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.

Pueblo Family Physicians Ltd (NPI 1790798072)

Pueblo Family Physicians Ltd is a family medicine physician provider located in Phoenix, Arizona. This profile covers 0 Medicare and 170 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	Pueblo Family Physicians Ltd
Address	4350 N 19th Ave
City	Phoenix
State	AZ
ZIP	85015
Taxonomy	Family Medicine Physician
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

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

170 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…	83,780	$60	$5M
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…	29,090	$50	$1.3M
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	3,860	$80	$312.8K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	1,560	$200	$309.5K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	1,330	$230	$304.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20,520	$10	$246.3K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	4,170	$60	$233.4K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	4,970	$40	$184K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,060	$80	$166.5K
99203	The provider sees a new 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 provider…	2,000	$70	$129.7K

Showing 1–10 of 170

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

Pueblo Family Physicians Ltd — 10 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

170 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	37	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…	118	2,780	600	$50	$267K
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	42	80	420	$50	$191.4K
99203	The provider sees a new 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 provider…	123	1,030	130	$70	$134.1K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	4	30	210	$220	$107.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	310	930	200	$70	$97.7K
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…	996	1,160	150	$90	$96.5K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	2	20	300	$180	$94.2K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	8	100	190	$90	$92.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	204	300	270	$60	$90.1K

Showing 1–10 of 170

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vhs Of Phoenix Inc	AZ	General Acute Care Hospital	$0	$52.4M
Emergency Group Of Arizona Professional Corporation	AZ	Emergency Medicine Physician	$0	$43.8M
Hope Light Care Recovery Center LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
One Point Psychiatric Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28M
Open Hearts	AZ	Community/Behavioral Health Agency	$0	$19.9M
Epangelia Properties, LLC	AZ	Family Medicine Physician	$0	$14M
Family Bond Treatment Center LLC	AZ	Community/Behavioral Health Agency	$0	$12.8M
Care Givers Of Arizona, Inc.	AZ	Home Health Registered Nurse	$0	$10.8M
Surgical Specialty Hospital Of Arizona, LLC	AZ	Special Hospital	$0	$10.5M
American Family Medicine LLC	AZ	Family Medicine Physician	$0	$9.5M

Pueblo Family Physicians Ltd — Billing Profile & Reimbursement Data

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Pueblo Family Physicians Ltd — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Donald Cunningham	AZ	Family Medicine Physician	$169.3K	$0
Douglas Cunningham	AZ	Family Medicine Physician	$147.6K	$0