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.

Dignity Health (NPI 1982733655)

Field	Value
Entity Type	Organization
Organization	Dignity Health
Address	350 W Thomas Rd
City	Phoenix
State	AZ
ZIP	85013
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 5, 2007

Payer Source	Total Paid
Medicaid	$126.1M
Medicare	$0

Key Findings

DIGNITY HEALTH in PHOENIX, AZ is effectively a single‑payer Medicaid hospital: there is no Medicare billing on file and lifetime Medicaid revenue is $126.1M. This payer mix indicates the provider’s reported billing activity (and the observable revenue base on file) is concentrated in Medicaid, which will shape payer negotiations and utilization profiles observed here.

Revenue concentration is high and heavily emergency‑department driven: the precomputed top three Medicaid codes (99284, 99285, 99283) account for 52.9% of the provider’s total Medicaid revenue. Those three codes individually generate $22M (99284, 20.8%), $19.4M (99285, 18.3%), and $14.6M (99283, 13.8%), highlighting that a majority of revenue is produced by ED E/M services.

Operationally the code mix points to a high‑volume, imaging‑enabled acute care ED: 99284 has 94.8K claims, 99283 has 65.5K claims, and 99285 has 47.3K claims, while high‑yield imaging codes such as 74177 ($12.2M), 70553 ($7M), and 70450 ($3.6M) also contribute materially. Together these data suggest on‑site CT/MRI capacity and continuous emergency throughput consistent with a busy urban general acute care hospital.

State competitive standing on ED volume is strong for several top codes: 99284 ranks #15 of 259 providers in‑state (95th percentile; notably above typical state volume) and 99283 ranks #14 of 258 (95th percentile; notably above typical state volume), while 99285 is #23 of 257 (91st percentile; labeled as typical, unremarkable volume). These ranks indicate the provider is a leading ED contributor in Arizona for moderate‑ and low‑level ED E/M visits and a major source of Medicaid ED revenue compared with peers.

Beyond emergency care, the provider shows concentrated specialty infusion and procedural services: J2350 (ocrelizumab) accounts for $3.1M and ranks #1 of 2 providers in‑state (100th percentile; typical, unremarkable volume), and J2323 (natalizumab) accounts for $2.3M and ranks #1 of 3 (100th percentile; typical, unremarkable volume). Presence of high‑cost biologic infusion billing alongside oncology codes such as 77386 (IMRT, $1M, rank #2 of 5, 75th percentile) signals that neurology infusions and radiation oncology are meaningful ancillary revenue streams.

Advanced diagnostic and interventional imaging are notable outliers relative to peers: 93458 (imaging supervision for coronary angiography) generates $814.7K and ranks #2 of 42 (98th percentile; notably above typical state volume), and CTA of the chest 71275 produces $2.3M (rank #16 of 99, 85th percentile). Coupled with high CT abdomen/pelvis with contrast (74177, $12.2M), these codes indicate capacity for complex vascular and interventional imaging services on a Medicaid scale.

The provider’s portfolio also includes diversified inpatient/outpatient support services beyond ED and advanced imaging: 88305 (surgical pathology) generates $1M, 97110 (therapeutic exercise) $1.8M, G0378 (hospital observation per hour) $1.3M, and 59025 (fetal heart rate monitoring) $1.5M. These lines suggest a full‑service acute hospital footprint with surgery/pathology, rehab/therapy, observation beds, and obstetric monitoring contributing modest but material shares of Medicaid revenue.

DIGNITY HEALTH’s NPI was enumerated on 2007-03-05 (~19 years ago), reflecting long tenure as a general acute care hospital in the market. The combination of long standing enrollment and the current Medicaid‑only billing record on file implies the provider is an established Medicaid revenue center locally, though the absence of Medicare claims in the dataset should be confirmed as either a true absence of Medicare business or a reporting/contracting gap before concluding Medicare market exposure.

Medicaid: Complete Services Breakdown

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

579 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	94,830	$230	$22M
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.	47,280	$410	$19.4M
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.	65,540	$220	$14.6M
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.	21,020	$580	$12.2M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	13,230	$530	$7M
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.	23,150	$160	$3.6M
J2350	Injection, ocrelizumab, 1 mg	250	$12,100	$3.1M
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.	6,250	$380	$2.4M
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…	5,480	$420	$2.3M
J2323	Injection, natalizumab, 1 mg	1,090	$2,110	$2.3M

Showing 1–10 of 579

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

Dignity Health — 5 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

579 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	6	10	770	$7,180	$7.1M
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.	23	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.	15	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.	14	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.	16	180	1,490	$320	$2.2M
J2350	Injection, ocrelizumab, 1 mg	1	10	140	$12,610	$1.8M
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…	34	110	960	$70	$1.7M
J2505	Injection, pegfilgrastim, 6 mg	6	10	450	$3,170	$1.3M
J2323	Injection, natalizumab, 1 mg	1	10	830	$1,590	$1M
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	14	30	70	$3,620	$999.9K

Showing 1–10 of 579

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dignity Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sjhmc Physician Services	AZ	Multi-Specialty Clinic/Center	$0	$46.6M
Dignity Health	AZ	General Acute Care Hospital	$0	$26.2M
Joseph Bryan	AZ	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Jason Klein	AZ	Interventional Cardiology Physician	$895.7K	$0
Muhammad Raza	AZ	Critical Care Medicine (Internal Medicine) Physician	$628.6K	$0
Riyaz Sumar	AZ	Cardiovascular Disease Physician	$538.4K	$0
Akil Loli	AZ	Interventional Cardiology Physician	$488.2K	$0
Lorne Murray	AZ	Cardiovascular Disease Physician	$462.2K	$0
Ali Borhan	AZ	Urology Physician	$438.8K	$0
Basil Al Khatib	AZ	Interventional Cardiology Physician	$415.1K	$0

Nearby Providers

Other providers in the same ZIP code as Dignity Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$30.7M
Empower Emergency Physicians, PC	AZ	Emergency Medicine Physician	$0	$25M
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$20M
St. Joseph's Outpatient Surgery Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$2.9M	$14.5M
Windsor Maryland Gardens, LLC	AZ	Alzheimer Center (Dementia Center)	$0	$9.5M
Solterra 3rd Indian School Operations, LLC	AZ	Assisted Living Facility	$0	$8.2M
Az Center For Change	AZ	Community/Behavioral Health Agency	$0	$7.2M
Crossroads Midtown	AZ	Substance Abuse Rehabilitation Facility	$0	$7M
Atlas Medical Systems, PLLC	AZ	Family Medicine Physician	$0	$6.5M
Bio-medical Applications Of Arizona, LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.2M

Dignity Health — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References