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.

The Arc Of Anchorage (NPI 1497967640)

Field	Value
Entity Type	Organization
Organization	The Arc Of Anchorage
Address	2211 Arca Dr
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$50.8M
Medicare	$0

Key Findings

THE ARC OF ANCHORAGE is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the organization reports $50.8M in lifetime Medicaid revenue. This concentration means payer-management and revenue risk are dominated by Medicaid policy and reimbursement changes rather than Medicare dynamics.

Revenue is highly concentrated in a small set of Medicaid procedure codes: the top 3 Medicaid codes (T2016, T2021, T2019) account for 90.7% of the provider's total Medicaid revenue. T2016 alone makes up 56.7% of Medicaid revenue, while T2021 and T2019 contribute 25.4% and 8.6% respectively, indicating reliance on a narrow set of service lines.

The code mix (T2016 – Habilitation, residential, waiver; per diem; T2021 – Day habilitation, waiver; per 15 minutes; and T2019 – Habilitation, supported employment, waiver; per 15 minutes) aligns with the provider's taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The prominence of residential per diem and day habilitation services suggests the organization operates substantial residential programs plus intensive day habilitation and employment support services.

T2021 (107.7K claims, $120 avg paid/claim, $12.9M revenue) is a notable strength for this provider: it ranks #3 of 61 providers in-state and is in the 97th percentile, described as notably above typical state volume. This indicates THE ARC OF ANCHORAGE is a leading in-state provider of day habilitation services by utilization, which may be a differentiator in contracting or program expansion discussions.

T2016 (83.2K claims, $346 avg paid/claim, $28.8M revenue) is the largest single revenue driver and also ranks #3 of 31 providers in-state (93th percentile) but is characterized as "typical, unremarkable volume for this code." Despite the high dollar share, its in-state rank coupled with the "typical" label suggests the program is large but not an extreme outlier among residential habilitation providers.

Secondary habilitation codes generate meaningful but much smaller shares of revenue: T2019 (21.3K claims, $204 avg paid/claim, $4.4M revenue) ranks #5 of 12 (64th percentile) and T2017 (21.2K claims, $171 avg paid/claim, $3.6M revenue) ranks #15 of 34 (58th percentile). These placements indicate the provider participates at a modest to mid-level in supported employment and time-based residential habilitation relative to peers, rather than dominating those niches.

Operational scale and unit economics vary by service model: the provider files very large claim volumes for time-based services (107.7K claims for T2021 and 83.2K claims for T2016) and those services carry different payment structures and average payments (e.g., $346 avg paid/claim for T2016 per diem versus $120 avg paid/claim for T2021 per 15 minutes). This mix of high-volume, lower-unit payments and per-diem higher-unit payments helps explain why a few codes drive most of the $50.8M Medicaid revenue.

The provider has been enumerated since 2007-05-03 (~19 years ago), indicating a long-tenured presence in the Alaska Medicaid market. That tenure, combined with top-state rankings on core habilitation codes, supports the view that THE ARC OF ANCHORAGE is an established service provider with sustained program capacity rather than a new entrant.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	83,210	$350	$28.8M
T2021	Day habilitation, waiver; per 15 minutes	107,660	$120	$12.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	21,330	$200	$4.4M
T2017	Habilitation, residential, waiver; 15 minutes	21,160	$170	$3.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	9,030	$80	$740.3K
S5140	Foster care, adult; per diem	2,340	$120	$269.1K
T1016	Case management, each 15 minutes	870	$110	$96K

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

The Arc Of Anchorage — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	3	30	22,540	$360	$13M
T2017	Habilitation, residential, waiver; 15 minutes	15	30	17,510	$250	$6.5M
T2021	Day habilitation, waiver; per 15 minutes	3	60	11,640	$150	$3.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	5	10	12,150	$170	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	28	40	16,160	$80	$2M
S5140	Foster care, adult; per diem	4	10	5,320	$110	$1.3M
T1016	Case management, each 15 minutes	53	90	1,620	$150	$606.4K

Nearby Providers

Other providers in the same ZIP code as The Arc Of Anchorage, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$397.1M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Southcentral Foundation	AK	Community Health Clinic/Center	$0	$130.3M
Alaska Native Tribal Health Consortium	AK	Transportation Broker	$0	$65.5M
Good Samaritan Care Services	AK	In Home Supportive Care Agency	$0	$46.1M
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$33.1M
Galen Hospital Alaska, Inc.	AK	General Acute Care Hospital	$0	$31.8M
Anchorage Community Mental Health	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.7M
Patient Housing At Anmc	AK	General Acute Care Hospital	$0	$31M
Alaska Emergency Medicine Associates	AK	Emergency Medicine Physician	$0	$28.1M

The Arc Of Anchorage — Billing Profile & Reimbursement Data

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The Arc Of Anchorage — 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