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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Dhhs Ihs Phoenix Area (NPI 1780961102)

Field	Value
Entity Type	Organization
Organization	Dhhs Ihs Phoenix Area
Address	515 Shoshone Cir
City	Elko
State	NV
ZIP	89801
Taxonomy	Federal Public Health Clinic/Center
NPI Enumerated	November 14, 2011

Payer Source	Total Paid
Medicaid	$15.8M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available claims data: there is no Medicare billing on file while Medicaid revenue totals $15.8M. The absence of Medicare activity combined with material Medicaid receipts means analyses of utilization and reimbursement should treat Medicaid as the dominant and operationally defining payer for this entity.

Revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and a single code, T1015, is reported with $15.8M in revenue (100.0% of this provider's total Medicaid revenue). That concentration implies most financial performance observed in the dataset is driven by a single encounter-level payment mechanism rather than a diversified mix of procedure or E/M billing.

The code mix and volumes indicate a clinic-style service model. T1015 (Clinic visit/encounter, all-inclusive) accounts for 35.6K claims with an average paid/claim of $443, consistent with a federally operated outpatient clinic providing routine, bundled encounters rather than episodic procedural care.

Billing pattern comparisons reinforce the clinic-centric model: 99213 appears on only 26 claims and shows $0 revenue for this provider, suggesting that standard E/M coding is rarely used or is subsumed by all-inclusive clinic encounter reporting. This pattern is consistent with a Federal Public Health Clinic/Center taxonomy electing encounter-based billing rather than itemized office visit E/M reimbursement.

Competitive standing for the dominant code is relatively strong within the state: T1015 ranks #8 of 58 providers in-state (88th percentile). Even so, the dataset labels that ranking as "typical, unremarkable volume," indicating that while the provider is near the top of the state distribution for this code, its activity level falls within the expected range for similar clinics.

In contrast, the 99213 ranking is at the low end of the statewide distribution (rank #2243 of 2476, 9th percentile) and is also described as "typical, unremarkable volume," reinforcing that this provider does not participate meaningfully in the standard office visit E/M channel compared with peers.

The provider has a stable public presence over time, with an NPI enumerated on 2011-11-14 (~15 years ago). That tenure supports interpretation of these patterns as sustained operational choices rather than transient reporting artifacts, which is relevant when evaluating contracting position or network role.

Because nearly all Medicaid revenue is tied to a single all-inclusive encounter code, reimbursement or policy changes that affect T1015 could materially change the provider's Medicaid revenue profile. Analysts should treat future-year Medicaid revenue projections and comparative benchmarking cautiously unless underlying coding or payer rules are known to be stable.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	35,610	$440	$15.8M
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…	30	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nevada Distribution

Dhhs Ihs Phoenix Area — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	8	60	2,970	$320	$4M
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…	2,243	2,480	330	$50	$107.6K

Nearby Providers

Other providers in the same ZIP code as Dhhs Ihs Phoenix Area, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nevada Health Centers Inc	NV	Federally Qualified Health Center (FQHC)	$0	$8.7M
Vitality Unlimited	NV	Community/Behavioral Health Agency	$0	$6.6M
Phc-elko Inc	NV	Rural Acute Care Hospital	$0	$6.5M
Elko County	NV	Land Ambulance	$458.1K	$2.7M
Vitality Unlimited	NV	Substance Abuse Rehabilitation Facility	$0	$2.9M
Crum,stefanko And Jones Ltd	NV	Emergency Medicine Physician	$0	$2.8M
Sg Optical LLC	NV	Optometrist	$0	$1.9M
Kenneth Houchin	NV	Ophthalmology Physician	$133.3K	$466.6K
Samuel Moore	NV	Physical Therapist	$315.8K	$68.3K
Andrew Geisler	NV	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	$220.8K	$0

Dhhs Ihs Phoenix Area — Billing Profile & Reimbursement Data

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Dhhs Ihs Phoenix Area — 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

Nearby Providers

Frequently Asked Questions

References