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 1992735088)

Dignity Health is a general acute care hospital provider located in Gilbert, Arizona. This profile covers 0 Medicare and 250 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	Dignity Health
Address	3555 S Val Vista Dr
City	Gilbert
State	AZ
ZIP	85296
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$28.5M
Medicare	$0

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

250 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.	28,490	$170	$4.7M
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.	7,770	$530	$4.1M
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.	16,640	$230	$3.7M
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.	18,720	$140	$2.5M
G0378	Hospital observation service, per hour	12,180	$180	$2.2M
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…	4,460	$360	$1.6M
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	1,820	$570	$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.	2,700	$340	$905.5K
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.	7,860	$120	$903.4K
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…	2,850	$250	$709.4K

Showing 1–10 of 250

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 — 1 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

250 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.	67	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.	53	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.	60	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.	41	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…	30	110	960	$70	$1.7M
G0378	Hospital observation service, per hour	25	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.	51	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.	56	160	1,640	$110	$710.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	234	310	960	$60	$705.5K
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.	48	180	1,770	$80	$635.2K

Showing 1–10 of 250

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dignity Health	CA	General Acute Care Hospital	$0	$109.2M
Dignity Community Care	CA	General Acute Care Hospital	$0	$86.1M
Ashok Solsi	AZ	Cardiovascular Disease Physician	$790.2K	$10.8K
Khaled Albasha	AZ	Cardiovascular Disease Physician	$608.2K	$0
Alphonse Ambrosia	AZ	Interventional Cardiology Physician	$520.3K	$0
Abdul Memon	AZ	Interventional Cardiology Physician	$210.1K	$0
Afshin Safa	CA	Radiation Oncology Physician	$203K	$0
Kenneth Mooney	NV	Pulmonary Disease Physician	$133.6K	$0
Anthony Dicamillo	NV	Neurology Physician	$118.4K	$0
Ashraf Osman	NV	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$44.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bethany Jameson	AZ	Family Nurse Practitioner	$49.9M	$0
Heard Health Care LLC.	AZ	Community/Behavioral Health Agency	$0	$35.3M
Tec Emergency Physicians Of Arizona, LLC	AZ	Emergency Care Clinic/Center	$0	$35.2M
Building Resilience Az	AZ	Community/Behavioral Health Agency	$0	$10.9M
Gilbert Public Schools	AZ	Local Education Agency (LEA)	$0	$6.4M
Haggai Healthcare Corp	AZ	Home Health Agency	$0	$6.4M
Sunildat Maheshwari	AZ	Family Medicine Physician	$618.5K	$0
Shaun Simmons	AZ	Foot & Ankle Surgery Podiatrist	$455.5K	$0
Ryan Gibb	AZ	Pain Medicine Physician	$262.7K	$0
Dustin Mullens	AZ	Dermatology Physician	$262.5K	$0

Dignity Health — Billing Profile & Reimbursement Data

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Dignity 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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