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

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

Ariel Clinical Services (NPI 1316306897)

Field	Value
Entity Type	Organization
Organization	Ariel Clinical Services
Address	2938 North Ave Ste G
City	Grand Junction
State	CO
ZIP	81504
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 12, 2016

Payer Source	Total Paid
Medicaid	$96.4M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: Medicare revenue is listed as none (no Medicare billing on file) while total Medicaid revenue is $96.4M, and the provider’s NPI was enumerated 2016-02-12 (~10 years ago), indicating roughly a decade of activity under this NPI. The absence of Medicare billing means operational and reimbursement exposure is concentrated in state Medicaid programs and waiver rules.

Revenue is highly concentrated in a very small set of Medicaid codes: the top three Medicaid codes together account for 94.6% of this provider’s total Medicaid revenue. The largest single line is T2016 with $78.4M (81.3% of Medicaid revenue), followed by T2021 with $10.7M (11.1%) and T2003 with $2.1M (2.1%).

The code mix points to a core business built around waiver habilitation services: T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) drive the vast majority of revenue, suggesting primary operations are residential and day habilitation programs for individuals with developmental disabilities. The presence of T2003 (Non-emergency transportation; encounter/trip) as a top-3 code further indicates an integrated service model that includes transporting participants to/from habilitation services.

Competitive standing within Colorado is dominant for the provider’s top habilitation lines: T2016 ranks #4 of 191 providers in-state (98th percentile) and is described as an extreme outlier far above typical state volume, while T2021 ranks #2 of 290 providers (100th percentile) and is also an extreme outlier. These rank/percentile positions indicate ARIEL CLINICAL SERVICES is a major, high-volume statewide provider for both residential and day habilitation waiver services.

Operational scale is reflected in claim volumes and average payments: T2016 shows 529.7K claims at $148 avg paid/claim, T2021 shows 149.1K claims at $72 avg paid/claim, and T2003 shows 103.4K claims at $20 avg paid/claim. These high claim counts—especially for per-diem and per-15-minute billing structures—suggest substantial ongoing service delivery and logistics capacity (staffing, facilities, and transportation) to support continuous habilitation services.

While revenue is concentrated, the provider offers ancillary behavioral and clinical services at much smaller scale: codes such as T2019 ($1.9M, 2.0%), H2019 ($1.2M, 1.3%), and 90837 ($963.8K, 1.0%) appear in the top-25 list and include supported employment, therapeutic behavioral services, and psychotherapy. These smaller but present service lines indicate a broader care mix for beneficiaries beyond core residential/day habilitation, which may support care continuity and clinical needs within the same organization.

The combination of very high state ranks for core waiver codes and the absence of Medicare billing creates a single-payer concentration risk: with $96.4M of Medicaid revenue and no Medicare activity, material changes to Medicaid waiver rates, provider certification, or state program enrollment could materially affect this provider’s revenue. Given the provider’s extreme outlier status on key codes, payers and contracting teams should expect significant negotiating leverage around rates and service volume tied to state waiver program rules.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	529,670	$150	$78.4M
T2021	Day habilitation, waiver; per 15 minutes	149,100	$70	$10.7M
T2003	Non-emergency transportation; encounter/trip	103,420	$20	$2.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	21,540	$90	$1.9M
H2019	Therapeutic behavioral services, per 15 minutes	22,980	$50	$1.2M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	9,540	$100	$963.8K
T2024	Service assessment/plan of care development, waiver	4,790	$80	$397.6K
S5150	Unskilled respite care, not hospice; per 15 minutes	2,930	$70	$210.8K
T2015	Habilitation, prevocational, waiver; per hour	3,200	$60	$195K
H0041	Foster care, child, non-therapeutic, per diem	630	$160	$99.7K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Ariel Clinical Services — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	4	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	2	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	9	100	1,940	$200	$1.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	32	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	4	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	7	100	1,090	$90	$600.8K
T2015	Habilitation, prevocational, waiver; per hour	7	20	1,670	$120	$578.5K
T1017	Targeted case management, each 15 minutes	143	310	640	$80	$494.3K
T2024	Service assessment/plan of care development, waiver	13	70	880	$90	$455.1K
S5151	Unskilled respite care, not hospice; per diem	27	40	640	$130	$453.2K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Ariel Clinical Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marillac Clinic, Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$38.2M
Offender Services Inc	CO	Community/Behavioral Health Agency	$0	$13.2M
Metro Treatment Of Colorado LP	CO	Methadone Clinic	$88.5K	$8.2M
Foundations 4 Life, LLC	CO	Community/Behavioral Health Agency	$0	$5.4M
Offender Services, Inc	CO	Community/Behavioral Health Agency	$0	$3.7M
Dillon Companies LLC	CO	Community/Retail Pharmacy	$74.1K	$194.6K
Autumn Rowland	CO	Family Nurse Practitioner	$18.6K	$0

Ariel Clinical Services — Billing Profile & Reimbursement Data

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Ariel Clinical Services — 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