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.

Maricopa County Special Health Care District (NPI 1952720708)

Field	Value
Entity Type	Organization
Organization	Maricopa County Special Health Care District
Address	8088 W Whitney Dr
City	Peoria
State	AZ
ZIP	85345
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	April 9, 2014

Payer Source	Total Paid
Medicaid	$19.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

127 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	68,760	$290	$19.8M
T1016	Case management, each 15 minutes	900	$20	$14.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,620	$1	$3.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,350	$1	$2.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	2,440	$1	$2.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	970	$1	$1.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,630	$1	$1.6K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	1,400	$1	$1.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,350	$1	$1.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	820	$1	$820

Showing 1–10 of 127

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

Maricopa County Special Health Care District — 0 of 12 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

127 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	35	360	3,640	$230	$7.7M
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…	106	110	960	$70	$1.7M
T1016	Case management, each 15 minutes	709	1,160	2,110	$30	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	604	1,150	1,700	$90	$1M
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	14	20	250	$40	$915.9K
H2014	Skills training and development, per 15 minutes	692	780	1,610	$100	$868.2K
H2027	Psychoeducational service, per 15 minutes	341	500	750	$170	$592.2K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	137	140	1,460	$60	$422.5K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	10	20	550	$10	$368.9K
H0031	Mental health assessment, by non-physician	622	810	280	$120	$360.5K

Showing 1–10 of 127

Related Providers

Other providers that share a Tax Identification Number (TIN) with Maricopa County Special Health Care District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maricopa County Special Health Care District	AZ	General Acute Care Hospital	$0	$251.6M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$56.5M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$24.9M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$19.6M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$18.9M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$17.7M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$17.1M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$15.8M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$15.4M
Maricopa County Special Health Care District	AZ	Federally Qualified Health Center (FQHC)	$0	$14.5M

Nearby Providers

Other providers in the same ZIP code as Maricopa County Special Health Care District, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arizona Training & Evaluation Center, Inc. (aztec)	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$97.8M
View Point Of Paseo Village LLC	AZ	Assisted Living Facility	$0	$39.5M
One Step Beyond, Inc	AZ	Speech-Language Pathologist	$0	$37.2M
View Point Fairmont Village LLC	AZ	Assisted Living Facility	$0	$12.1M
Maricopa County Special Health Care District	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.7M
City Of Peoria	AZ	Ambulance	$1.1M	$8.3M
Borabora Integrated Health System	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$7.8M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$108K	$7.5M
Chauntel Nessmith	AZ	Nurse Practitioner	$288K	$0
Sara Swanberg	AZ	Audiologist	$10.3K	$0

Maricopa County Special Health Care District — Billing Profile & Reimbursement Data

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Maricopa County Special Health Care District — 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