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.

Prescott Healthcare Solutions LLC (NPI 1821454505)

Prescott Healthcare Solutions LLC is a family medicine physician provider located in Prescott, Arizona. This profile covers 0 Medicare and 150 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	Prescott Healthcare Solutions LLC
Address	743 Miller Valley Rd
City	Prescott
State	AZ
ZIP	86301
Taxonomy	Family Medicine Physician
NPI Enumerated	January 11, 2016

Payer Source	Total Paid
Medicaid	$13.3M
Medicare	$0

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

150 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…	143,750	$60	$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…	27,620	$40	$1.1M
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	27,520	$30	$715.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	9,150	$50	$411.6K
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…	4,180	$60	$246.9K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	9,240	$30	$231K
95923	In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…	2,650	$80	$209.7K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2,720	$80	$209.4K
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…	2,820	$70	$197.5K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	43,410	$1	$173.6K

Showing 1–10 of 150

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

Prescott Healthcare Solutions LLC — 12 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

150 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80050	The lab analyst performs testing for the specific group of clinical laboratory procedures in the general health panel. Payers typically consider 80050 to apply only when the clinician orders the…	13	30	470	$20	$761.9K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	35	40	190	$30	$662.3K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	23	20	160	$90	$459.7K
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.	293	400	200	$120	$403K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	51	170	3,560	$30	$397.9K
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…	16	3,040	750	$50	$343.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	132	240	660	$120	$309.1K
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…	128	2,780	600	$50	$267K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	32	40	390	$160	$239.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	143	200	3,310	$10	$191.4K

Showing 1–10 of 150

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rahul Malhotra	AZ	Interventional Cardiology Physician	$778.7K	$0
Santsaran Patel	AZ	Internal Medicine Physician	$596.6K	$0
Joshua Johnson	AZ	Internal Medicine Physician	$594.4K	$0
Javed Malik	AZ	Internal Medicine Physician	$447.6K	$0
Harrison Mcdonald	AZ	Internal Medicine Physician	$436.3K	$0
Rachel Greatwood	AZ	Family Medicine Physician	$308.2K	$0
Brent Kelsch	AZ	Family Nurse Practitioner	$288.7K	$0
Eric Christensen	AZ	Internal Medicine Physician	$263.2K	$0
Girolamo Arpino	AZ	Internal Medicine Physician	$262.8K	$0
Nathaniel Welly	AZ	Medical Physician Assistant	$203.8K	$39.9K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yavapai Community Hospital Association	AZ	General Acute Care Hospital	$0	$66.2M
Summit Behavioral Health Of Az, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$13.3M
Medical Services Of Prescott, Inc.	AZ	Emergency Medicine Physician	$0	$12.3M
Prescott Whipple Stage	AZ	Taxi	$0	$9.2M
Iyad Hamarneh	AZ	Medical Oncology Physician	$3.5M	$0
Alan Langerak	AZ	Hematology & Oncology Physician	$2.7M	$0
Allan Espinosa Morazan	AZ	Medical Oncology Physician	$2.2M	$0
Prescott Outpatient Surgical Center LLC	AZ	Ambulatory Surgical Clinic/Center	$1.7M	$25.7K
Arizona Institute Of Eye Surgery LLC	AZ	Ambulatory Surgical Clinic/Center	$1.4M	$24.7K
Ayad Agha	AZ	Diagnostic Radiology Physician	$1M	$0

Prescott Healthcare Solutions LLC — Billing Profile & Reimbursement Data

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Prescott Healthcare Solutions LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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