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Tucson Medical Center

Clinic/Center, Hearing and Speech·Tucson, AZ·NPI: 1174512792Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$127.3M

$127,254,140

Total Claims

3.8M

Beneficiaries

3.1M

1.2 claims/patient

Avg Cost/Claim

$33

#923 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Tucson Medical Center is a Clinic/Center, Hearing and Speech provider based in Tucson, AZ. From the 2018–2024 period, this provider received $127.3M in Medicaid payments across 3.8M claims.

Why This Matters

This provider received $127.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,906 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 31% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$14.8M
+9%
2019
$16.2M
-12%
2020
$14.3M
+33%
2021
$19.0M
+14%
2022
$21.8M
-0%
2023
$21.7M
-10%
2024
$19.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 15% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$19.1M

81K claims · 15.0%

Your Cost: $235.12/claim|Median: $69.51
3.4× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$13.1M

45K claims · 10.3%

Your Cost: $294.85/claim|Median: $85.65
3.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$10.7M

68K claims · 8.4%

Your Cost: $157.98/claim|Median: $42.48
3.7× median
74177Top 5%

CT abdomen and pelvis with contrast

$10.3M

20K claims · 8.1%

Your Cost: $526.68/claim|Median: $65.76
8.0× median
G0378Normal range

Hospital observation service, per hour

$8.8M

56K claims · 6.9%

Your Cost: $156.90/claim|Median: $99.39
1.6× median
99282Top 25%

Emergency dept visit, low complexity

$6.6M

70K claims · 5.1%

Your Cost: $93.12/claim|Median: $37.72
2.5× median
C1713Top 25%

Anchor or screw for tissue to bone fixation

$5.1M

4K claims · 4.0%

Your Cost: $1,203.21/claim|Median: $123.40
9.8× median
C1776Top 10%

$3.3M

817 claims · 2.6%

Your Cost: $4,030.68/claim|Median: $586.59
6.9× median
70450Top 25%

CT head/brain without contrast

$2.7M

19K claims · 2.1%

Your Cost: $145.95/claim|Median: $45.53
3.2× median
76815Top 1%

Ultrasound, pregnant uterus, limited

$2.2M

11K claims · 1.7%

Your Cost: $199.27/claim|Median: $36.79
5.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$2.0M

8K claims · 1.6%

Your Cost: $240.26/claim|Median: $169.17
1.4× median
59025Top 25%

Fetal non-stress test

$2.0M

25K claims · 1.5%

Your Cost: $78.59/claim|Median: $26.45
3.0× median
44970Normal range

$1.8M

606 claims · 1.4%

Your Cost: $2,902.85/claim|Median: $1,699.18
1.7× median
70553Top 10%

MRI brain without contrast, then with contrast

$1.7M

3K claims · 1.4%

Your Cost: $514.24/claim|Median: $133.68
3.9× median
43239Top 10%

Upper GI endoscopy with biopsy

$1.7M

3K claims · 1.4%

Your Cost: $513.12/claim|Median: $151.68
3.4× median
71275Top 5%

CT angiography, chest, with contrast

$1.7M

4K claims · 1.3%

Your Cost: $391.60/claim|Median: $92.96
4.2× median
74176Top 10%

CT abdomen and pelvis without contrast

$1.7M

5K claims · 1.3%

Your Cost: $350.19/claim|Median: $60.19
5.8× median
78452Top 1%

Myocardial perfusion imaging, SPECT, multiple studies

$1.6M

2K claims · 1.3%

Your Cost: $1,052.18/claim|Median: $106.14
9.9× median
99281Normal range

Emergency dept visit, minimal complexity

$1.6M

34K claims · 1.2%

Your Cost: $47.14/claim|Median: $52.03
0.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$1.4M

12K claims · 1.1%

Your Cost: $115.30/claim|Median: $36.13
3.2× median
93458Top 5%

Left heart catheterization with imaging

$1.3M

661 claims · 1.0%

Your Cost: $2,019.90/claim|Median: $183.33
11.0× median
88307Top 1%

Surgical pathology, gross and microscopic, complex

$1.2M

3K claims · 1.0%

Your Cost: $423.34/claim|Median: $59.38
7.1× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

31K claims · 0.8%

Your Cost: $33.58/claim|Median: $33.11
1.0× median
47562Top 25%

$977K

399 claims · 0.8%

Your Cost: $2,448.65/claim|Median: $731.87
3.4× median
54161Top 25%

$952K

983 claims · 0.7%

Your Cost: $968.82/claim|Median: $252.63
3.8× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$898K

13K claims · 0.7%

Your Cost: $69.54/claim|Median: $35.80
1.9× median
72195Top 5%

$873K

1K claims · 0.7%

Your Cost: $615.64/claim|Median: $179.40
3.4× median
92507Normal range

Speech/hearing/language treatment

$864K

18K claims · 0.7%

Your Cost: $47.04/claim|Median: $49.45
0.9× median
70486Top 5%

$801K

2K claims · 0.6%

Your Cost: $362.90/claim|Median: $44.28
8.2× median
76705Top 10%

Ultrasound, abdominal, limited

$665K

6K claims · 0.5%

Your Cost: $103.03/claim|Median: $23.81
4.3× median

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