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.

Terros, Inc. (NPI 1841498060)

Field	Value
Entity Type	Organization
Organization	Terros, Inc.
Address	3003 N Central Ave Ste 400
City	Phoenix
State	AZ
ZIP	85012
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 10, 2007

Payer Source	Total Paid
Medicaid	$81.7M
Medicare	$0

Key Findings

TERROS, INC. is effectively a single-payer Medicaid provider: there is no Medicare revenue on file while its total Medicaid revenue is $81.7M, indicating heavy reliance on state Medicaid reimbursements for its business. This payer concentration means Medicare-level comparisons are not applicable and operational risk is closely tied to Medicaid policy and contracting in Arizona.

Revenue is highly concentrated in a small set of service codes: the top three Medicaid codes (T1015, T1016, H0004) account for 83.3% of the provider's Medicaid revenue. Specifically, T1015 generated $29M (35.5%), T1016 generated $20.5M (25.1%), and H0004 generated $18.6M (22.7%), together forming the dominant portion of billed services.

The code mix (T1015 clinic visits, T1016 case management each 15 minutes, and H0004 behavioral health counseling per 15 minutes) signals an operational model built around high-volume case management and outpatient behavioral health services. The blend of frequent, low-unit case management encounters with higher-paid clinic visits and counseling suggests TERROS operates both as a high-throughput community behavioral health agency and as a coordinated care/case management hub.

TERROS is a major statewide competitor for several behavioral health services: T1016 ranks #8 of 1157 providers in-state (99th percentile; extreme outlier) and H0004 ranks #5 of 1147 providers in-state (100th percentile; extreme outlier), which indicates the provider is far above typical state volume for both case management and counseling. By contrast, T1015 ranks #13 of 357 (97th percentile; typical, unremarkable volume), showing strong clinic-visit billing but less extreme dominance than its case management and counseling lines.

Beyond the top three codes, TERROS bills a range of behavioral-health and addiction-related services consistent with an integrated outpatient program: H0031 (mental health assessment) produced $4.4M and ranks #8 of 812 (99th percentile; extreme outlier), H0015 (intensive outpatient for substance use) produced $2.7M and ranks #15 of 283 (95th percentile; typical, unremarkable volume), and 90792 (psychiatric evaluation) produced $915.2K and ranks #9 of 484 (98th percentile; extreme outlier). These lines reinforce that the organization provides assessments, IOP-level addiction services, and psychiatric evaluation in addition to counseling and case management.

The unit-payment and volume profile highlights operational scale differences across services: T1016 shows 787.8K claims at $26 avg paid/claim (very high encounter volume), whereas T1015 shows 142K claims at $204 avg paid/claim (fewer but higher-paid encounters), and H0004 shows 320.1K claims at $58 avg paid/claim. This mix implies a staffing and workflow model designed to support very large numbers of short, frequent contacts for case management alongside longer therapeutic encounters and clinic visits.

TERROS also bills for non-clinical and supportive services, though these are a much smaller share of revenue: examples include transportation (A0110 $270.9K; S0215 $82.3K) and peer/self-help services (H0038 $241.3K). These ancillary codes suggest the organization provides broader social-support logistics and peer-based services consistent with community behavioral health operations, but they do not materially drive overall Medicaid revenue.

The provider has a long tenure in the market, with its NPI enumerated 2007-07-10 (~19 years ago), which aligns with its high statewide rankings and the scale of ongoing Medicaid billing. The combination of longevity and extreme outlier volumes on multiple behavioral-health codes indicates an established, persistent operating footprint in Arizona's Medicaid behavioral health ecosystem.

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	142,010	$200	$29M
T1016	Case management, each 15 minutes	787,850	$30	$20.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	320,110	$60	$18.6M
H0031	Mental health assessment, by non-physician	58,100	$80	$4.4M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	23,050	$120	$2.7M
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…	58,300	$30	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	13,330	$100	$1.3M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	13,070	$70	$915.2K
H2014	Skills training and development, per 15 minutes	25,690	$20	$488K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	11,100	$30	$355.2K

Showing 1–10 of 52

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

Terros, Inc. — 9 of 25 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	13	360	3,640	$230	$7.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	262	360	430	$320	$2.3M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	15	280	1,040	$460	$2.2M
T1016	Case management, each 15 minutes	8	1,160	2,110	$30	$1.2M
S0215	Non-emergency transportation; mileage, per mile	226	510	4,610	$40	$1.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	5	1,150	1,700	$90	$1M
H2017	Psychosocial rehabilitation services, per 15 minutes	259	270	600	$410	$983.9K
H2014	Skills training and development, per 15 minutes	66	780	1,610	$100	$868.2K
H2011	Crisis intervention service, per 15 minutes	9	140	330	$210	$659.5K
H2027	Psychoeducational service, per 15 minutes	91	500	750	$170	$592.2K

Showing 1–10 of 52

Related Providers

Other providers that share a Tax Identification Number (TIN) with Terros, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Terros, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$15.7M
Terros, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$12.4M
Terros Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$11.9M
Terros, Inc.	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.6M
Terros, Inc	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.4M
Terros, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$6.6M
Irene Curry	AZ	Psychiatric/Mental Health Nurse Practitioner	$8.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Park Health Center	AZ	Federally Qualified Health Center (FQHC)	$0	$351.5M
The Tungland Company, LLC	AZ	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$332M
Adelante Healthcare, Inc.	AZ	Federally Qualified Health Center (FQHC)	$0	$245.5M
Banner-university Medical Group	AZ	Multi-Specialty Clinic/Center	$0	$133.7M
Prileo Healthcare LLC Dba Prileo Home Care	AZ	In Home Supportive Care Agency	$0	$88.8M
Denova Collaborative Health, LLC	AZ	Multi-Specialty Clinic/Center	$0	$87.9M
Southwest Behavioral Health Services Inc	AZ	Community/Behavioral Health Agency	$0	$83.5M
Accentcare At Home, Inc.	AZ	In Home Supportive Care Agency	$0	$65.7M
Banner Physician Super Specialists Arizona LLC	AZ	Multi-Specialty Clinic/Center	$0	$36.9M
Banner - University Hospital Based Physicians LLC	AZ	General Acute Care Hospital	$0	$29.7M

Terros, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References