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.

Renal Care Group Arizona, LLC (NPI 1922110733)

Field	Value
Entity Type	Organization
Organization	Renal Care Group Arizona, LLC
Address	4502 W Indian School Rd Ste A4
City	Phoenix
State	AZ
ZIP	85031
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

51 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.	73,770	$70	$5.1M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	5,180	$400	$2.1M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	1,790	$660	$1.2M
J1756	Injection, iron sucrose, 1 mg	10,440	$20	$250.5K
Q5105	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units	6,740	$30	$175.3K
J1644	Injection, heparin sodium, per 1000 units	40,580	$1	$40.6K
0064A	N/A	20	$10	$170
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…	60	$0	$0
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	1,610	$0	$0
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	140	$0	$0

Showing 1–10 of 51

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

Renal Care Group Arizona, LLC — 4 of 7 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

51 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.	3	130	28,200	$70	$2.2M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	2	110	1,080	$400	$630.2K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	49	70	9,640	$10	$216.8K
Q5105	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units	4	30	1,860	$30	$98.2K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	95	150	480	$1	$89.3K
J1756	Injection, iron sucrose, 1 mg	8	150	4,040	$10	$64.2K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	96	250	440	$1	$35.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	94	280	2,520	$1	$30.3K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	24	100	160	$10	$27.8K
J1644	Injection, heparin sodium, per 1000 units	3	130	5,430	$1	$27.6K

Showing 1–10 of 51

Related Providers

Other providers that share a Tax Identification Number (TIN) with Renal Care Group Arizona, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bio-medical Applications Of Arizona, LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.5M
Bio-medical Applications Of Arizona, LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.9M
Bio-medical Applications Of Arizona, LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.6M
Bio-medical Applications Of Arizona, LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.2M
Renal Care Group Arizona, LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.1M

Nearby Providers

Other providers in the same ZIP code as Renal Care Group Arizona, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maryvale Pediatric Clinic	AZ	Pediatrics Physician	$0	$14.2M
Terros, Inc	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.4M
Hetal C. Shah, M.d., P.C.	AZ	Obstetrics & Gynecology Physician	$0	$6.4M
Siamak Rassadi	AZ	Clinical Cardiac Electrophysiology Physician	$429.4K	$0
Cody Frank	AZ	Optometrist	$164.5K	$0
John Hoffman	AZ	Diagnostic Radiology Physician	$82K	$0

Renal Care Group Arizona, LLC — Billing Profile & Reimbursement Data

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Renal Care Group 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

Related Providers

Nearby Providers

Frequently Asked Questions

References