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.

Guthrie Mainstream Services LLC (NPI 1639384282)

Field	Value
Entity Type	Organization
Organization	Guthrie Mainstream Services LLC
Address	727 S Extension Rd
City	Mesa
State	AZ
ZIP	85210
Taxonomy	Private Vehicle
NPI Enumerated	May 14, 2007

Payer Source	Total Paid
Medicaid	$81.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file while its reported Medicaid revenue totals $81.8M, indicating its entire documented public-payor footprint is concentrated in Medicaid programs. The top three Medicaid codes alone account for 71.6% of that Medicaid revenue, underlining a narrow revenue base within waiver/habilitation services.

The mix of top codes (T2021, T2016, S5125 and related habilitation/residential and attendant‑care codes) indicates GUTHRIE MAINSTREAM SERVICES LLC operates primarily as a waiver/habilitation services provider delivering day habilitation, residential habilitation and attendant support. High volume in per‑15‑minute and per‑diem waiver codes suggests a business model built around sustained, time‑based direct care delivery rather than episodic medical procedures.

T2021 is the single largest Medicaid revenue driver at $21.7M (26.6% of Medicaid revenue) and the provider ranks #3 of 48 in‑state (96th percentile), a placement described as notably above typical state volume for this code. That ranking and share identify the organization as a major regional provider of day habilitation services with outsized exposure to payment and utilization trends in T2021.

Residential habilitation appears to be a second major pillar: T2016 generates $19.4M (23.7% of Medicaid revenue) while T2017 contributes $12.6M (15.5% of Medicaid revenue). The provider’s competitive standing is mixed across these codes—T2016 ranks #10 of 27 (65th percentile), suggesting typical in‑state volume for that per‑diem residential code, while T2017 ranks #8 of 63 (89th percentile), indicating a stronger relative presence for the 15‑minute residential unit.

Attendant care and respite services are meaningful complementary revenue streams: S5125 produced $17.4M (21.3% of Medicaid revenue) and ranks #26 of 223 (89th percentile), and S5150 produced $9.1M (11.1% of Medicaid revenue) and ranks #9 of 192 (96th percentile). These placements imply the organization also competes at scale in non‑medical personal care/respite services commonly bundled with waiver habilitation offerings.

Non‑clinical transportation (A0120) is a smaller but notable line with $1.5M (1.9% of Medicaid revenue) and a #41 of 509 state rank (92th percentile), reflecting a broad operational footprint that includes transport services for waiver populations. The presence of transport, respite, attendant care and both day and residential habilitation codes points to an integrated service set serving the same beneficiary pools.

Concentration risk and opportunity are both high: the top three codes (T2021, T2016, S5125) produce 71.6% of Medicaid revenue, which gives the provider scale and negotiating leverage in those specific waiver service lines but also creates sensitivity to any policy, rate or utilization changes that affect those codes. The NPI was enumerated on 2007‑05‑14 (~19 years ago), and the sustained $81.8M Medicaid revenue suggests an established, operationally mature participant in Arizona’s waiver/habilitation market.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	180,910	$120	$21.7M
T2016	Habilitation, residential, waiver; per diem	143,650	$140	$19.4M
S5125	Attendant care services; per 15 minutes	181,320	$100	$17.4M
T2017	Habilitation, residential, waiver; 15 minutes	180,600	$70	$12.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	119,780	$80	$9.1M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	65,800	$20	$1.5M

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

Guthrie Mainstream Services LLC — 2 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	30	76,220	$310	$52.4M
S5125	Attendant care services; per 15 minutes	26	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	8	60	32,290	$90	$9M
T2021	Day habilitation, waiver; per 15 minutes	3	50	19,210	$100	$5.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	9	190	5,090	$100	$2.9M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	41	510	5,500	$10	$267.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nationwide Vision Center, LLC	AZ	Optician	$0	$42.6M
Rescare Residential Services Arizona, LLC	AZ	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$17.4M
Eclipse Psychiatry Outpatient Treatment Center PLLC	AZ	Community/Behavioral Health Agency	$0	$15.9M
Heritage Life Center LLC	AZ	Assisted Living Facility (Mental Illness)	$0	$12M
Harmony Family Services LLC	AZ	Mental Health Counselor	$0	$11.9M
American Behavioral Solutions	AZ	Behavior Analyst	$0	$11.9M
Demo Community Services, LLC	AZ	Community/Behavioral Health Agency	$0	$11M
Milestone Pediatrics LLC	AZ	Speech-Language Pathologist	$0	$10.1M
Crossroads, Inc. Red Mountain	AZ	Substance Abuse Rehabilitation Facility	$0	$9.4M
Desert Kidney Associates Plc	AZ	Nephrology Physician	$0	$9.1M

Guthrie Mainstream Services LLC — Billing Profile & Reimbursement Data

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Guthrie Mainstream Services 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