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.

Yavapai Community Hospital Association (NPI 1902897820)

Key Findings

Field	Value
Entity Type	Organization
Organization	Yavapai Community Hospital Association
Address	1003 Willow Creek Road
City	Prescott
State	AZ
ZIP	86301
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 31, 2005

Payer Source	Total Paid
Medicaid	$66.2M
Medicare	$0

This provider is effectively single‑payer on the claims data: Total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $66.2M, indicating Medicaid dominates its publicly reported payer mix. Analysts should treat Medicaid patterns as the primary lens for understanding this hospital’s operating and revenue profile because Medicare activity is absent from the dataset.

Revenue concentration is high within a narrow set of Medicaid ED evaluation codes: the precomputed top‑3 Medicaid codes account for 53.2% of the provider’s total Medicaid revenue, driven by 99283 ($12.3M, 20.6%), 99284 ($11.5M, 19.3%), and 99285 ($8M, 13.4%). This concentration signals that emergency department evaluation and management services are the single largest revenue driver for this hospital under Medicaid.

The facility operates as a high‑volume emergency department: 99283 shows 53.9K claims and ranks #21 of 258 providers in-state (92th percentile), 99284 has 50.7K claims and ranks #29 of 259 (89th percentile), and 99285 has 21.3K claims and ranks #56 of 257 (79th percentile). Those rank/percentile positions indicate the hospital provides ED care at volumes that are typical to above‑typical for Arizona peers rather than uniquely dominant.

Imaging and advanced diagnostics are a secondary revenue pillar. CT abdomen/pelvis with contrast 74177 ($7.5M, 12.5%) ranks #27 of 175 in-state (85th percentile) and chest CTA 71275 ($2M, 3.4%) ranks #24 of 99 (77th percentile), while cardiac SPECT 78452 ($1.7M, 2.9%) ranks #9 of 105 (92th percentile); together these codes show meaningful imaging volumes that support ED and inpatient diagnostic workflows.

Critical and procedure-driven services are part of the mix: critical care 99291 ($2M, 3.3%) ranks #46 of 200 providers (77th percentile), and the implantable anchor C1713 ($1.3M, 2.1%) ranks #25 of 52 (53th percentile). These data indicate the hospital manages some higher‑acuity inpatient care and orthopaedic procedures, though surgical implant volumes are closer to mid‑range among peers.

There are notable statistical outliers in specific service lines: wound debridement 97597 is reported with 5.2K claims and $381.9K revenue and is ranked #1 of 59 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). This extreme outlier status suggests a local or regional specialization or referral capture for wound care services relative to other Arizona providers.

Several ancillary service lines show consistently high statewide percentiles, reflecting broad service availability rather than isolated spikes: chest x‑ray 71046 (22.5K claims, $269.9K) ranks #19 of 303 (94th percentile) and abdominal ultrasound 76700 (5.2K claims, $260.2K) ranks #8 of 135 (95th percentile). These placements are consistent with a full‑service acute care hospital that supports high ED throughput with routine imaging and diagnostic capacity.

The provider has stable tenure in the public record—NPI enumerated (registered): 2005-10-31 (~21 years ago)—which, combined with the volume profile across ED, imaging, and some procedure codes, suggests an established community acute‑care hospital role in Prescott rather than a newly opened or transient facility.

Medicaid: Complete Services Breakdown

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

317 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.	53,900	$230	$12.3M
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.	50,690	$230	$11.5M
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.	21,270	$380	$8M
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.	12,100	$620	$7.5M
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.	4,810	$490	$2.4M
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.	12,880	$160	$2.1M
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.	15,230	$140	$2.1M
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	3,760	$530	$2M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,170	$920	$2M
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…	1,860	$930	$1.7M

Showing 1–10 of 317

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

Yavapai Community Hospital Association — 1 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

317 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	56	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.	29	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.	21	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.	27	180	1,490	$320	$2.2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	27	110	960	$70	$1.7M
G0378	Hospital observation service, per hour	39	80	6,320	$70	$961.9K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	276	400	2,110	$70	$800.7K
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	25	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.	25	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.	21	160	1,640	$110	$710.7K

Showing 1–10 of 317

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amad Zineldine	AZ	Cardiovascular Disease Physician	$587K	$0
Ketan Jani	AZ	Pulmonary Disease Physician	$486.9K	$10.6K
Naeem Chavla	WA	Urology Physician	$389.6K	$0
Deven Cox	AZ	Diagnostic Radiology Physician	$315.7K	$0
Nisha Tung	AZ	Clinical Cardiac Electrophysiology Physician	$306.7K	$0
Steven Mehta	AZ	Cardiovascular Disease Physician	$296K	$0
John Mackenzie	AZ	Neurology Physician	$294.8K	$0
Osama Niazi	AZ	Clinical Cardiac Electrophysiology Physician	$293.8K	$0
Jaskanwal Bisla	AZ	Clinical Cardiac Electrophysiology Physician	$282.7K	$0
Michael D'angelo	AZ	Specialist	$264K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prescott Healthcare Solutions LLC	AZ	Family Medicine Physician	$0	$13.3M
Summit Behavioral Health Of Az, LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$13.3M
Medical Services Of Prescott, Inc.	AZ	Emergency Medicine Physician	$0	$12.3M
Prescott Whipple Stage	AZ	Taxi	$0	$9.2M
Iyad Hamarneh	AZ	Medical Oncology Physician	$3.5M	$0
Alan Langerak	AZ	Hematology & Oncology Physician	$2.7M	$0
Allan Espinosa Morazan	AZ	Medical Oncology Physician	$2.2M	$0
Prescott Outpatient Surgical Center LLC	AZ	Ambulatory Surgical Clinic/Center	$1.7M	$25.7K
Arizona Institute Of Eye Surgery LLC	AZ	Ambulatory Surgical Clinic/Center	$1.4M	$24.7K
Ayad Agha	AZ	Diagnostic Radiology Physician	$1M	$0

Yavapai Community Hospital Association — Billing Profile & Reimbursement Data

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Yavapai Community Hospital Association — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References