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    OpenPayerNPI Medicare & MedicaidThe Tungland Company, LLC
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    The Tungland Company, LLC — Billing Profile & Reimbursement Data

    NPI 1164572616 · Phoenix, AZ · Intellectual and/or Developmental Disabilities Residential Treatment Facility

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    The Tungland Company, LLC is a intellectual and/or developmental disabilities residential treatment facility provider located in Phoenix, Arizona. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Tungland Company, LLC
    Address3838 N Central Ave Ste 1200
    CityPhoenix
    StateAZ
    ZIP85012
    TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
    NPI EnumeratedJanuary 10, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$332M
    Medicare$0

    Key Findings

    This provider is effectively single-payer at scale: there is none (no Medicare billing on file) while total Medicaid revenue is $332M, indicating that Medicaid accounts for the entirety of reported government billing. The absence of Medicare activity combined with large Medicaid receipts suggests operations and contracting are focused on state waiver and Medicaid-managed care programs rather than Medicare-covered services.

    Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top 3 Medicaid codes by revenue account for 93.9% of this provider's total Medicaid revenue. In particular, T2016 generates $288.6M (86.9% of total Medicaid revenue), with T2021 at $15.1M (4.6%) and S5125 at $8.2M (2.5%), indicating extreme dependency on a single per-diem residential habilitation line.

    The code mix identifies the business model as residential and habilitation-focused: T2016 (Habilitation, residential, waiver; per diem) dominates revenue and claim volume, while T2021 (Day habilitation, waiver; per 15 minutes) and S5125 (Attendant care services; per 15 minutes) show supporting day and personal care services. This mix is consistent with a large residential intellectual/developmental disabilities operation that also runs day programs and attendant care, with per-diem residential reimbursement driving the economics.

    Competitive standing within Arizona is strong on the provider’s top habilitation lines. T2016 ranks #2 of 27 providers in-state (96th percentile; notably above typical state volume) and T2021 ranks #4 of 48 (94th percentile; notably above typical state volume), signaling this entity is a major statewide player for residential and day habilitation services. By contrast, S5125 ranks #65 of 223 (71th percentile; typical, unremarkable volume), so the provider is not unusually large for attendant-care relative to the broader in-state market.

    Operational scale is visible in claims volume: T2016 shows 841.4K claims and T2021 shows 164.2K claims, while S5125 records 60.2K claims, confirming the revenue figures reflect high utilization rather than unusually high unit prices. Average paid/claim levels (for example, $343 for T2016 and $92 for T2021) indicate the provider’s financial exposure is concentrated in high-volume per-diem and per-15-minute reimbursement structures.

    The provider’s tenure is long-established, with NPI enumerated on 2007-01-10 (~19 years ago), which supports a sustained operational footprint and helps explain the large cumulative Medicaid volume. Longevity combined with the provider’s high state rankings for core habilitation codes suggests entrenched capacity in residential services.

    High concentration in T2016 creates both strategic scale and concentrated exposure: with $288.6M (86.9% of Medicaid revenue) tied to a single per-diem residential habilitation code, changes in waiver policy, per-diem rates, or utilization patterns for residential habilitation would disproportionately affect overall revenue. Secondary codes like T2033 ($5.6M, 1.7%) and T2019 ($5.6M, 1.7%) each rank highly in-state (T2033 #2 of 145, 99th percentile; T2019 #2 of 18, 94th percentile) but currently contribute only a small share of total revenue, limiting diversification within the Medicaid portfolio.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem841,360$340$288.6M
    T2021Day habilitation, waiver; per 15 minutes164,210$90$15.1M
    S5125Attendant care services; per 15 minutes60,200$140$8.2M
    T2033Residential care, not otherwise specified (nos), waiver; per diem10,110$560$5.6M
    T2019Habilitation, supported employment, waiver; per 15 minutes74,110$80$5.6M
    T2017Habilitation, residential, waiver; 15 minutes44,770$90$4M
    H2021Community-based wrap-around services, per 15 minutes4,360$610$2.6M
    S5150Unskilled respite care, not hospice; per 15 minutes23,680$100$2.2M
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems1,030$20$23.8K
    T1002Rn services, up to 15 minutes40$160$6.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Arizona median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem23076,220$310$52.4M
    S5125Attendant care services; per 15 minutes6522024,500$120$15.5M
    T2017Habilitation, residential, waiver; 15 minutes276032,290$90$9M
    H2021Community-based wrap-around services, per 15 minutes2104,360$110$7.1M
    T2021Day habilitation, waiver; per 15 minutes45019,210$100$5.3M
    T2033Residential care, not otherwise specified (nos), waiver; per diem21501,280$1,710$5M
    T2019Habilitation, supported employment, waiver; per 15 minutes22019,190$90$2.9M
    S5150Unskilled respite care, not hospice; per 15 minutes481905,090$100$2.9M
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems3825105,500$10$267.6K
    T1002Rn services, up to 15 minutes1731901,220$10$95.8K

    Nearby Providers

    Other providers in the same ZIP code as The Tungland Company, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain Park Health CenterAZFederally Qualified Health Center (FQHC)$0$351.5M
    Adelante Healthcare, Inc.AZFederally Qualified Health Center (FQHC)$0$245.5M
    Banner-university Medical GroupAZMulti-Specialty Clinic/Center$0$133.7M
    Prileo Healthcare LLC Dba Prileo Home CareAZIn Home Supportive Care Agency$0$88.8M
    Denova Collaborative Health, LLCAZMulti-Specialty Clinic/Center$0$87.9M
    Southwest Behavioral Health Services IncAZCommunity/Behavioral Health Agency$0$83.5M
    Terros, Inc.AZCommunity/Behavioral Health Agency$0$81.7M
    Accentcare At Home, Inc.AZIn Home Supportive Care Agency$0$65.7M
    Banner Physician Super Specialists Arizona LLCAZMulti-Specialty Clinic/Center$0$36.9M
    Banner - University Hospital Based Physicians LLCAZGeneral Acute Care Hospital$0$29.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Arizona Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Arizona Distribution
    The Tungland Company, LLC — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona