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.

Banner - University Medical Center Phoenix (NPI 1841224870)

Field	Value
Entity Type	Organization
Organization	Banner - University Medical Center Phoenix
Address	1111 E Mcdowell Rd
City	Phoenix
State	AZ
ZIP	85006
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$140.8M
Medicare	$0

Key Findings

BANNER - UNIVERSITY MEDICAL CENTER PHOENIX reports no Medicare billing on file and $140.8M in lifetime Medicaid revenue, making Medicaid the de facto exclusive public payer in this dataset; its NPI was enumerated on 2006-07-10 (≈20 years ago), indicating an established provider presence during the period covered. The absence of Medicare activity in the file means payer-risk and utilization insights from this profile are driven nearly entirely by Medicaid volumes and reimbursements.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 56.5% of this provider's total Medicaid revenue, with 99285 generating $29.6M (25.9%), 99284 generating $20.5M (17.9%), and 74177 generating $14.5M (12.7%). This concentration indicates a small set of high-impact service lines that drive the majority of reported Medicaid dollars.

The code mix and volumes point to a high-acuity, emergency-focused operating profile: emergency department E/M codes 99285 (69.2K claims, $428 avg, $29.6M; rank #15 of 257, 95th percentile, notably above typical state volume) and 99284 (79.4K claims, $258 avg, $20.5M; rank #19 of 259, 93rd percentile, notably above typical state volume) dominate revenue. High ED claim counts combined with a large number of per-hour observation claims (G0378: 64.6K claims, $34 avg, $2.2M; rank #4 of 76, 96th percentile, notably above typical state volume) are consistent with substantial emergency-department throughput and observation-unit utilization.

Imaging and advanced CT services are another clear service line: 74177 (CT abdomen/pelvis with contrast) contributes $14.5M from 21.3K claims (rank #15 of 175, 92nd percentile), and 74174 (CT angiography abdomen/pelvis) is recorded at $1.3M from 2.7K claims but ranks #1 of 33 (100th percentile, extreme outlier). Large volumes of 70450 (CT head without contrast: 23.6K claims, $104 avg, $2.5M; rank #14 of 177, 93rd percentile) further support the conclusion that the facility operates significant cross-sectional imaging capacity that supports emergency and inpatient workflows.

The provider also reports substantial surgical and implant activity consistent with tertiary acute-care capability: 58571 (hysterectomy) yields $3.1M from 742 claims and ranks #1 of 10 (100th percentile, notably above typical state volume), 47562 (laparoscopic cholecystectomy) yields $2.6M from 711 claims (rank #5 of 30, 86th percentile), and implant codes such as C1713 (anchor/screw) produce $2.3M from 2.5K claims (rank #6 of 52, 90th percentile). These entries show meaningful operative throughput across general surgery, gynecology, and implant-based procedures.

Several ancillary and specialized services stand out as statistical outliers or unique offerings in-state: 96365 (initial IV infusion) is an extreme outlier with 40.5K claims ($42 avg, $1.7M; rank #2 of 130, 99th percentile, extreme outlier), 74174 is a 100th-percentile extreme outlier as noted above, and G0277 (hyperbaric oxygen) appears as a single in-state reporter (4.7K claims, $286 avg, $1.3M; rank #1 of 1 with no peer comparison available). The combination of common high-volume ED services and unique specialty codes indicates both broad acute-care capacity and some specialized service lines that differentiate the facility in-state.

Competitively, the provider appears to be a major in-state Medicaid player for high-acuity emergency care and observation: multiple leading codes sit at high state percentiles (for example, 99285 at the 95th percentile, 99284 at the 93rd, and G0378 at the 96th), and several 100th-percentile or top-of-market ranks (e.g., 58571, 74174) further underline areas of outperformance. While not all high-revenue codes are extreme outliers, the rank profile signals that BANNER - UNIVERSITY MEDICAL CENTER PHOENIX is a dominant provider for several revenue-driving Medicaid services within Arizona.

Operational and payer-risk implication: because Medicaid accounts for the entire reported public-payer revenue here ($140.8M) and 56.5% of that revenue is concentrated in three codes, the provider’s Medicaid revenue stream is sensitive to changes in emergency-department, imaging, or observation reimbursement policies. The heavy dependence on high-volume ED and CT-related codes suggests that any shifts in Medicaid coverage, prior-authorization, or rate-setting for those service lines would have outsized budgetary impact on this provider compared with more diversified payor portfolios.

Medicaid: Complete Services Breakdown

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

574 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	69,210	$430	$29.6M
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.	79,420	$260	$20.5M
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.	21,310	$680	$14.5M
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.	46,110	$240	$11M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	8,600	$450	$3.9M
58571	The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…	740	$4,150	$3.1M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	710	$3,690	$2.6M
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.	23,590	$100	$2.5M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	2,490	$920	$2.3M
G0378	Hospital observation service, per hour	64,570	$30	$2.2M

Showing 1–10 of 574

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

Banner - University Medical Center Phoenix — 9 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

574 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	5	10	770	$7,180	$7.1M
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.	15	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.	19	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.	24	260	2,600	$170	$2.6M
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.	15	180	1,490	$320	$2.2M
44970	Laparoscopy, surgical, appendectomy	12	10	110	$4,670	$2.1M
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…	24	110	960	$70	$1.7M
G0277	Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval	1	10	4,660	$290	$1.3M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	6	10	290	$1,770	$1.1M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	5	30	70	$3,620	$999.9K

Showing 1–10 of 574

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanjay Chabra	TX	Rheumatology Physician	$1.6M	$10.7K

Nearby Providers

Other providers in the same ZIP code as Banner - University Medical Center Phoenix, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jewish Family & Children's Service	AZ	Community/Behavioral Health Agency	$0	$60.9M
United Seating And Mobility LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$42.5M
Lifestream Treatment Center LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.9M
Mireille Wellness Clinic	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$25.3M
Grossman & Grossman, Ltd.	AZ	Community/Behavioral Health Agency	$0	$22.6M
Steward Emergency Physicians Of Arizona Inc	AZ	Emergency Medicine Physician	$0	$10.3M
St Lukes Medical Center LP	AZ	General Acute Care Hospital	$0	$8.7M
St Lukes Behavioral Hospital LP	AZ	Psychiatric Hospital	$0	$8.3M
Brendan Cassidy	AZ	Ophthalmology Physician	$0	$6.8M
Mcdowell Ambulatory Surgery Center LLC	AZ	Ambulatory Surgical Clinic/Center	$564.5K	$590.5K

Banner - University Medical Center Phoenix — 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