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.

Marc Community Resources, Inc (NPI 1548474091)

Field	Value
Entity Type	Organization
Organization	Marc Community Resources, Inc
Address	924 N Country Club Dr
City	Mesa
State	AZ
ZIP	85201
Taxonomy	Preferred Provider Organization
NPI Enumerated	May 10, 2007

Payer Source	Total Paid
Medicaid	$80.4M
Medicare	$0

Key Findings

This provider is effectively single-payer: MARC COMMUNITY RESOURCES, INC reports $80.4M in Medicaid revenue and has no Medicare billing on file. That concentration makes Medicaid policy, waivers, and state rate-setting primary drivers of the organization’s top-line performance and financial risk profile.

Revenue is highly concentrated in a few habilitation codes: the top three Medicaid codes (T2016, T2019, T2021) account for 84.9% of the provider’s total Medicaid revenue. Those three codes individually generate $44.4M (T2016, 55.2%), $12.2M (T2019, 15.1%), and $11.7M (T2021, 14.5%) respectively, indicating that most revenue is tied to a narrow set of waiver habilitation services.

The code mix indicates MARC operates primarily as a habilitation and support services provider: T2016 (Habilitation, residential, waiver; per diem), T2019 (Habilitation, supported employment, waiver; per 15 minutes), and T2021 (Day habilitation, waiver; per 15 minutes) together reflect residential supports, day programs, and supported employment. High claim volumes (T2016: 192.3K claims; T2019: 217.5K claims; T2021: 138.9K claims) and the per-diem / per-15-minute payment structure imply operational models emphasizing sustained client placements and high-frequency, minute-based service delivery.

Competitive standing across in-state peers is mixed: MARC is a clear statewide leader in supported employment services where T2019 ranks #1 of 18 providers in-state (100th percentile; extreme outlier), signaling market dominance for that service. For residential and day habilitation MARC ranks #6 of 27 (T2016; 81th percentile) and #6 of 48 (T2021; 89th percentile), placements that are high-volume but characterized in the data as typical, unremarkable compared with other in-state providers.

The organization also bills a suite of ancillary Medicaid services that broaden its service footprint beyond core habilitation: S5125 (attendant care services) produced $4.9M (66.7K claims) and ranks #58 of 223 providers in-state (74th percentile), S5150 (unskilled respite care) produced $2.2M (37.1K claims) and ranks #32 of 192 providers (84th percentile), and A0120 (non-emergency transportation) produced $1.8M (76.4K claims) and ranks #36 of 509 providers (93th percentile). These additional lines point to integrated in-home supports and significant client transport activity.

T2019’s status as an “extreme outlier” relative to peers is the most salient statistical signal in the profile; being #1 of 18 and described as far above typical state volume suggests MARC supplies supported employment at a scale few competitors match. While that dominance can be a competitive advantage, it also concentrates operational dependence on the policies and funding streams that support that code.

Payment levels and billing units reflect both higher-rate per-diem services and high-frequency minute-based billing: T2016 shows a $231 avg paid/claim (per diem) while T2019 and T2021 show $56 and $84 avg paid/claim respectively (per 15 minutes). This mix suggests capital and staffing needs for both residential program infrastructure and systems to manage many short-interval service encounters (scheduling, time-tracking, and payroll for minute-based care).

MARC has been an enumerated NPI since 2007-05-10 (~19 years ago), indicating long tenure in the state Medicaid market. That longevity, combined with concentrated service dominance in supported employment, implies established operational capacity and payer relationships that are meaningful when assessing contracting leverage or market continuity risk.

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	192,340	$230	$44.4M
T2019	Habilitation, supported employment, waiver; per 15 minutes	217,540	$60	$12.2M
T2021	Day habilitation, waiver; per 15 minutes	138,900	$80	$11.7M
S5125	Attendant care services; per 15 minutes	66,730	$70	$4.9M
T2017	Habilitation, residential, waiver; 15 minutes	40,990	$80	$3.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	37,060	$60	$2.2M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	76,380	$20	$1.8M

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

Marc Community Resources, Inc — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	30	76,220	$310	$52.4M
S5125	Attendant care services; per 15 minutes	58	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	29	60	32,290	$90	$9M
T2021	Day habilitation, waiver; per 15 minutes	6	50	19,210	$100	$5.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	1	20	19,190	$90	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	32	190	5,090	$100	$2.9M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	36	510	5,500	$10	$267.6K

Nearby Providers

Other providers in the same ZIP code as Marc Community Resources, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Of Maricopa, LLC	AZ	Ambulance	$4.9M	$171.3M
Partners In Recovery, LLC	AZ	Community/Behavioral Health Agency	$0	$55.8M
R M Arizona Holdings Inc	AZ	Land Ambulance	$1.5M	$51.1M
City Of Mesa	AZ	Ambulance	$1.5M	$21.6M
Mesa Unified School District No. 4	AZ	Local Education Agency (LEA)	$0	$20.5M
Brown Road Senior Housing, LLC	AZ	Assisted Living Facility	$0	$16.9M
Crossroads Extension Residential	AZ	Community/Behavioral Health Agency	$0	$15.6M
Therapy One, PLLC	AZ	Speech-Language Pathologist	$0	$15.1M
Avista Senior Living Vita Bella, LLC	AZ	Health Service Clinic/Center	$0	$12.9M
Supreme Positive Innovation Services LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M

Marc Community Resources, Inc — Billing Profile & Reimbursement Data

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Marc Community Resources, 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