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.

Tides LLC (NPI 1558765602)

Field	Value
Entity Type	Organization
Organization	Tides LLC
Address	3110 Nowell Ave
City	Juneau
State	AK
ZIP	99801
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	October 17, 2014

Payer Source	Total Paid
Medicaid	$19.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported lifetime revenue is from Medicaid totaling $19.1M. The absence of Medicare claims indicates the organization operates almost entirely within the Medicaid waiver market rather than fee‑for‑service Medicare channels.

Revenue is highly concentrated in a very small set of waiver habilitation codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with T2017 representing 69.5% of revenue, T2021 representing 30.1%, and S5150 representing 0.4%. This concentration means the organization’s financial performance is driven almost entirely by a pair of habilitation service lines.

The provider’s taxonomy (Developmentally Disabled Services Day Training Agency) aligns with its billing mix: T2017 (Habilitation, residential, waiver; 15 minutes) and T2021 (Day habilitation, waiver; per 15 minutes) dominate revenue, which implies the business model centers on ongoing, time‑based residential and day habilitation services for people with developmental disabilities. The presence of S5150 (Unskilled respite care, not hospice; per 15 minutes) at a very small share suggests respite is offered but is not a core service line.

Operational scale is evident from claim volumes and unit rates: T2017 shows 43.1K claims with a $309 avg paid/claim and T2021 shows 38.6K claims with a $149 avg paid/claim, indicating high-frequency, 15‑minute billing patterns typical of continuous habilitation service delivery. Those claim counts reinforce that the organization provides a large volume of recurring service units rather than episodic or one‑time interventions.

Statewide competitive standing is modestly strong in habilitation lines: T2017 ranks #7 of 34 providers in‑state (82th percentile) and T2021 ranks #12 of 61 providers in‑state (82th percentile), and both are labeled as having "typical, unremarkable volume" despite being in the upper percentiles. These positions characterize the provider as an established, upper‑quartile participant for these waiver services but not the dominant statewide leader.

By contrast, the provider has minimal footprint in respite care: S5150 generated 962 claims and $70.2K in revenue (0.4% of Medicaid revenue) and ranks #36 of 37 providers in‑state (3th percentile). The low rank and tiny revenue share indicate respite is a marginal offering for this organization rather than a meaningful revenue or strategic line.

Tenure is established: the NPI was enumerated on 2014-10-17 (~12 years ago), indicating the provider has been an active Medicaid billing entity for over a decade. That length of participation suggests operational familiarity with Alaska’s waiver program and potential stability in provider‑state relationships.

Business risk and strategic implications flow from the very tight revenue mix: because T2017 and T2021 together comprise virtually all reported Medicaid revenue (69.5% and 30.1% respectively by code share), changes to waiver authorization, reimbursement rates, or utilization management for these specific codes would disproportionately affect the provider. Conversely, the profile also points to clear opportunities to diversify Medicaid revenue by expanding lower‑present lines such as respite (S5150) or adjacent waiver services if operational capacity and state contracts allow.

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
T2017	Habilitation, residential, waiver; 15 minutes	43,060	$310	$13.3M
T2021	Day habilitation, waiver; per 15 minutes	38,630	$150	$5.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	960	$70	$70.2K

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

Tides LLC — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2017	Habilitation, residential, waiver; 15 minutes	7	30	17,510	$250	$6.5M
T2021	Day habilitation, waiver; per 15 minutes	12	60	11,640	$150	$3.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	36	40	16,160	$80	$2M

Nearby Providers

Other providers in the same ZIP code as Tides LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach, Inc.	AK	Community/Behavioral Health Agency	$0	$52.8M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$45M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$41M
Bartlett Regional Hospital	AK	General Acute Care Hospital	$0	$29.5M
Jamhi Health & Wellness, Inc	AK	Community/Behavioral Health Agency	$0	$28.7M
Southeast Alaska Regional Health Consortium	AK	Federally Qualified Health Center (FQHC)	$0	$19.9M
South East Alaska Regional Health Consortium	AK	General Practice Dentistry	$0	$12.2M
Guardian Flight LLC	AK	Air Ambulance	$1.9M	$6.6M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$5.3M
Southeast Alaska Regional Health Constortium	AK	Clinic/Center	$0	$4.8M

Tides LLC — Billing Profile & Reimbursement Data

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Tides 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