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.

Saguaro Foundation (NPI 1992998348)

Field	Value
Entity Type	Organization
Organization	Saguaro Foundation
Address	1495 S 4th Ave
City	Yuma
State	AZ
ZIP	85364
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	August 20, 2007

Payer Source	Total Paid
Medicaid	$73.5M
Medicare	$0

Key Findings

SAGUARO FOUNDATION is effectively a Medicaid-centric provider: it has no Medicare billing on file and reports $73.5M in lifetime Medicaid revenue, indicating the organization operates almost entirely within the Medicaid payment stream rather than a mixed Medicare/Medicaid model. This payer concentration shapes both revenue exposure and the competitive peer set used to evaluate performance.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes (T2016, T2021, S5125) account for 94.0% of this provider's total Medicaid revenue. T2016 alone represents $48.8M (66.4% of Medicaid revenue), with T2021 at $13.2M (18.0%) and S5125 at $7M (9.6%), so reimbursement changes to any of these codes would materially affect overall revenue.

The code mix and taxonomy indicate the provider’s primary operations are residential and day habilitation for individuals with intellectual and/or developmental disabilities: T2016 (Habilitation, residential, waiver; per diem) is the dominant revenue driver, complemented by T2021 (Day habilitation, waiver; per 15 minutes) and S5125 (Attendant care services; per 15 minutes). This pattern aligns with the listed taxonomy (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) and suggests a service model combining residential per-diems, day programs, and attendant support.

Competitive standing by code is mixed: for the largest code T2016 the provider ranks #11 of 27 in-state (62nd percentile), which is characterized as a typical, unremarkable volume level among residential habilitation providers; for T2021 it ranks #9 of 48 (83rd percentile), placing it in an upper peer tier for day habilitation volume; and for S5125 it ranks #72 of 223 (68th percentile), indicating modestly above-median participation for attendant care. These rank/percentile outcomes imply the provider is not a statewide dominant incumbent overall but holds stronger relative position in day habilitation.

Ancillary service lines generate measurable, secondary revenue: A0120 (Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems) and S5150 (Unskilled respite care, not hospice; per 15 minutes) each account for $2M (2.7% of Medicaid revenue apiece). A0120 ranks #32 of 509 in-state (94th percentile) and S5150 ranks #44 of 192 (77th percentile), indicating transportation and respite are comparatively high-volume ancillary offerings for this provider even though they are small shares of total Medicaid revenue.

There are small, specialized claim lines with disproportional per-claim payments: S0215 (Non-emergency transportation; mileage, per mile) generated $81.3K from 93 claims with an average paid/claim of $874, but this code ranks #466 of 506 in-state (8th percentile), showing it is used infrequently by this provider relative to peers. That pattern suggests occasional high-paid mileage events rather than a routine mileage billing program.

Tenure data show the NPI was enumerated on 2007-08-20 (~19 years ago), indicating long-standing enrollment in federal provider systems; this longevity supports interpretation of the observed revenue mix as an established operating model rather than a short-term or newly entered service mix.

Given the heavy reliance on three codes for 94.0% of Medicaid revenue, the provider faces concentrated operational and reimbursement risk: policy, rate, or prior authorization changes affecting T2016, T2021, or S5125 would likely have outsized financial impact. Analysts should prioritize monitoring changes to residential habilitation per-diem and day habilitation reimbursement rules when assessing future revenue stability.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	85,340	$570	$48.8M
T2021	Day habilitation, waiver; per 15 minutes	119,260	$110	$13.2M
S5125	Attendant care services; per 15 minutes	55,730	$130	$7M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	80,000	$30	$2M
S5150	Unskilled respite care, not hospice; per 15 minutes	24,440	$80	$2M
T2017	Habilitation, residential, waiver; 15 minutes	5,890	$70	$394.4K
S0215	Non-emergency transportation; mileage, per mile	90	$870	$81.3K

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

Saguaro Foundation — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	11	30	76,220	$310	$52.4M
S5125	Attendant care services; per 15 minutes	72	220	24,500	$120	$15.5M
T2017	Habilitation, residential, waiver; 15 minutes	46	60	32,290	$90	$9M
T2021	Day habilitation, waiver; per 15 minutes	9	50	19,210	$100	$5.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	44	190	5,090	$100	$2.9M
S0215	Non-emergency transportation; mileage, per mile	466	510	4,610	$40	$1.2M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	32	510	5,500	$10	$267.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yuma Regional Medical Center	AZ	General Acute Care Hospital	$0	$278.5M
Sunset Community Health Center Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$82.3M
Community Intervention Associates	AZ	Community/Behavioral Health Agency	$0	$58.9M
Yuma Dentistry 4 Kids PLLC	AZ	General Practice Dentistry	$0	$16.6M
Colorado River Behavioral Health System	AZ	Community/Behavioral Health Agency	$0	$13M
Dva Healthcare Renal Care Inc	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$12.8M
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$12.7M
City Of Yuma	AZ	Land Ambulance	$896.2K	$10.7M
Crossroads Mission	AZ	Substance Abuse Rehabilitation Facility	$0	$11M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$92.1K	$10.3M

Saguaro Foundation — Billing Profile & Reimbursement Data

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Saguaro Foundation — 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