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 Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska 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. Alaska (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.

Fairbanks Resource Agency Inc (NPI 1912079088)

Field	Value
Entity Type	Organization
Organization	Fairbanks Resource Agency Inc
Address	805 Airport Road
City	Fairbanks
State	AK
ZIP	99701
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 14, 2006

Payer Source	Total Paid
Medicaid	$48M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file while reported Medicaid revenue totals $48M, indicating the organization’s financial footprint is concentrated wholly within Medicaid-funded programs. Analysts should treat Medicaid policy, waiver rates, and state reimbursement changes as the primary revenue levers for this entity.

Revenue concentration is extreme: the top three Medicaid codes together account for 97.7% of the provider’s Medicaid revenue, with a single code driving the lion’s share. T2016 alone generates $42.6M (88.8% of total Medicaid revenue), signaling heavy reliance on one service line for the vast majority of receipts.

The code mix identifies the organization as a residential and day habilitation operator: T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) together represent the operational core, supported by T2017 (Habilitation, residential, waiver; 15 minutes) and smaller contributions from supported employment, respite, and case management codes. This pattern indicates ongoing provision of long-term residential habilitation services plus day-program activity rather than episodic medical care.

Operational scale is reflected in claims volume and average payments for the top codes: T2016 shows 118.3K claims at $360 avg paid/claim, T2021 shows 29.8K claims at $108 avg paid/claim, and T2017 shows 4K claims at $268 avg paid/claim. These volumes underscore a high-throughput residential/day-habilitation operation where per-diem billing (T2016) dominates cash flow.

Competitive standing for the dominant code is strong in-state: the provider ranks #2 of 31 for T2016 and sits in the 97th percentile, yet the dataset labels that volume as "typical, unremarkable volume for this code," suggesting that while this provider is one of the largest state participants for residential habilitation by revenue, such concentration may be common among leading waiver providers.

For supplementary service lines the provider’s footprint is mixed: T2021 ranks #15 of 61 in-state (77th percentile), indicating a solid but not leading position in day habilitation, while T2017 ranks #28 of 34 (18th percentile), showing a relatively modest presence in 15-minute residential billing. Other codes (T2019, S5150, T1016) make only minor revenue contributions, reinforcing the core-residential focus.

Tenure: the provider’s NPI was enumerated on 2006-11-14 (~20 years ago), indicating long-standing participation in Medicaid programs and likely established operational processes and state relationships that support its large residential habilitation business.

Business risk profile: because $42.6M (88.8%) of $48M total Medicaid revenue comes from a single per-diem residential habilitation code and the top three codes account for 97.7% of Medicaid revenue, the organization’s financial performance is highly sensitive to changes in Medicaid waiver policy, per-diem rate adjustments, and state-level contract awards affecting T2016 and related habilitation services.

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
T2016	Habilitation, residential, waiver; per diem	118,250	$360	$42.6M
T2021	Day habilitation, waiver; per 15 minutes	29,830	$110	$3.2M
T2017	Habilitation, residential, waiver; 15 minutes	4,010	$270	$1.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	6,820	$100	$661.5K
S5150	Unskilled respite care, not hospice; per 15 minutes	2,190	$110	$245.6K
T1016	Case management, each 15 minutes	2,540	$70	$183K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alaska Distribution

Fairbanks Resource Agency Inc — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	30	22,540	$360	$13M
T2017	Habilitation, residential, waiver; 15 minutes	28	30	17,510	$250	$6.5M
T2021	Day habilitation, waiver; per 15 minutes	15	60	11,640	$150	$3.5M
T2019	Habilitation, supported employment, waiver; per 15 minutes	8	10	12,150	$170	$2.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	33	40	16,160	$80	$2M
T1016	Case management, each 15 minutes	37	90	1,620	$150	$606.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$107.5M
Fairbanks Memorial Hospital, LLC	AK	General Acute Care Hospital	$0	$83.6M
Presbyterian Hospitality House	AK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$34.9M
Fairbanks Native Association	AK	Substance Abuse Rehabilitation Facility	$0	$32.6M
Tanana Chiefs Confenerce	AK	Transportation Broker	$0	$24.1M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$17M
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$16.3M
Restore LLC	AK	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.3M
Tanana Valley Clinic LLC	AK	Multi-Specialty Clinic/Center	$0	$15.2M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$14.2M

Fairbanks Resource Agency Inc — Billing Profile & Reimbursement Data

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Fairbanks Resource Agency 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