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.

Cobre Valley Regional Medical Center (NPI 1871566521)

Cobre Valley Regional Medical Center is a critical access hospital provider located in Globe, Arizona. This profile covers 0 Medicare and 265 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	Cobre Valley Regional Medical Center
Address	5880 S Hospital Dr
City	Globe
State	AZ
ZIP	85501
Taxonomy	Critical Access Hospital
NPI Enumerated	February 10, 2006

Payer Source	Total Paid
Medicaid	$32.1M
Medicare	$0

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

265 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	25,190	$330	$8.4M
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.	8,330	$670	$5.6M
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.	6,820	$480	$3.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	9,530	$180	$1.7M
T1015	Clinic visit/encounter, all-inclusive	9,480	$180	$1.7M
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.	2,460	$440	$1.1M
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	490	$2,080	$1M
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.	2,140	$390	$824.7K
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.	3,330	$200	$679.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	2,890	$200	$574.7K

Showing 1–10 of 265

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

Cobre Valley Regional Medical Center — 0 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

265 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	130	360	3,640	$230	$7.7M
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.	87	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.	98	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.	52	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.	75	180	1,490	$320	$2.2M
G0378	Hospital observation service, per hour	31	80	6,320	$70	$961.9K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	43	50	450	$920	$775.4K
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.	56	150	1,040	$240	$764.4K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	31	160	1,640	$110	$710.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	226	310	960	$60	$705.5K

Showing 1–10 of 265

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cobre Valley Regional Medical Center	AZ	Rural Health Clinic/Center	$0	$10.8M
Tam Nguyen	AZ	Radiation Oncology Physician	$1M	$0
Steven Sckolnik	AZ	Radiation Oncology Physician	$957.8K	$0
Mandeep Sahani	AZ	Nephrology Physician	$403.6K	$0
Abdul Memon	AZ	Interventional Cardiology Physician	$210.1K	$0
Terrence Crowder	AZ	Orthopaedic Surgery of the Spine Physician	$151K	$0
Murtaza Mazhar	TX	Cardiovascular Disease Physician	$150.5K	$0
Brian Goss	AZ	Diagnostic Radiology Physician	$135.4K	$0
Fady Marmoush	OH	Interventional Cardiology Physician	$109.6K	$0
Ralph Morales	ND	Cardiovascular Disease Physician	$109.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Abdo	AZ	Surgery Physician	$224.3K	$0
James Kempton	AZ	Physical Therapist	$154.5K	$0
Micah Pullins	AZ	Orthopaedic Surgery Physician	$65.8K	$0
Scott Revell	AZ	Surgery Physician	$20.2K	$0
David Richardson	AZ	Sports Medicine (Orthopaedic Surgery) Physician	$7.2K	$0

Cobre Valley Regional Medical Center — 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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