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.

Casa De Los Ninos (NPI 1730681685)

Field	Value
Entity Type	Organization
Organization	Casa De Los Ninos
Address	1120 N 5th Avenue
City	Tucson
State	AZ
ZIP	85705
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 7, 2018

Payer Source	Total Paid
Medicaid	$24.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	297,310	$30	$9.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	110,440	$70	$7.5M
H0031	Mental health assessment, by non-physician	22,310	$130	$2.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6,400	$110	$697.4K
H2014	Skills training and development, per 15 minutes	22,480	$30	$651.9K
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…	14,180	$50	$638.2K
S5110	Home care training, family; per 15 minutes	18,440	$30	$516.4K
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…	6,610	$70	$442.5K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	19,220	$20	$346K
S0215	Non-emergency transportation; mileage, per mile	18,250	$20	$292K

Showing 1–10 of 24

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

Casa De Los Ninos — 5 of 23 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	191	190	5,090	$100	$2.9M
T1016	Case management, each 15 minutes	35	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	134	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	18	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	70	780	1,610	$100	$868.2K
H2011	Crisis intervention service, per 15 minutes	55	140	330	$210	$659.5K
S5110	Home care training, family; per 15 minutes	18	180	1,530	$70	$374.2K
H0031	Mental health assessment, by non-physician	21	810	280	$120	$360.5K
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…	518	3,040	750	$50	$343.9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	144	510	5,500	$10	$267.6K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Casa De Los Ninos, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Ambulance Of Tucson Inc	AZ	Land Ambulance	$3.8M	$98.5M
Arizona's Children Association	AZ	Adolescent and Children Mental Health Clinic/Center	$0	$61.4M
Danville Services Of Arizona, L.L.C.	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$32.3M
Rural Metro Corporation	AZ	Land Ambulance	$886K	$26.6M
Cope Community Services, Inc.	AZ	Community/Behavioral Health Agency	$0	$14.2M
Cope Community Services, Inc.	AZ	Adult Mental Health Clinic/Center	$0	$11.7M
El Rio Santa Cruz Neighborhood Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$10.1M
Total Care Connections	AZ	In Home Supportive Care Agency	$0	$9.9M
H B Automotive Services, LLC	AZ	Non-emergency Medical Transport (VAN)	$0	$6.7M
Codac Health Recovery And Wellness	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$223.4K	$24.8K

Casa De Los Ninos — Billing Profile & Reimbursement Data

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Casa De Los Ninos — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References