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.

Arizona Autism United, Inc. (NPI 1760621379)

Field	Value
Entity Type	Organization
Organization	Arizona Autism United, Inc.
Address	5025 E Washington St
City	Phoenix
State	AZ
ZIP	85034
Taxonomy	Behavior Analyst
NPI Enumerated	February 5, 2009

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	58,360	$70	$4.1M
H2014	Skills training and development, per 15 minutes	18,500	$90	$1.6M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	9,450	$70	$633.1K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	2,090	$160	$333.6K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	2,670	$70	$173.4K
S5150	Unskilled respite care, not hospice; per 15 minutes	1,650	$60	$94.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	930	$70	$65.8K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	220	$90	$20.2K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	30	$100	$3.4K
H0031	Mental health assessment, by non-physician	20	$60	$1.2K

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

Arizona Autism United, Inc. — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5150	Unskilled respite care, not hospice; per 15 minutes	139	190	5,090	$100	$2.9M
T1016	Case management, each 15 minutes	137	1,160	2,110	$30	$1.2M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	30	50	2,740	$190	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	697	1,150	1,700	$90	$1M
H2014	Skills training and development, per 15 minutes	82	780	1,610	$100	$868.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	98	400	2,110	$70	$800.7K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	117	310	960	$60	$705.5K
H0031	Mental health assessment, by non-physician	710	810	280	$120	$360.5K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	33	50	530	$70	$90.3K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	20	20	100	$60	$36.9K

Nearby Providers

Other providers in the same ZIP code as Arizona Autism United, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sonora Quest Laboratories LLC	AZ	Clinical Medical Laboratory	$57.8M	$298.1M
Ability360, Inc,	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$274M
City Of Phoenix Arizona	AZ	Paramedic	$4.9M	$138.9M
Founders Healthcare, LLC	AZ	Durable Medical Equipment & Medical Supplies	$0	$66.9M
Comtrans	AZ	Non-emergency Medical Transport (VAN)	$0	$40.1M
Phi Health, L.L.C.	AZ	Air Ambulance	$3.6M	$35.7M
F.a.c.t.s. Behavioral Health	AZ	Community/Behavioral Health Agency	$0	$21.3M
Pathology Specialist Of Arizona, LLP	AZ	Anatomic Pathology & Clinical Pathology Physician	$0	$16.7M
Apogee Mental Health Services	AZ	Behavior Analyst	$0	$12.4M
Empact - Suicide Prevention Center	AZ	Community/Behavioral Health Agency	$0	$11.2M

Arizona Autism United, Inc. — Billing Profile & Reimbursement Data

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Arizona Autism United, Inc. — 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