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.

Partners In Recovery, LLC (NPI 1548496706)

Field	Value
Entity Type	Organization
Organization	Partners In Recovery, LLC
Address	924 N Country Club Dr
City	Mesa
State	AZ
ZIP	85201
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 2, 2009

Payer Source	Total Paid
Medicaid	$55.8M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operator with no Medicare billing on file and $55.8M in total Medicaid revenue; its NPI has been enumerated since 2009-06-02 (~17 years ago), indicating long-term presence in the state market. The lack of Medicare revenue makes Medicaid the dominant and sole identifiable public payer source in the dataset.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 79.1% of this provider’s total Medicaid revenue, signaling dependence on a very small group of services for the bulk of its income. That concentration implies business risk if reimbursement or utilization patterns change for those core codes.

T1016 is the single largest revenue driver with 2.4M claims, $34.2M revenue, and 61.4% of the provider’s Medicaid revenue; it is ranked #1 of 1157 providers in-state and labeled an "extreme outlier, far above typical state volume for this code." This indicates the organization operates at very large scale in case management services and likely runs high-volume, community-focused care coordination programs.

99214 is the second key driver with 211.3K claims and $7.2M revenue (12.9% of Medicaid revenue), ranked #10 of 3041 providers in-state and described as an "extreme outlier, far above typical state volume for this code." The large volume of moderate-complexity outpatient E/M visits suggests substantial clinical encounter capacity and ongoing follow-up care for established patients.

Nursing and medication support services are prominent: T1002 has 155.1K claims and $2.6M revenue (4.7% of Medicaid revenue) and is ranked #1 of 192 providers in-state as an "extreme outlier, far above typical state volume for this code," while H0034 (medication training/support) is ranked #3 of 123 (98th percentile; "extreme outlier"). Together these patterns point to a staffed operation delivering frequent nursing contacts and medication support as part of its service model.

Counseling and assessment activity is above typical state levels: H0004 and H0031 each generated $2.7M in revenue (each 4.8% of Medicaid revenue) and are ranked in the 97th–98th percentiles (described as "notably above typical state volume for this code" for H0004 and H0031 respectively). This mix indicates the provider delivers substantial behavioral health counseling and non-physician assessment capacity in addition to case management.

Wraparound services are material relative to peers: A0110 (non-emergency transportation) shows 25.9K claims and $828.8K revenue and ranks #1 of 85 (100th percentile; "extreme outlier"), while H0038 (self-help/peer services) has 97.7K claims and $781.3K revenue and ranks #4 of 583 (99th percentile; "extreme outlier"). These volumes signal the organization delivers sizable non-clinical supports (transportation, peer services) that complement its clinical and case management offerings.

Competitive standing in Arizona Medicaid is outsized for multiple service lines: the provider ranks at or near #1 for T1016, T1002, and A0110 and sits in the top percentiles for other behavioral-health codes, which together portray it as a dominant, large-scale community/behavioral health agency in-state rather than a modest local clinic. This statewide dominance across several codes suggests the provider occupies a central role in delivering coordinated behavioral health and community support services for Medicaid beneficiaries.

Medicaid: Complete Services Breakdown

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	2,443,410	$10	$34.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	211,340	$30	$7.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	70,250	$40	$2.7M
H0031	Mental health assessment, by non-physician	29,590	$90	$2.7M
T1002	Rn services, up to 15 minutes	155,070	$20	$2.6M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	42,520	$40	$1.7M
H2014	Skills training and development, per 15 minutes	96,740	$10	$1.2M
A0110	Non-emergency transportation and bus, intra or inter state carrier	25,900	$30	$828.8K
H0038	Self‑help/peer services, per 15 minutes	97,660	$10	$781.3K
H2027	Psychoeducational service, per 15 minutes	37,220	$10	$372.2K

Showing 1–10 of 56

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

Partners In Recovery, LLC — 11 of 25 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	1	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	210	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	33	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	109	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	14	780	1,610	$100	$868.2K
A0100	Non-emergency transportation; taxi	23	70	870	$10	$717.8K
H2027	Psychoeducational service, per 15 minutes	5	500	750	$170	$592.2K
H0038	Self‑help/peer services, per 15 minutes	4	580	1,250	$80	$479.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	200	400	200	$120	$403K
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	14	70	820	$30	$388.1K

Showing 1–10 of 56

Nearby Providers

Other providers in the same ZIP code as Partners In Recovery, LLC, 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
Marc Community Resources, Inc	AZ	Preferred Provider Organization	$0	$80.4M
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

Partners In Recovery, LLC — Billing Profile & Reimbursement Data

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Partners In Recovery, LLC — 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