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.

Emergency Professional Services PC (NPI 1902936164)

Field	Value
Entity Type	Organization
Organization	Emergency Professional Services PC
Address	37000 N Gantzel Rd
City	San Tan Valley
State	AZ
ZIP	85140
Taxonomy	Emergency Medicine Physician
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$30.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	137,280	$110	$14.8M
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.	158,490	$80	$12.5M
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.	59,600	$40	$2.6M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	70,660	$10	$353.3K
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…	1,410	$120	$173.6K
99053	The provider renders overnight services at a 24 hour facility.	55,630	$1	$55.6K
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.	570	$30	$18.2K
99292	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…	30	$80	$2.1K
99281	The provider sees a patient for the lowest level emergency department visit.	30	$10	$360
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	50	$1	$190

Showing 1–10 of 16

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

Emergency Professional Services PC — 4 of 10 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

16 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.	4	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.	3	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.	16	260	2,600	$170	$2.6M
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.	108	160	1,640	$110	$710.7K
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…	56	200	410	$170	$442.7K
99281	The provider sees a patient for the lowest level emergency department visit.	76	80	420	$70	$116.6K
99292	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…	23	30	70	$70	$71.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	5	140	570	$10	$57.2K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	18	20	160	$1	$10.4K
99053	The provider renders overnight services at a 24 hour facility.	1	30	810	$1	$5.7K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Emergency Professional Services PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anthony Wong	PA	Emergency Medicine Physician	$164.2K	$0
Patrick Hopkins	AZ	Emergency Medicine Physician	$123.6K	$0
Rebekah Reinke	AZ	Medical Physician Assistant	$120.9K	$0
Rory Smith	AZ	Emergency Medicine Physician	$110.5K	$0
David Morro	AZ	Emergency Medicine Physician	$90.5K	$0
Suzanne Russell	AZ	Medical Physician Assistant	$78.7K	$0
Magno Santos	ID	Family Nurse Practitioner	$58.1K	$720
Navid Arandi	NV	Emergency Medicine Physician	$45.8K	$0
Monica Burns	AZ	Physician Assistant	$29.2K	$0
David Horn	NM	Emergency Medicine Physician	$17.1K	$0

Nearby Providers

Other providers in the same ZIP code as Emergency Professional Services PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Ironwood Medical Center	AZ	General Acute Care Hospital	$0	$29.4M
Queen Creek Surgical Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$1.1M	$30
Bsc 1 LLC	AZ	Ambulatory Surgical Clinic/Center	$292.7K	$0
Cynthia Franco	AZ	Physician Assistant	$142.2K	$0
Kelsey Madden	AZ	Family Nurse Practitioner	$40K	$0
Andri Olafsson	AZ	Surgery Physician	$20.2K	$0
Ryan Salter	AZ	Certified Registered Nurse Anesthetist	$18K	$0

Emergency Professional Services PC — Billing Profile & Reimbursement Data

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Emergency Professional Services PC — 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