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.

Cns Memory Clinic LLC (NPI 1881087369)

Cns Memory Clinic LLC is a clinical neuropsychologist provider located in Goodyear, Arizona. This profile covers 0 Medicare and 13 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	Cns Memory Clinic LLC
Address	2440 N Litchfield Rd Ste 200
City	Goodyear
State	AZ
ZIP	85395
Taxonomy	Clinical Neuropsychologist
NPI Enumerated	March 9, 2015

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	7,200	$320	$2.3M
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…	6,140	$120	$730.3K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	7,230	$90	$671.9K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	4,780	$140	$650.6K
96121	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for each additional hour of face–to–face…	4,160	$130	$540.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,520	$120	$524.3K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	4,380	$80	$350.2K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,450	$190	$268.4K
96136	The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…	6,160	$40	$215.5K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	1,480	$90	$130.2K

Showing 1–10 of 13

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

Cns Memory Clinic LLC — 8 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	1	20	60	$260	$284.5K
96131	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	6	30	300	$230	$210K
96121	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for each additional hour of face–to–face…	1	10	900	$100	$162.1K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	2	20	100	$170	$137K
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…	1	30	90	$120	$109.7K
96130	The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…	5	50	70	$120	$64.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	12	250	100	$70	$59K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	1	30	80	$80	$53.5K
96101	N/A	8	10	60	$260	$44.8K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	1	20	70	$70	$30.9K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospital Development Of West Phoenix Inc	AZ	General Acute Care Hospital	$0	$54.3M
Arizona Orthopedic Physical Therapy, PLLC	AZ	Physical Therapy Clinic/Center	$0	$29.8M
Vhs Outpatient Clinics, Inc.	AZ	Multi-Specialty Clinic/Center	$0	$15.2M
Phoenix Neurology And Sleep Medicine PLLC	AZ	Neurology Physician	$0	$7.4M
Pathways Assisted Living & Memory Care, LLC	AZ	Assisted Living Facility	$0	$6.4M
Anjaly Curley	AZ	Diagnostic Radiology Physician	$1.7M	$0
Robert Osipov	AZ	Surgery Physician	$651.3K	$1.5K
Kevin Svancara	AZ	MOHS-Micrographic Surgery Physician	$592.5K	$0
Jonathan Wiggenhorn	AZ	Facial Plastic Surgery Physician	$567.5K	$0
Deepanshu Garg	AZ	Internal Medicine Physician	$501.3K	$0

Cns Memory Clinic LLC — Billing Profile & Reimbursement Data

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Cns Memory Clinic 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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