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.

Sima Health Care LLC (NPI 1730779828)

Field	Value
Entity Type	Organization
Organization	Sima Health Care LLC
Address	3319 W Greenway Rd
City	Phoenix
State	AZ
ZIP	85053
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	January 22, 2021

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

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	40,470	$120	$4.7M
S5125	Attendant care services; per 15 minutes	28,100	$110	$3.1M
T2017	Habilitation, residential, waiver; 15 minutes	23,770	$70	$1.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	14,540	$90	$1.2M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	23,930	$30	$646K
T2019	Habilitation, supported employment, waiver; per 15 minutes	400	$70	$26.5K

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

Sima Health Care LLC — 0 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
S5125	Attendant care services; per 15 minutes	101	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	38	60	32,290	$90	$9M
T2021	Day habilitation, waiver; per 15 minutes	18	50	19,210	$100	$5.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	17	20	19,190	$90	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	58	190	5,090	$100	$2.9M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	118	510	5,500	$10	$267.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sage Counseling, Inc.	AZ	Community/Behavioral Health Agency	$0	$40.7M
Touchstone Behavioral Health	AZ	Community/Behavioral Health Agency	$0	$15.3M
Pediatric Group Specialists, Ltd.	AZ	Pediatrics Physician	$0	$15.3M
Just For Kids Therapy	AZ	Speech-Language Pathologist	$0	$14.6M
Touchstone Behavioral Health	AZ	Community/Behavioral Health Agency	$0	$13.7M
Touchstone Behavioral Health	AZ	Community/Behavioral Health Agency	$0	$13.2M
Prn Medical Services, LLC	AZ	Durable Medical Equipment & Medical Supplies	$804.1K	$11.5M
Apex Recovery Center LLC	AZ	Substance Abuse Rehabilitation Facility	$0	$11.6M
Strength Training Inc	AZ	Physical Therapist	$0	$11.6M
Bilingual Slp Services	AZ	Speech-Language Pathologist	$0	$7.6M

Sima Health Care LLC — Billing Profile & Reimbursement Data

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Sima Health Care LLC — 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