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    OpenPayerNPI Medicare & MedicaidMaricopa County Special Health Care District
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    Maricopa County Special Health Care District — Billing Profile & Reimbursement Data

    NPI 1891114641 · Phoenix, AZ · Federally Qualified Health Center (FQHC)

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    Maricopa County Special Health Care District is a federally qualified health center (fqhc) provider located in Phoenix, Arizona. This profile covers 0 Medicare and 118 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMaricopa County Special Health Care District
    Address5650 S 35th Ave
    CityPhoenix
    StateAZ
    ZIP85041
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedApril 9, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$15.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    118 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive55,000$280$15.3M
    T1016Case management, each 15 minutes610$20$14K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…3,260$1$3.3K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.2,890$1$2.9K
    99203The 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…2,650$1$2.6K
    99392Preventive 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…2,570$1$2.6K
    99204The 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…2,010$1$2K
    99391Preventive 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…1,970$1$2K
    80074The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody.480$1$480
    86480The lab analyst performs a test to evaluate a cell mediated immunity gamma interferon antigen response to certain tuberculosis, or TB, antibodies.350$1$350

    Showing 1–10 of 118

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    118 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive533603,640$230$7.7M
    T1016Case management, each 15 minutes7721,1602,110$30$1.2M
    87801The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.1020250$40$915.9K
    H2014Skills training and development, per 15 minutes4597801,610$100$868.2K
    H2027Psychoeducational service, per 15 minutes429500750$170$592.2K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.313400200$120$403K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.1171703,560$30$397.9K
    88175The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…1420550$10$368.9K
    99214The 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…1903,040750$50$343.9K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.291001,040$20$327.4K

    Showing 1–10 of 118

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Maricopa County Special Health Care District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maricopa County Special Health Care DistrictAZGeneral Acute Care Hospital$0$251.6M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$56.5M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$24.9M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$19.8M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$19.6M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$18.9M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$17.7M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$17.1M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$15.8M
    Maricopa County Special Health Care DistrictAZFederally Qualified Health Center (FQHC)$0$14.5M

    Nearby Providers

    Other providers in the same ZIP code as Maricopa County Special Health Care District, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carlos ChingAZFamily Nurse Practitioner$62.9M$0
    A Path Of Resilience - Aprbhs - Rose House - LLCAZCommunity/Behavioral Health Agency$0$48.7M
    Cactus Wren Community Services LLCAZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$10.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arizona Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    Maricopa County Special Health Care District — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona