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.

Gila River Health Care Corporation (NPI 1891776902)

Field	Value
Entity Type	Organization
Organization	Gila River Health Care Corporation
Address	565 W. Seed Farm Rd
City	Sacaton
State	AZ
ZIP	85247
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	November 7, 2005

Payer Source	Total Paid
Medicaid	$6.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	53,010	$120	$6.5M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	24,580	$10	$122.9K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	3,860	$10	$50.1K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	10	$690	$8.2K
0011A	N/A	40	$0	$0
0012A	N/A	40	$0	$0
0013A	N/A	40	$0	$0
0134A	N/A	30	$0	$0
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	40	$0	$0
80069	The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.	2,990	$0	$0

Showing 1–10 of 58

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

Gila River Health Care Corporation — 0 of 4 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

58 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	21	130	28,200	$70	$2.2M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	16	70	9,640	$10	$216.8K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	2	20	260	$180	$167.3K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	26	100	380	$10	$137.9K
J1756	Injection, iron sucrose, 1 mg	30	150	4,040	$10	$64.2K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	15	130	770	$10	$15.7K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	112	120	2,550	$1	$15.6K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	10	180	610	$1	$13.4K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	36	110	380	$1	$10K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	14	30	40	$50	$10K

Showing 1–10 of 58

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gila River Health Care Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gila River Health Care Corporation	AZ	Ambulance	$0	$40M
Mark Barakat	AZ	Ophthalmology Physician	$3M	$0
Brian Holtan	AZ	Diagnostic Radiology Physician	$1.3M	$0
Michael Park	WA	Diagnostic Radiology Physician	$744.5K	$0
Clare Colombo	AZ	Diagnostic Radiology Physician	$731.3K	$0
Brett Skidmore	AZ	Diagnostic Radiology Physician	$676.3K	$0
Arvind Durvasan	AZ	Nephrology Physician	$639.3K	$8.9K
Angela Fried	AZ	Diagnostic Radiology Physician	$571.8K	$0
Franklin Danger	FL	Diagnostic Radiology Physician	$465.1K	$590
David August	AZ	Diagnostic Radiology Physician	$430.2K	$0

Nearby Providers

Other providers in the same ZIP code as Gila River Health Care Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gila River Regional Behavioral Health Authority	AZ	Community/Behavioral Health Agency	$0	$23.4M
Gila River Health Care Corporation	AZ	Non-emergency Medical Transport (VAN)	$0	$11.9M

Gila River Health Care Corporation — Billing Profile & Reimbursement Data

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Gila River Health Care Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References