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    OpenPayerNPI Medicare & MedicaidInstant Care Of Arizona
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    Instant Care Of Arizona — Billing Profile & Reimbursement Data

    NPI 1184827990 · Phoenix, AZ · Home Health Agency

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    Instant Care Of Arizona is a home health agency provider located in Phoenix, Arizona. This profile covers 0 Medicare and 5 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
    OrganizationInstant Care Of Arizona
    Address2601 E Thomas Rd. #220
    CityPhoenix
    StateAZ
    ZIP85016
    TaxonomyHome Health Agency
    NPI EnumeratedJune 8, 2007

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

    Payer SourceTotal Paid
    Medicaid$230.5M
    Medicare$0

    Key Findings

    INSTANT CARE OF ARIZONA operates as a Home Health Agency with a nearly exclusive Medicaid footprint: there is no Medicare billing on file while total Medicaid revenue is $230.5M, indicating the organization is effectively a single-payer (Medicaid) provider in the dataset and that its operations are highly concentrated in state Medicaid programs.

    Revenue concentration is extreme: three Medicaid codes account for 99.9% of this provider's total Medicaid revenue, with S5125 alone representing $221.4M (96.1% of Medicaid revenue). This indicates the enterprise is heavily dependent on a single service line for the vast majority of its billed Medicaid dollars.

    The top revenue-driving code S5125 (Attendant care services; per 15 minutes) is an outlier in statewide volume and payments: the provider reported 1.8M claims and $221.4M revenue for S5125, ranking #3 of 223 providers in-state and described as an extreme outlier and far above typical state volume for this code. This suggests a dominant market position in delivering attendant care minutes within Arizona Medicaid.

    Secondary Medicaid services are present but comparatively minor: S5150 (Unskilled respite care; per 15 minutes) generated $8.4M (3.6% of Medicaid revenue) across 53.2K claims and ranks #23 of 192 in-state (88th percentile), which is a high but not unusual volume; S5130 and S5135 together contribute only about $628.9K (0.4% combined), indicating these homemaker/companion services are modest add-ons rather than core revenue drivers.

    From a competitive-standing perspective, the provider is a major state-level participant for S5125 (99th percentile, extreme outlier) and a strong but not dominant participant for S5150 (88th percentile); for other ancillary codes it is a typical-to-modest participant (e.g., S5130 ranks #4 of 14, S5135 ranks #12 of 25). These rank positions imply market concentration around attendant care delivery rather than broad-based service diversification.

    Tenure is long enough to establish an operational history: the NPI was enumerated on 2007-06-08 (~19 years ago), so the provider has been in the registry for nearly two decades, which supports the interpretation that its Medicaid billing pattern is the product of sustained business focus rather than a short-term anomaly.

    The code mix — dominated by time-based personal care services (S5125, S5150, S5130, S5135) — indicates an operational model focused on high-volume, minute-based attendant and respite care rather than skilled clinical home health services. This has implications for staffing, scheduling, and revenue sensitivity to per-15-minute reimbursement rates.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes1,757,490$130$221.4M
    S5150Unskilled respite care, not hospice; per 15 minutes53,190$160$8.4M
    S5130Homemaker service, nos; per 15 minutes5,270$100$501K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes1,610$80$126.9K
    S5151Unskilled respite care, not hospice; per diem40$280$11.8K

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes322024,500$120$15.5M
    S5150Unskilled respite care, not hospice; per 15 minutes231905,090$100$2.9M
    S5151Unskilled respite care, not hospice; per diem4240980$260$401.3K
    S5130Homemaker service, nos; per 15 minutes4103,750$80$379.8K
    S5135Companion care, adult (e.g., iadl/adl); per 15 minutes12301,470$60$163.8K

    Nearby Providers

    Other providers in the same ZIP code as Instant Care Of Arizona, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phoenix Children's HospitalAZChildren's Hospital$0$555.8M
    Phoenix Children's HospitalAZPediatrics Physician$0$162.4M
    Bethany Ranch Home, IncAZIntellectual Disabilities Intermediate Care Facility$0$74.4M
    Creative Innervisions LLCAZIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$29.7M
    Stellar Home Health, LLCAZIn Home Supportive Care Agency$0$29.4M
    Crossroads, IncAZSubstance Abuse Rehabilitation Facility$0$23.9M
    Thomas Road Senior Housing, Inc.AZAssisted Living Facility$0$19.2M
    Anod Care Services,incAZBehavior Analyst$0$14.2M
    National Council On Alcoholism Greater Phoenix AreaAZMental Health Clinic/Center (Including Community Mental Health Center)$0$13.5M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$12.8M

    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
    Instant Care Of Arizona — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona