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.

Banner Health (NPI 1972139004)

Banner Health is a general acute care hospital provider located in Chandler, Arizona. This profile covers 0 Medicare and 145 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Banner Health
Address	1405 S Alma School Rd
City	Chandler
State	AZ
ZIP	85286
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 20, 2020

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

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

145 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.	5,870	$380	$2.2M
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.	10,840	$170	$1.8M
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.	7,100	$190	$1.4M
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.	2,310	$550	$1.3M
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.	1,960	$320	$620K
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.	2,490	$140	$353.4K
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…	1,000	$160	$158.4K
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.	1,330	$110	$140K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	370	$260	$95.7K
G0378	Hospital observation service, per hour	2,610	$40	$91.3K

Showing 1–10 of 145

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

Banner Health — 0 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

145 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.	97	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.	88	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.	107	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.	76	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…	62	110	960	$70	$1.7M
G0378	Hospital observation service, per hour	50	80	6,320	$70	$961.9K
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.	59	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.	85	160	1,640	$110	$710.7K
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.	79	180	1,770	$80	$635.2K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	75	110	1,070	$170	$482K

Showing 1–10 of 145

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Health	AZ	General Acute Care Hospital	$0	$55M
Banner Health	AZ	Critical Access Hospital	$0	$18.2M
Stephen Hopkins	CA	Surgery Physician	$240K	$0
Eric Kraemer	MN	Diagnostic Radiology Physician	$203.5K	$22.7K
Robert Leckie	NV	Diagnostic Radiology Physician	$156.3K	$4.8K
Leon Jackson	NV	Diagnostic Radiology Physician	$112.9K	$0
John Kurylo	CA	Orthopaedic Surgery Physician	$106.6K	$0
Randall Pierce	NV	Diagnostic Radiology Physician	$91K	$9.8K
Nicholas Carlevato	NV	Vascular & Interventional Radiology Physician	$45.1K	$0
Sandra Althaus	NV	Diagnostic Radiology Physician	$39.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Keith Goss	AZ	Foot & Ankle Surgery Podiatrist	$91.3M	$0
Option 1 Nutrition Solutions, LLC	AZ	Parenteral & Enteral Nutrition Supplies (DME)	$0	$79M
Tylers Place Az Inc	AZ	Home Health Agency	$0	$18.7M
Nava Home Crae LLC	AZ	Assisted Living Facility	$0	$18.5M
Mohammad Shakir	AZ	Specialist	$838.6K	$0
Bsc Chandler LLC	AZ	Ambulatory Surgical Clinic/Center	$569.3K	$180.6K
Jon Stevenson	AZ	Interventional Cardiology Physician	$748.6K	$0
Gautam Kedia	AZ	Cardiovascular Disease Physician	$716K	$0
Himal Shah	AZ	Clinical Cardiac Electrophysiology Physician	$578.8K	$0
Akshit Sharma	AZ	Interventional Cardiology Physician	$506.3K	$0

Banner Health — Billing Profile & Reimbursement Data

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Banner Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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