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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Dungarvin New Mexico LLC (NPI 1033288626)

Field	Value
Entity Type	Organization
Organization	Dungarvin New Mexico LLC
Address	2309 Renard Pl Se Ste 205
City	Albuquerque
State	NM
ZIP	87106
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicaid	$84.6M
Medicare	$0

Key Findings

This provider effectively operates as a single-payer Medicaid entity: there is no Medicare billing on file and lifetime Medicaid revenue is $84.6M, so all reported clinical billing activity for this NPI is concentrated in Medicaid. That concentration means state Medicaid policy and rate changes are likely to have an outsized impact on the provider’s financials.

Revenue is extremely concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 91.9% of the provider’s total Medicaid revenue, indicating most Medicaid dollars flow through a narrow set of programs rather than a broad portfolio of services. High concentration creates operational leverage around those programs but also increases exposure if utilization or reimbursement for those codes changes.

The service-line mix points to a core business built around residential habilitation and community-based supports: T2016 (Habilitation, residential, waiver; per diem), T2033 (Residential care, nos, waiver; per diem), and H2021 (Community-based wrap-around services, per 15 minutes) together drive the vast majority of revenue. This combination is consistent with an Intellectual and/or Developmental Disabilities community residential treatment facility model that couples per-diem residential care with intensive wrap-around and habilitation services.

T2016 is the single largest revenue driver at $59.7M and 70.6% of Medicaid revenue, and the provider ranks #2 of 40 in-state (97th percentile; notably above typical state volume for this code). That dominant position in residential habilitation suggests the organization is one of the state’s primary suppliers of waiver residential habilitation capacity.

H2021 is a distinctive strength: $11.2M in revenue (13.2% of Medicaid revenue) and a #1 rank of 62 providers in-state (100th percentile; extreme outlier). The unusually large H2021 volume signals a particularly strong focus on community-based wrap-around services and represents a service offering where this provider outpaces all in-state peers.

The provider also reports meaningful activity in day habilitation and additional residential categories: T2021 (Day habilitation, waiver; per 15 minutes) generated $4.5M (5.4% of Medicaid revenue) and ranks #3 of 52 (96th percentile; notably above typical state volume), while T2033 produced $6.9M (8.2% of Medicaid revenue) and ranks #12 of 39 (71th percentile; typical, unremarkable volume for this code). Together these figures indicate a mixed model of residential and day habilitation services, with particular strength in day habilitation relative to peers.

Ancillary and ancillary-support codes contribute only small proportions of revenue: S5125 ($1.1M, 1.3%), T1027 ($754.1K, 0.9%), T2023 ($458.8K, 0.5%) and T1002 ($5K, 0.0%) are all low-volume relative to the top codes and occupy mostly typical or unremarkable rank positions in-state. This suggests limited diversification beyond core residential/day habilitation and wrap-around services, so revenue growth is likely to depend on scaling the core codes rather than expanding many small ancillary lines.

The provider has an established operating history (NPI enumerated 2006-11-07, ~20 years), and the combination of long tenure with top-state rankings for T2016 and H2021 positions it as an entrenched Medicaid provider for IDD residential and wrap services in New Mexico. That market standing can support contracting leverage within Medicaid circles, but the lack of Medicare activity and heavy dependence on a few Medicaid codes also creates strategic concentration risk if state policy or utilization patterns shift.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	154,700	$390	$59.7M
H2021	Community-based wrap-around services, per 15 minutes	75,090	$150	$11.2M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	37,140	$190	$6.9M
T2021	Day habilitation, waiver; per 15 minutes	52,110	$90	$4.5M
S5125	Attendant care services; per 15 minutes	7,780	$140	$1.1M
T1027	Family training and counseling for child development, per 15 minutes	8,020	$90	$754.1K
T2023	Targeted case management; per month	2,540	$180	$458.8K
T1002	Rn services, up to 15 minutes	50	$110	$5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Dungarvin New Mexico LLC — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	40	54,080	$360	$22.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	12	40	11,070	$280	$10.8M
T1027	Family training and counseling for child development, per 15 minutes	28	40	25,180	$110	$5.7M
H2021	Community-based wrap-around services, per 15 minutes	1	60	6,750	$340	$4.4M
S5125	Attendant care services; per 15 minutes	28	50	10,600	$100	$4.3M
T2023	Targeted case management; per month	26	30	7,450	$200	$2.4M
T2021	Day habilitation, waiver; per 15 minutes	3	50	6,810	$120	$1.6M
T1002	Rn services, up to 15 minutes	34	40	1,350	$150	$368.7K

Nearby Providers

Other providers in the same ZIP code as Dungarvin New Mexico LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Unm Hospital	NM	General Acute Care Hospital	$0	$462.9M
Presbyterian Healthcare Services	NM	General Acute Care Hospital	$0	$345.3M
Unm Medical Group Inc	NM	Multi-Specialty Clinic/Center	$0	$113.5M
Perinatal Associates Of New Mexico, Ltd	NM	Maternal & Fetal Medicine Physician	$0	$62.6M
Optumcare New Mexico LLC	NM	Family Medicine Physician	$0	$23.6M
Unm Hospital	NM	Psychiatric Hospital Unit	$228.5K	$17.6M
Family Eye Care/children's Eye Center Of New Mexico, P.C.	NM	Ophthalmology Physician	$0	$13.3M
Pediatrix Medical Group Of New Mexico, P.C.	NM	Neonatal-Perinatal Medicine Physician	$0	$11.9M
Guardian Flight LLC	NM	Air Ambulance	$372.6K	$6.9M
Climbing Tree Therapy, Inc.	NM	Occupational Therapist	$0	$6.6M

Dungarvin New Mexico LLC — Billing Profile & Reimbursement Data

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Dungarvin New Mexico LLC — 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