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 Consumer Direct Personal Care (NPI 1386854370)

Field	Value
Entity Type	Organization
Organization	Arizona Consumer Direct Personal Care
Address	50 N Alvernon Way
City	Tucson
State	AZ
ZIP	85711
Taxonomy	Home Health Agency
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$121.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: there is no Medicare billing on file and total Medicaid revenue is $121.6M, indicating Medicaid is the sole recorded payer driving its reported revenue. The absence of Medicare activity means payer-concentration risk is concentrated on Medicaid policy and rate changes rather than a mixed-payor exposure.

The code mix is consistent with a time-based home care/consumer-directed personal care operation: S5125 (Attendant care services; per 15 minutes), S5150 (Unskilled respite care, not hospice; per 15 minutes), and T2040 (Financial management, self-directed, waiver; per 15 minutes) dominate the billing profile, which points to an organization focused on attendant/home care delivery plus support for self-directed waiver participants. The presence of T2040 also indicates the provider supports fiscal/financial management in self-directed waiver models rather than primarily clinical or skilled-home-health services.

Revenue concentration is extreme: the top 3 Medicaid codes account for 99.7% of this provider's total Medicaid revenue, with S5125 alone representing $112.4M (92.5% of Medicaid revenue). This level of concentration means operational and reimbursement changes affecting those few services would materially affect the provider's overall financial picture.

S5125 shows very high utilization at scale: 354.7K claims with an average paid per claim of $317 and $112.4M in revenue, making it the clear revenue driver for the organization. Despite the high absolute volume, the dataset labels this as "typical, unremarkable volume for this code," suggesting many providers deliver comparable attendant-care volumes statewide even though this provider captures a large share of its own revenue through that code.

S5150 is the secondary revenue stream with 47.2K claims, $172 avg paid/claim, and $8.1M revenue (6.7% of Medicaid revenue). The provider ranks #26 of 192 in-state (87th percentile) for S5150 and the data again characterizes this as "typical, unremarkable volume for this code," indicating meaningful statewide participation but not an outlier level of respite service delivery.

T2040 (financial management for self-directed waiver) is a small but visible line of business: 6.2K claims, $106 avg paid/claim, $659.7K revenue (0.5% of Medicaid revenue) and ranks #2 of 3 providers in-state (50th percentile). The ranking and the note "typical, unremarkable volume for this code" suggest the provider participates in self-directed waiver fiscal-management services but is not uniquely dominant in that niche.

There are minor, low-revenue ancillary codes: for example, S5135 and S5130 together contribute only fractional shares of revenue and S5108 shows 15 claims and $315 revenue where this provider is the only state biller for that code (rank #1 of 1 providers in-state) with "no state peer volume comparison available." These items are immaterial to the provider's topline but indicate it bills a narrow set of ancillary home-care services.

The provider is long-tenured in the NPI registry, enumerated on 2007-05-22 (~19 years ago), which supports the interpretation of an established, specialized home- and attendant-care operator. Given the long tenure and concentrated Medicaid revenue base, the business is likely stable within the Medicaid home-care ecosystem but exposed to policy or rate shifts that affect time-based attendant and respite services.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	354,730	$320	$112.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	47,210	$170	$8.1M
T2040	Financial management, self-directed, waiver; per 15 minutes	6,220	$110	$659.7K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	3,410	$70	$252.1K
S5130	Homemaker service, nos; per 15 minutes	700	$100	$72.6K
S5108	Home care training to home care client, per 15 minutes	20	$20	$320

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 Consumer Direct Personal Care — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	15	220	24,500	$120	$15.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	2	10	6,220	$20	$5.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	26	190	5,090	$100	$2.9M
S5130	Homemaker service, nos; per 15 minutes	9	10	3,750	$80	$379.8K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	6	30	1,470	$60	$163.8K
S5108	Home care training to home care client, per 15 minutes	1	10	20	$20	$310

Nearby Providers

Other providers in the same ZIP code as Arizona Consumer Direct Personal Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Cerebral Palsy Of Southern Arizona, Inc	AZ	Home Health Agency	$0	$131.1M
Smsj Tucson Holdings LLC	AZ	General Acute Care Hospital	$0	$28.9M
Southern Arizona Family Services, Inc.	AZ	In Home Supportive Care Agency	$0	$28.5M
Cope Community Services, Inc.	AZ	Methadone Clinic	$0	$27.5M
Dependable Nurses, Inc.	AZ	Home Health Agency	$0	$26.5M
Radiology Ltd., LLC	AZ	Diagnostic Radiology Physician	$0	$24.2M
Intermountain Health Center Inc	AZ	Multi-Specialty Clinic/Center	$0	$22.9M
Arizona Community Physicians PC	AZ	Internal Medicine Physician	$0	$22.5M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.2M
Maxim Healthcare Services, Inc.	AZ	Home Health Agency	$0	$15.1M

Arizona Consumer Direct Personal Care — Billing Profile & Reimbursement Data

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Arizona Consumer Direct Personal Care — 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