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.

Whispering Palms Medical Inc (NPI 1821314998)

Field	Value
Entity Type	Organization
Organization	Whispering Palms Medical Inc
Address	8618 N 35th Ave Ste 3
City	Phoenix
State	AZ
ZIP	85051
Taxonomy	Family Medicine Physician
NPI Enumerated	April 14, 2010

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

60 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…	100,070	$60	$6.4M
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…	29,140	$50	$1.4M
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…	6,750	$100	$648K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2,350	$80	$190.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	2,230	$80	$173.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,350	$70	$166.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,000	$80	$157.6K
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…	860	$90	$78.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	3,250	$20	$61.7K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	3,540	$20	$60.1K

Showing 1–10 of 60

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

Whispering Palms Medical Inc — 6 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

60 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	363	400	200	$120	$403K
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…	30	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…	117	2,780	600	$50	$267K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	113	420	600	$30	$177K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	167	300	690	$60	$155.9K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	10	20	100	$170	$137K
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…	381	1,030	130	$70	$134.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	74	310	470	$60	$131.9K
96137	Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…	17	30	90	$120	$109.7K
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…	225	930	200	$70	$97.7K

Showing 1–10 of 60

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chetan Patel	AZ	Family Nurse Practitioner	$113.4K	$0

Nearby Providers

Other providers in the same ZIP code as Whispering Palms Medical Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Happy House Behavioral Valley	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$62.3M
Gibson Lane Behavioral Health Care LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$42.2M
Motherland Counseling, LLC	AZ	Community/Behavioral Health Agency	$0	$41.9M
Diamond S Enterprises, Inc	AZ	In Home Supportive Care Agency	$0	$39.9M
Crossroads West	AZ	Substance Abuse Rehabilitation Facility	$0	$12.8M
Artemis Of Arizona LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.1M
Ican Health Care & Services LLC	AZ	Community/Behavioral Health Agency	$0	$9.3M
M.b. Best Medical Group, Inc.	AZ	Family Medicine Physician	$0	$9.3M
Ac Recovery Center And Wellness LLC	AZ	Community/Behavioral Health Agency	$0	$8.5M
Joyd Wellness Center LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M

Whispering Palms Medical Inc — Billing Profile & Reimbursement Data

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Whispering Palms Medical Inc — 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