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    OpenPayerNPI Medicare & MedicaidCobros Iii, LLC
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    Cobros Iii, LLC — Billing Profile & Reimbursement Data

    NPI 1447615042 · Tucson, AZ · Community/Behavioral Health Agency

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    Cobros Iii, LLC is a community/behavioral health agency provider located in Tucson, Arizona. This profile covers 0 Medicare and 2 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
    OrganizationCobros Iii, LLC
    Address7336 E 28th Pl
    CityTucson
    StateAZ
    ZIP85710
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedDecember 23, 2015

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

    Payer SourceTotal Paid
    Medicaid$61.4M
    Medicare$0

    Key Findings

    COBROS III, LLC is effectively a Medicaid-focused Community/Behavioral Health Agency: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $61.4M, indicating the organization operates almost entirely within the Medicaid payer channel rather than as a dual-payer provider. Its taxonomy and billing mix point to waiver-based behavioral health services rather than fee-for-service Medicare clinical care.

    Revenue is highly concentrated in a very narrow set of Medicaid codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with two codes alone—T2016 and T2021—accounting for the entire $61.4M. This concentration implies that changes to waiver policy, per-diem rates, or service authorization for these specific codes would materially impact the provider's overall revenue.

    The dominant revenue driver is T2016 (Habilitation, residential, waiver; per diem), which generated $48.4M (78.8% of Medicaid revenue) from 67.9K claims at an average paid amount of $713 per claim. That single per-diem residential habilitation code represents the bulk of the organization’s financial footprint, underscoring a business model oriented toward residential habilitation services.

    T2021 (Day habilitation, waiver; per 15 minutes) is the secondary revenue source, producing $13M (21.2% of Medicaid revenue) from 78.5K claims at an average paid amount of $166 per claim. The presence of a high-volume per-15-minute day habilitation code alongside a large per-diem residential code suggests the provider offers both residential and day habilitation programs for waiver populations, with differing service delivery and reimbursement rhythms.

    Competitive standing in-state is mixed by service line: for T2016 the provider ranks #15 of 27 in-state (46th percentile), described as typical and unremarkable volume, indicating a modest or middle-of-the-pack position in residential habilitation. For T2021 the provider ranks #11 of 48 in-state (79th percentile), also labelled typical and unremarkable, but the higher percentile shows relatively stronger placement among day habilitation providers in Arizona.

    The statistical characterizations supplied for both codes are 'typical, unremarkable volume for this code,' so there are no supplied labels indicating the provider is an outlier in either direction; both code volumes should be interpreted as within the ordinary range for Arizona waiver providers rather than exceptional. This reduces the likelihood that the provider is an unusual statewide performer on the metrics provided.

    Operationally, the billing mix of a high-dollar per-diem habilitation code (T2016, $713 avg paid/claim) together with a high-claim-count per-15-minute day habilitation (T2021, $166 avg paid/claim) implies the provider must manage both continuous residential staffing and high-frequency day-program billing workflows. Analysts considering capacity, workforce, or cost structure should expect a dual operational focus on residential care delivery and frequent, short-interval day habilitation services.

    COBROS III, LLC has an established enrollment history with an NPI enumerated on 2015-12-23 (~11 years ago), indicating roughly a decade of presence in the Medicaid waiver market; combined with the concentrated revenue mix, this tenure suggests an established, specialized operator rather than a newly-entering or broadly diversified health system participant.

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem67,870$710$48.4M
    T2021Day habilitation, waiver; per 15 minutes78,500$170$13M

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem153076,220$310$52.4M
    T2021Day habilitation, waiver; per 15 minutes115019,210$100$5.3M

    Nearby Providers

    Other providers in the same ZIP code as Cobros Iii, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Easter Seals Blake FoundationAZIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$80.8M
    Easter Seals Blake FoundationAZCommunity/Behavioral Health Agency$0$24.3M
    Saguaro Senior Living, Inc.AZAssisted Living Facility$0$22.5M
    Arizona Total Care LLCAZMulti-Specialty Clinic/Center$0$16.7M
    Community Medical Services Arizona-private, LLCAZMethadone Clinic$164.3K$14.2M
    Solace Behavioral Health LLCAZCommunity/Behavioral Health Agency$0$11.9M
    Devereux FoundationAZMental Illness Community Based Residential Treatment Facility$0$8.7M
    Caring Connections For Special Needs, LLCAZCommunity/Behavioral Health Agency$0$7.5M
    Mark WalshAZRetina Specialist (Ophthalmology) Physician$4.2M$0
    Sean GarrityAZOphthalmology Physician$3.4M$0

    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
    Cobros Iii, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona