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.

Rescare Arizona, Inc. (NPI 1528423589)

Field	Value
Entity Type	Organization
Organization	Rescare Arizona, Inc.
Address	960 W Behrend Dr Ste 3
City	Phoenix
State	AZ
ZIP	85027
Taxonomy	Intellectual Disabilities Intermediate Care Facility
NPI Enumerated	December 17, 2015

Payer Source	Total Paid
Medicaid	$99.3M
Medicare	$0

Key Findings

RESCARE ARIZONA, INC. appears to be effectively a single-payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $99.3M, indicating the organization’s scale and reimbursement base are driven exclusively by Medicaid. This concentration in one payer should guide comparative analyses and risk assessments.

The provider’s service mix is dominated by residential habilitation: the top Medicaid code is T2016 (Habilitation, residential, waiver; per diem), which aligns with an Intellectual Disabilities Intermediate Care Facility taxonomy and suggests a bed-based, per-diem residential care operation supported by time-and-service habilitation programming. The presence of T2021 (Day habilitation, waiver; per 15 minutes) and A0120 (Non-emergency transportation) as secondary codes reinforces a model combining residential supports with complementary day services and transport.

Revenue concentration is extremely high: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with T2016 alone representing 97.7% of Medicaid revenue. This level of concentration means changes to T2016 reimbursement policy, utilization rules, or eligibility could materially affect the organization’s financial performance.

T2016 activity metrics show 162.9K claims at a $596 avg paid/claim for $97.1M in revenue, and the provider ranks #9 of 27 in-state for this code (69th percentile; typical, unremarkable volume for this code). That rank places RESCARE ARIZONA as a mid-to-upper-state participant for residential habilitation—meaning it has meaningful scale in this service area but is not a dominant statewide provider.

Day habilitation (T2021) is a modest secondary revenue stream: 21.8K claims at a $98 avg paid/claim produced $2.1M (2.2% of Medicaid revenue), and the provider ranks #24 of 48 in-state (51th percentile; typical, unremarkable volume for this code). This suggests in-house or contracted day-program capacity exists but is not a primary revenue driver.

Non-emergency transportation (A0120) is a very small ancillary service for this provider—4.6K claims at a $22 avg paid/claim for $101.4K (0.1% of Medicaid revenue)—and the provider ranks #268 of 509 in-state (47th percentile; typical, unremarkable volume for this code). Transportation appears to support program operations but contributes negligible revenue relative to residential habilitation.

The provider’s NPI was enumerated on 2015-12-17 (~11 years ago), indicating over a decade of presence in the market; coupled with the $99.3M Medicaid footprint, this suggests an established operator concentrated in waiver-based intellectual disability services. Tenure plus concentrated Medicaid scale may reflect stable client populations (e.g., long-term residential enrollees).

Overall competitive standing: based on code-level ranks and percentiles, RESCARE ARIZONA is a specialized, Medicaid-dependent provider with concentrated revenue in residential habilitation (T2016). Its in-state ranks (e.g., #9/27 for T2016) indicate meaningful scale but not market dominance, and the business is potentially vulnerable to policy or rate shifts that affect the dominant per-diem habilitation code.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	162,860	$600	$97.1M
T2021	Day habilitation, waiver; per 15 minutes	21,830	$100	$2.1M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	4,610	$20	$101.4K

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

Rescare Arizona, Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	9	30	76,220	$310	$52.4M
T2021	Day habilitation, waiver; per 15 minutes	24	50	19,210	$100	$5.3M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	268	510	5,500	$10	$267.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Creative Networks, L.L.C.	AZ	Case Management Agency	$0	$159.4M
Honorhealth	AZ	General Acute Care Hospital	$0	$65.7M
Sonoran Sky Community Services, Inc.	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$38.9M
United Cerebral Palsy Association Of Central Arizona	AZ	Developmentally Disabled Services Day Training Agency	$0	$31.1M
Tp Deer Valley Operations, LLC	AZ	Assisted Living Facility	$0	$18.8M
Kci Usa, Inc.	AZ	Durable Medical Equipment & Medical Supplies	$0	$15.9M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$14.1M
North Valley Pediatric Therapy, LLC	AZ	Multi-Specialty Clinic/Center	$0	$11.1M
Loop 101 Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$9.1M
Uhs Of Phoenix, LLC	AZ	Psychiatric Hospital	$0	$7.3M

Rescare Arizona, Inc. — Billing Profile & Reimbursement Data

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Rescare Arizona, Inc. — 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