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.

Surgical Specialty Hospital Of Arizona, LLC (NPI 1902881295)

Surgical Specialty Hospital Of Arizona, LLC is a special hospital provider located in Phoenix, Arizona. This profile covers 0 Medicare and 67 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	Surgical Specialty Hospital Of Arizona, LLC
Address	6501 N 19th Ave
City	Phoenix
State	AZ
ZIP	85015
Taxonomy	Special Hospital
NPI Enumerated	December 9, 2005

Payer Source	Total Paid
Medicaid	$10.5M
Medicare	$0

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

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	1,200	$5,460	$6.5M
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	410	$7,250	$3M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	3,040	$160	$477.6K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	880	$130	$114.3K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$2,750	$74.3K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	800	$90	$69.3K
73700	In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity.	1,240	$50	$59.5K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,610	$30	$54.6K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	270	$110	$30.4K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	30	$860	$24.9K

Showing 1–10 of 67

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

Surgical Specialty Hospital Of Arizona, LLC — 3 of 18 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

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	1	10	410	$7,250	$3M
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	1	10	300	$3,700	$1.7M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	3	50	450	$920	$775.4K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	246	310	960	$60	$705.5K
C1776	Joint device (implantable)	1	20	160	$930	$373.7K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	179	480	960	$40	$308.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	139	200	3,310	$10	$191.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	14	60	110	$140	$181.7K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	25	100	190	$120	$155.2K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	13	30	150	$130	$137.6K

Showing 1–10 of 67

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vhs Of Phoenix Inc	AZ	General Acute Care Hospital	$0	$52.4M
Emergency Group Of Arizona Professional Corporation	AZ	Emergency Medicine Physician	$0	$43.8M
Hope Light Care Recovery Center LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28.7M
One Point Psychiatric Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28M
Open Hearts	AZ	Community/Behavioral Health Agency	$0	$19.9M
Epangelia Properties, LLC	AZ	Family Medicine Physician	$0	$14M
Family Bond Treatment Center LLC	AZ	Community/Behavioral Health Agency	$0	$12.8M
Care Givers Of Arizona, Inc.	AZ	Home Health Registered Nurse	$0	$10.8M
American Family Medicine LLC	AZ	Family Medicine Physician	$0	$9.5M
Pueblo Family Physicians Ltd	AZ	Family Medicine Physician	$0	$9.4M

Surgical Specialty Hospital Of Arizona, LLC — Billing Profile & Reimbursement Data

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Surgical Specialty Hospital Of Arizona, 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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