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.

Community Medical Services Arizona-private, LLC (NPI 1942364732)

Field	Value
Entity Type	Organization
Organization	Community Medical Services Arizona-private, LLC
Address	3825 N 24th St
City	Phoenix
State	AZ
ZIP	85016
Taxonomy	Methadone Clinic
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$7.9M
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
H2010	Comprehensive medication services, per 15 minutes	427,520	$10	$4.3M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	371,910	$1	$1.1M
T1016	Case management, each 15 minutes	69,050	$10	$828.6K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	11,260	$50	$529.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	17,490	$20	$402.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9,500	$30	$303.9K
H0031	Mental health assessment, by non-physician	1,480	$100	$148.3K
T1003	Lpn/lvn services, up to 15 minutes	16,060	$10	$112.4K
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	3,060	$20	$73.4K
T1002	Rn services, up to 15 minutes	3,020	$20	$48.2K

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

Community Medical Services Arizona-private, LLC — 0 of 16 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
H2010	Comprehensive medication services, per 15 minutes	8	80	71,620	$10	$1.7M
T1016	Case management, each 15 minutes	119	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	181	1,150	1,700	$90	$1M
J0574	Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine	19	20	17,040	$30	$687K
H0038	Self‑help/peer services, per 15 minutes	352	580	1,250	$80	$479.7K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	8	70	62,920	$1	$408.4K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	42	170	3,560	$30	$397.9K
H0031	Mental health assessment, by non-physician	242	810	280	$120	$360.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	404	3,040	750	$50	$343.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,260	2,780	600	$50	$267K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Community Medical Services Arizona-private, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phoenix Children's Hospital	AZ	Children's Hospital	$0	$555.8M
Instant Care Of Arizona	AZ	Home Health Agency	$0	$230.5M
Phoenix Children's Hospital	AZ	Pediatrics Physician	$0	$162.4M
Bethany Ranch Home, Inc	AZ	Intellectual Disabilities Intermediate Care Facility	$0	$74.4M
Creative Innervisions LLC	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$29.7M
Stellar Home Health, LLC	AZ	In Home Supportive Care Agency	$0	$29.4M
Crossroads, Inc	AZ	Substance Abuse Rehabilitation Facility	$0	$23.9M
Thomas Road Senior Housing, Inc.	AZ	Assisted Living Facility	$0	$19.2M
Anod Care Services,inc	AZ	Behavior Analyst	$0	$14.2M
National Council On Alcoholism Greater Phoenix Area	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.5M

Community Medical Services Arizona-private, LLC — Billing Profile & Reimbursement Data

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Community Medical Services Arizona-private, 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

Nearby Providers

Frequently Asked Questions

References