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.

Developmental Pathways, Inc. (NPI 1023146115)

Field	Value
Entity Type	Organization
Organization	Developmental Pathways, Inc.
Address	14280 E Jewell Ave Ste A
City	Aurora
State	CO
ZIP	80012
Taxonomy	Day Training/Habilitation Specialist
NPI Enumerated	March 1, 2007

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	66,200	$200	$12.9M
T2004	Non-emergency transport; commercial carrier, multi-pass	25,730	$110	$2.9M
T2028	Specialized supply, not otherwise specified, waiver	46,850	$40	$1.6M
V2799	Vision item or service, miscellaneous	2,750	$440	$1.2M
S5130	Homemaker service, nos; per 15 minutes	3,120	$260	$811.7K
S5199	Personal care item, nos, each	5,750	$110	$615.4K
T2003	Non-emergency transportation; encounter/trip	4,380	$60	$267.1K
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	530	$350	$185.3K
H2019	Therapeutic behavioral services, per 15 minutes	400	$150	$58.7K
S5165	Home modifications; per service	20	$1,450	$33.4K

Showing 1–10 of 13

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

Developmental Pathways, Inc. — 5 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0110	Non-emergency transportation and bus, intra or inter state carrier	3	10	1,400	$1	$12.3M
S5130	Homemaker service, nos; per 15 minutes	177	340	3,530	$80	$1.2M
S5165	Home modifications; per service	9	10	120	$3,580	$1.1M
T2003	Non-emergency transportation; encounter/trip	115	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	78	100	1,090	$90	$600.8K
T1017	Targeted case management, each 15 minutes	7	310	640	$80	$494.3K
T2004	Non-emergency transport; commercial carrier, multi-pass	2	40	1,390	$10	$303.7K
T1016	Case management, each 15 minutes	18	20	3,070	$40	$296.9K
T2028	Specialized supply, not otherwise specified, waiver	1	20	1,320	$50	$251.2K
S5199	Personal care item, nos, each	1	10	1,930	$90	$239.7K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuum Of Colorado	CO	Community/Behavioral Health Agency	$0	$61.3M
Developmental Pathways Inc	CO	Case Management Agency	$0	$37.2M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$24.4M
Ahiska Homecare LLC	CO	In Home Supportive Care Agency	$0	$22.3M
Beacon Home Care	CO	In Home Supportive Care Agency	$0	$22.1M
Global Intersections, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$19.7M
Bmh Corp.,llc	CO	In Home Supportive Care Agency	$0	$18.2M
Hero Dental Of Aurora PC	CO	Dentist	$0	$14M
Hans Adult Day Care LLC	CO	Adult Day Care Clinic/Center	$0	$13.2M
Windsor Lake Healthcare, Inc.	CO	Assisted Living Facility	$0	$12.9M

Developmental Pathways, Inc. — Billing Profile & Reimbursement Data

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Developmental Pathways, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References