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

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

Envision Creative Support For People With Developmental Disabilities (NPI 1013548866)

Field	Value
Entity Type	Organization
Organization	Envision Creative Support For People With Developmental Disabilities
Address	1050 37th Street
City	Evans
State	CO
ZIP	80620
Taxonomy	Case Management Agency
NPI Enumerated	January 30, 2020

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	1,750	$4,550	$8M
T2021	Day habilitation, waiver; per 15 minutes	18,970	$150	$2.9M
T2003	Non-emergency transportation; encounter/trip	12,460	$50	$560.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	1,870	$100	$177.3K
S5130	Homemaker service, nos; per 15 minutes	550	$320	$176.7K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	310	$290	$90.8K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	270	$310	$82.5K
T2004	Non-emergency transport; commercial carrier, multi-pass	1,390	$50	$66.9K
T2028	Specialized supply, not otherwise specified, waiver	1,030	$60	$58.4K
S5199	Personal care item, nos, each	540	$100	$51.7K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Envision Creative Support For People With Developmental Disabilities — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	132	190	3,890	$290	$12.4M
T2023	Targeted case management; per month	33	40	6,060	$130	$3.9M
T2021	Day habilitation, waiver; per 15 minutes	58	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	52	100	1,940	$200	$1.5M
S5130	Homemaker service, nos; per 15 minutes	273	340	3,530	$80	$1.2M
T2003	Non-emergency transportation; encounter/trip	71	280	2,640	$20	$881.3K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	32	40	1,400	$110	$566.3K
T1017	Targeted case management, each 15 minutes	165	310	640	$80	$494.3K
T2004	Non-emergency transport; commercial carrier, multi-pass	20	40	1,390	$10	$303.7K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	35	40	1,180	$90	$281.4K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Envision Creative Support For People With Developmental Disabilities, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$26.8M
Envision-creative Support For People With Developmental Disabilities	CO	Developmentally Disabled Services Day Training Agency	$0	$8.5M
Steven Ponicsan	CO	Physician Assistant	$6.3K	$0

Envision Creative Support For People With Developmental Disabilities — Billing Profile & Reimbursement Data

Sign up for Envision Creative Support For People With Developmental Disabilities — Billing Profile & Reimbursement Data policy alerts

Envision Creative Support For People With Developmental Disabilities — Billing Profile & Reimbursement Data

Sign up for Envision Creative Support For People With Developmental Disabilities — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References