ	Family Medicine Physician	$0	$11.4M
Flagstaff Emergency Physicians	AZ	Emergency Medicine Physician	$0	$10.4M
Flagstaff Dentistry 4 Kids, PLLC	AZ	General Practice Dentistry	$0	$10.4M
Emeritol Lo Flagstaff LLC	AZ	Assisted Living Facility	$0	$6.5M
Alexander Hu	AZ	Internal Medicine Physician	$3.8M	$0
Flagstaff Bone & Joint Surgical Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$3.1M	$229K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
Peter Mathern	AZ	Medical Oncology Physician	$3M	$0
Barnet Dulaney Perkins Eye Center, PC	AZ	Ambulatory Surgical Clinic/Center	$792.3K	$936.2K

Flagstaff Medical Center — Billing Profile & Reimbursement Data

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Flagstaff Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References