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 Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska 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. Alaska (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.

Reach, Inc. (NPI 1215051388)

Field	Value
Entity Type	Organization
Organization	Reach, Inc.
Address	213 3rd St
City	Juneau
State	AK
ZIP	99801
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicaid	$52.8M
Medicare	$0

Key Findings

REACH, INC. is effectively a Medicaid-focused provider: there is no Medicare billing on file and its lifetime Medicaid revenue totals $52.8M, indicating the organization operates almost entirely within the Medicaid program rather than a mixed Medicare/Medicaid payer mix. This single-payer orientation will shape reimbursement exposure, provider network positioning, and revenue sensitivity to state Medicaid policy changes.

Revenue is heavily concentrated in a small set of waiver habilitation services: the top three Medicaid codes (T2017, T2016, T2021) together account for 87.8% of this provider's total Medicaid revenue. Individually those codes are reported as T2017 $18.5M (35.1%), T2016 $17.3M (32.8%), and T2021 $10.5M (19.9%), showing that a very large share of gross receipts comes from a narrow set of service lines.

The code mix indicates a core business in habilitation services tied to residential and day supports: T2017 (habilitation, residential, waiver; 15 minutes), T2016 (habilitation, residential, waiver; per diem), and T2021 (day habilitation, waiver; per 15 minutes) together point to an operational model centered on residential waiver slots and high-volume day habilitation programs rather than episodic clinical procedures. Secondary lines—T2019 (supported employment) and S5150 (unskilled respite care)—contribute meaningfully less revenue, consistent with a community/behavioral health agency focused on long-term support services.

Competitive standing is mixed by service type: REACH ranks as a leading in-state provider for day habilitation (T2021 ranks #5 of 61 providers in-state, 93th percentile; notably above typical state volume for this code), while its residential habilitation codes show high but not dominant volumes (T2017 ranks #5 of 34, 88th percentile; T2016 ranks #7 of 31, 80th percentile; both characterized as typical, unremarkable volume). For supported employment T2019 ranks #3 of 12 (82th percentile; typical, unremarkable volume), whereas its respite care S5150 is relatively low-volume in-state (rank #26 of 37, 31th percentile; typical, unremarkable volume), reflecting strength in day habilitation and substantial but not market-leading positions in residential habilitation.

Operational scale is substantial in per-encounter services: the largest codes show high claim volumes—T2021 80.9K claims, T2017 51.4K claims, and T2016 44.8K claims—indicating a business that relies on many short-interval service units and would therefore require sizable direct-care staffing, scheduling capacity, and administrative claims processing. The average paid/claim levels ($130 for T2021, $360 for T2017, $387 for T2016) combined with high claim counts underscore both revenue dependence on frequent units and sensitivity to unit-rate changes.

Business risk and strategic implications flow from the revenue concentration: with 87.8% of Medicaid revenue coming from three waiver habilitation codes, REACH faces concentration risk if state policy, waiver rules, or per-unit rates change for these services. Conversely, the provider’s clear strength in day habilitation (T2021) is a strategic asset it could leverage for contracting, program expansion, or service diversification within Medicaid waiver populations.

REACH has an established operational history: its NPI was enumerated on 2007-03-16 (~19 years ago), suggesting nearly two decades of enrollment and experience administering waiver-based habilitation services. That tenure, combined with large claim volumes in core codes, supports the characterization of REACH as a stable, experienced Medicaid habilitation services provider within Alaska.

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 Code	Description	Claims	Avg Paid	Revenue
T2017	Habilitation, residential, waiver; 15 minutes	51,440	$360	$18.5M
T2016	Habilitation, residential, waiver; per diem	44,750	$390	$17.3M
T2021	Day habilitation, waiver; per 15 minutes	80,940	$130	$10.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	30,560	$180	$5.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	9,760	$90	$888.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Reach, Inc. — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	7	30	22,540	$360	$13M
T2017	Habilitation, residential, waiver; 15 minutes	5	30	17,510	$250	$6.5M
T2021	Day habilitation, waiver; per 15 minutes	5	60	11,640	$150	$3.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	3	10	12,150	$170	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	26	40	16,160	$80	$2M

Nearby Providers

Other providers in the same ZIP code as Reach, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$45M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$41M
Bartlett Regional Hospital	AK	General Acute Care Hospital	$0	$29.5M
Jamhi Health & Wellness, Inc	AK	Community/Behavioral Health Agency	$0	$28.7M
Southeast Alaska Regional Health Consortium	AK	Federally Qualified Health Center (FQHC)	$0	$19.9M
Tides LLC	AK	Developmentally Disabled Services Day Training Agency	$0	$19.1M
South East Alaska Regional Health Consortium	AK	General Practice Dentistry	$0	$12.2M
Guardian Flight LLC	AK	Air Ambulance	$1.9M	$6.6M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$5.3M
Southeast Alaska Regional Health Constortium	AK	Clinic/Center	$0	$4.8M

Reach, Inc. — Billing Profile & Reimbursement Data

Sign up for Reach, Inc. — Billing Profile & Reimbursement Data policy alerts

Reach, Inc. — Billing Profile & Reimbursement Data

Sign up for Reach, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References