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.

Arizona's Children Association (NPI 1063636165)

Field	Value
Entity Type	Organization
Organization	Arizona's Children Association
Address	4742 N Oracle Rd Ste 300
City	Tucson
State	AZ
ZIP	85705
Taxonomy	Adolescent and Children Mental Health Clinic/Center
NPI Enumerated	April 12, 2007
NPI Deactivated	October 21, 2025

Payer Source	Total Paid
Medicaid	$61.4M
Medicare	$0

Key Findings

ARIZONA'S CHILDREN ASSOCIATION is effectively a Medicaid-focused provider with no Medicare billing on file; its lifetime Medicaid revenue is $61.4M and the top 3 Medicaid codes by revenue account for 80.4% of this total. The absence of Medicare activity indicates the organization operates almost entirely within state Medicaid programs rather than as a mixed-payer outpatient practice serving Medicare beneficiaries.

The provider's code mix is consistent with a community-based adolescent and children mental health clinic: the largest revenue drivers are T1016 (case management, each 15 minutes) with 784.5K claims and $22.8M revenue (37.1%), H0004 (behavioral health counseling and therapy, per 15 minutes) with 236.8K claims and $18.5M revenue (30.1%), and H0031 (mental health assessment, by non-physician) with 65.1K claims and $8.1M revenue (13.3%). These high-volume, per-15-minute service codes imply sustained, face-to-face care and intensive case management rather than episodic, physician-centered visits.

Revenue concentration is high: the three codes above together represent 80.4% of Medicaid revenue, which signals operational dependence on a narrow set of time-based behavioral health services. That concentration suggests both strength in a focused service line and vulnerability to reimbursement or utilization changes affecting those specific codes.

Competitively, the provider is a statewide leader on several measures. T1016 ranks #9 of 1157 providers in-state (99th percentile; extreme outlier) and H0004 ranks #9 of 1147 providers in-state (99th percentile; extreme outlier), while H0031 ranks #6 of 812 providers in-state (99th percentile; extreme outlier), indicating this organization bills far above typical state volumes for its core behavioral health services and likely captures a major share of intensive pediatric mental health case management and counseling in Arizona.

Beyond the top three, the provider also shows dominance in ancillary, family-focused supports: S5110 (home care training, family; per 15 minutes) has 44K claims, $2.3M revenue (3.8%) and ranks #1 of 182 providers in-state (100th percentile; extreme outlier), and T1013 (sign language or oral interpretive services, per 15 minutes) has 29K claims, $87.1K revenue (0.1%) and ranks #1 of 98 providers in-state (100th percentile; extreme outlier). These #1 rankings on specialized support codes indicate the organization offers a broad set of non-clinical and communication supports that complement its clinical services.

The provider also bills substantial office visit E/M volume for established patients: 99214 appears with 52.2K claims and $3.2M revenue (5.3%) and ranks #73 of 3041 providers in-state (98th percentile; notably above typical state volume). The presence of high-volume 99214 encounters alongside intensive case management and therapy suggests integrated clinical assessment and follow-up capacity in addition to non-physician behavioral services.

Operationally and historically stable: the NPI was enumerated 2007-04-12 (~19 years ago), indicating long tenure in the state market. That longevity, combined with extreme outlier billing for multiple Medicaid service codes, supports characterization as an established regional specialist in pediatric/adolescent behavioral health.

From a business risk and strategic perspective, the combination of very high claim counts (e.g., 784.5K claims for T1016) and heavy revenue concentration in time-based behavioral health codes creates both scale advantages and vulnerability. Any policy, audit, or utilization-management change that targets high-volume case management or per-15-minute therapy codes could materially affect revenue given that T1016, H0004, and H0031 together make up 80.4% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	784,500	$30	$22.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	236,770	$80	$18.5M
H0031	Mental health assessment, by non-physician	65,090	$130	$8.1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	52,180	$60	$3.2M
S5110	Home care training, family; per 15 minutes	44,040	$50	$2.3M
H2014	Skills training and development, per 15 minutes	49,060	$40	$1.9M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	11,170	$150	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	10,110	$150	$1.5M
S0215	Non-emergency transportation; mileage, per mile	11,480	$30	$378.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	9,710	$40	$378.7K

Showing 1–10 of 18

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

Arizona's Children Association — 9 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	75	190	5,090	$100	$2.9M
T1016	Case management, each 15 minutes	9	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	174	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	9	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	33	780	1,610	$100	$868.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	221	400	200	$120	$403K
S5110	Home care training, family; per 15 minutes	1	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	6	810	280	$120	$360.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	73	3,040	750	$50	$343.9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	192	510	5,500	$10	$267.6K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Arizona's Children Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Ambulance Of Tucson Inc	AZ	Land Ambulance	$3.8M	$98.5M
Danville Services Of Arizona, L.L.C.	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$32.3M
Rural Metro Corporation	AZ	Land Ambulance	$886K	$26.6M
Casa De Los Ninos	AZ	Community/Behavioral Health Agency	$0	$24.2M
Cope Community Services, Inc.	AZ	Community/Behavioral Health Agency	$0	$14.2M
Cope Community Services, Inc.	AZ	Adult Mental Health Clinic/Center	$0	$11.7M
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$10.1M
Total Care Connections	AZ	In Home Supportive Care Agency	$0	$9.9M
H B Automotive Services, LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$6.7M
Codac Health Recovery And Wellness	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$223.4K	$24.8K

Arizona's Children Association — Billing Profile & Reimbursement Data

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Arizona's Children Association — 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

Nearby Providers

Frequently Asked Questions

References