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.

Easter Seals Blake Foundation (NPI 1548356207)

Field	Value
Entity Type	Organization
Organization	Easter Seals Blake Foundation
Address	7750 E Broadway Blvd
City	Tucson
State	AZ
ZIP	85710
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 4, 2006

Payer Source	Total Paid
Medicaid	$80.8M
Medicare	$0

Key Findings

EASTER SEALS BLAKE FOUNDATION is effectively a single‑payer Medicaid provider: lifetime Medicaid revenue is $80.8M while Medicare revenue is listed as none (no Medicare billing on file), so all billed Medicare activity is absent and Medicaid accounts for the operational revenue base. This concentration of payer exposure defines its commercial positioning and the scope of comparative benchmarking that follows.

Revenue is highly concentrated in a very small set of Medicaid codes: the precomputed top three Medicaid codes account for 88.7% of total Medicaid revenue, led by T2016 at $58.6M (72.6% of Medicaid revenue), followed by T2021 at $7.2M (9.0%) and T2019 at $5.8M (7.1%). This indicates that a single service line (T2016) dominates the provider’s billed Medicaid dollars.

The code mix points to a core business of residential and habilitation services for individuals with intellectual and developmental disabilities: T2016 (residential habilitation, per diem) is the principal revenue driver, while T2021 (day habilitation, per 15 minutes) and T2019 (supported employment, per 15 minutes) indicate complementary day-program and employment supports. The presence of attendant care (S5125), respite (S5150), and non‑emergency transportation (A0120) payments further suggests the organization delivers a broad set of community‑based supports around its residential habilitation backbone.

Competitive standing by code shows modest to solid in‑state placement but no extreme outlier behavior: T2016 ranks #8 of 27 providers in‑state (73th percentile; typical, unremarkable volume for this code), T2021 ranks #13 of 48 (74th percentile; typical, unremarkable volume for this code), and T2019 ranks #4 of 18 (82th percentile; typical, unremarkable volume for this code). In plain terms, the provider is a meaningful Medicaid participant in its specialty services within Arizona but is described in the source data as reporting volumes that are typical rather than unusually high or anomalous.

The provider’s market footprint shows both scale in a narrow service line and a portfolio of lower‑revenue services: beyond the top three, T2017 generated $3.6M (4.4% of Medicaid revenue) and S5125 generated $3.5M (4.4%), while A0120 contributed $1.2M (1.5%) and S5150 $847.2K (1.0%). These secondary codes indicate supplementary operational activities (residential 15‑minute units, attendant care, transportation, respite) that diversify service delivery even if they do not materially dilute the dominance of T2016.

Given the heavy reliance on a single code for the majority of Medicaid revenue (T2016 = 72.6%), the provider’s financial performance is likely sensitive to changes in utilization patterns, eligibility, or reimbursement policy specific to residential habilitation rates and waiver design. Even modest policy or utilization shifts affecting T2016 could have outsized impacts on overall Medicaid revenue because the top three codes together make up 88.7% of the total.

The organization has an established operational tenure: the NPI was enumerated on 2006-10-04 (~20 years ago), indicating long‑standing participation in Medicaid fee schedules and waiver programs. This longevity supports institutional experience in delivering IDD residential and habilitation services and provides context for its revenue scale and code mix.

No statistical outliers are flagged among the listed high‑revenue codes in the source notes; each top code is described as "typical, unremarkable volume for this code" despite differences in rank and percentile. That labeling suggests the provider’s utilization patterns fall within expected state peer ranges rather than representing anomalous billing behavior.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	166,030	$350	$58.6M
T2021	Day habilitation, waiver; per 15 minutes	68,370	$110	$7.2M
T2019	Habilitation, supported employment, waiver; per 15 minutes	53,300	$110	$5.8M
T2017	Habilitation, residential, waiver; 15 minutes	32,290	$110	$3.6M
S5125	Attendant care services; per 15 minutes	28,570	$120	$3.5M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	36,620	$30	$1.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	13,240	$60	$847.2K
T1016	Case management, each 15 minutes	360	$30	$11.2K

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

Easter Seals Blake Foundation — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	8	30	76,220	$310	$52.4M
S5125	Attendant care services; per 15 minutes	98	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	32	60	32,290	$90	$9M
T2021	Day habilitation, waiver; per 15 minutes	13	50	19,210	$100	$5.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	4	20	19,190	$90	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	63	190	5,090	$100	$2.9M
T1016	Case management, each 15 minutes	843	1,160	2,110	$30	$1.2M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	89	510	5,500	$10	$267.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Easter Seals Blake Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$24.3M

Nearby Providers

Other providers in the same ZIP code as Easter Seals Blake Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cobros Iii, LLC	AZ	Community/Behavioral Health Agency	$0	$61.4M
Saguaro Senior Living, Inc.	AZ	Assisted Living Facility	$0	$22.5M
Arizona Total Care LLC	AZ	Multi-Specialty Clinic/Center	$0	$16.7M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$164.3K	$14.2M
Solace Behavioral Health LLC	AZ	Community/Behavioral Health Agency	$0	$11.9M
Devereux Foundation	AZ	Mental Illness Community Based Residential Treatment Facility	$0	$8.7M
Caring Connections For Special Needs, LLC	AZ	Community/Behavioral Health Agency	$0	$7.5M
Mark Walsh	AZ	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Sean Garrity	AZ	Ophthalmology Physician	$3.4M	$0
Cameron Javid	AZ	Retina Specialist (Ophthalmology) Physician	$3.4M	$0

Easter Seals Blake Foundation — Billing Profile & Reimbursement Data

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Easter Seals Blake Foundation — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References