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.

United Cerebral Palsy Of Southern Arizona, Inc (NPI 1861522435)

Field	Value
Entity Type	Organization
Organization	United Cerebral Palsy Of Southern Arizona, Inc
Address	630 N Craycroft Rd
City	Tucson
State	AZ
ZIP	85711
Taxonomy	Home Health Agency
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$131.1M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: Total Medicare revenue: none (no Medicare billing on file) while lifetime Medicaid revenue is reported at $131.1M. The absence of Medicare activity means analysis of service mix and competitive standing should be focused on Medicaid programs and waiver/residential services.

Revenue is highly concentrated in a small set of services: the top 3 Medicaid codes by revenue account for 96.7% of this provider's total Medicaid revenue. That concentration indicates the organization’s financial performance depends almost entirely on a narrow set of home- and waiver-based service lines rather than a broad mix of procedure codes.

S5125 is the dominant revenue driver: 634.8K claims, $135 avg paid/claim, $85.7M revenue (65.4% of this provider's total Medicaid revenue); it ranks #8 of 223 providers in-state (97th percentile; typical, unremarkable volume for this code). This confirms the provider’s primary operational focus is on high-volume attendant care services delivered in 15-minute increments, making personal care/attendant services the core business line.

S5150 (Unskilled respite care) is a secondary but significant revenue source: 309.5K claims, $76 avg paid/claim, $23.5M revenue (17.9% of this provider's total Medicaid revenue); it ranks #3 of 192 providers in-state (99th percentile; notably above typical state volume). The comparatively high state ranking and large claim count suggest a notable competitive advantage or program scale in delivering respite services relative to in-state peers.

T2017 (Habilitation, residential, waiver) contributes materially: 265.2K claims, $66 avg paid/claim, $17.5M revenue (13.4% of this provider's total Medicaid revenue); it ranks #4 of 63 providers in-state (95th percentile; typical, unremarkable volume for this code). The presence of substantial T2017 activity indicates significant residential habilitation/waiver operations alongside at-home attendant and respite care.

Smaller service lines exist but play a minor financial role: codes such as T2019 (37K claims, $73 avg paid/claim, $2.7M revenue, 2.1% of Medicaid revenue; ranks #5 of 18, 76th percentile) and T2021 (7.5K claims, $224 avg paid/claim, $1.7M revenue, 1.3% of Medicaid revenue; ranks #34 of 48, 30th percentile) together make up only a few percent of revenue. This tail-of-codes profile reinforces that strategic and competitive analysis should prioritize the top three codes where nearly all revenue is concentrated.

Competitive standing in Arizona is strong for core Medicaid services: top-code ranks of #3, #4, and #8 across in-state peer sets and high percentiles (99th, 95th, 97th) indicate the provider is a major, high-volume participant in attendant care and waiver/respite services at the state level. At the same time, the lack of Medicare billing means it does not compete or register as a Medicare market player.

The provider has an established operating history, with its NPI enumerated on 2007-03-06 (~19 years ago). That tenure, combined with concentrated, high-volume Medicaid billing in attendant care and respite, suggests a stable, specialized provider model focused on long-standing Medicaid waiver and home-care programs rather than diversified fee-for-service Medicare work.

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
S5125	Attendant care services; per 15 minutes	634,830	$140	$85.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	309,530	$80	$23.5M
T2017	Habilitation, residential, waiver; 15 minutes	265,240	$70	$17.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	37,010	$70	$2.7M
T2021	Day habilitation, waiver; per 15 minutes	7,500	$220	$1.7M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	50	$60	$2.6K

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

United Cerebral Palsy Of Southern Arizona, Inc — 3 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	8	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	4	60	32,290	$90	$9M
T2021	Day habilitation, waiver; per 15 minutes	34	50	19,210	$100	$5.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	5	20	19,190	$90	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	3	190	5,090	$100	$2.9M
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	24	30	1,470	$60	$163.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arizona Consumer Direct Personal Care	AZ	Home Health Agency	$0	$121.6M
Smsj Tucson Holdings LLC	AZ	General Acute Care Hospital	$0	$28.9M
Southern Arizona Family Services, Inc.	AZ	In Home Supportive Care Agency	$0	$28.5M
Cope Community Services, Inc.	AZ	Methadone Clinic	$0	$27.5M
Dependable Nurses, Inc.	AZ	Home Health Agency	$0	$26.5M
Radiology Ltd., LLC	AZ	Diagnostic Radiology Physician	$0	$24.2M
Intermountain Health Center Inc	AZ	Multi-Specialty Clinic/Center	$0	$22.9M
Arizona Community Physicians PC	AZ	Internal Medicine Physician	$0	$22.5M
Marana Health Center, Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$15.2M
Maxim Healthcare Services, Inc.	AZ	Home Health Agency	$0	$15.1M

United Cerebral Palsy Of Southern Arizona, Inc — Billing Profile & Reimbursement Data

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United Cerebral Palsy Of Southern Arizona, 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

Nearby Providers

Frequently Asked Questions

References