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.

Cottonwood Community Alternatives, Inc. (NPI 1033577853)

Field	Value
Entity Type	Organization
Organization	Cottonwood Community Alternatives, Inc.
Address	3255 S Acoma St
City	Englewood
State	CO
ZIP	80110
Taxonomy	Respite Care
NPI Enumerated	February 8, 2016

Payer Source	Total Paid
Medicaid	$53.7M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused operator with no Medicare billing on file and reported total Medicaid revenue of $53.7M. The provider’s NPI was enumerated on 2016-02-08 (≈10 years ago), indicating an established presence in the market under the Respite Care taxonomy.

The revenue and code mix indicate the provider primarily operates as a residential habilitation/waiver services organization: T2016 (Habilitation, residential, waiver; per diem) accounts for 392.7K claims, $134 avg paid/claim and $52.6M revenue, representing 98.1% of the provider’s Medicaid revenue. This per-diem, residential habilitation billing profile is consistent with a facility-focused service line rather than episodic clinical encounters.

Revenue concentration is extreme: the precomputed top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with T2016 alone contributing 98.1% of Medicaid receipts. This concentration means the provider’s financial profile is dominated by a single service line and code.

On competitive standing for its primary code, the provider ranks #7 of 191 in-state for T2016 (97th percentile) and is described as an extreme outlier, far above typical state volume for this code; this places the organization among the largest statewide providers of residential habilitation waiver per-diem services. Being an outlier in volume suggests a notable market position within Colorado for this specific service.

Secondary services are much smaller revenue drivers. T2003 (Non-emergency transportation; encounter/trip) shows 49K claims, $21 avg paid/claim and $1M revenue and ranks #19 of 283 in-state (94th percentile) but is characterized as a typical, unremarkable volume relative to its role, indicating transport is a complementary rather than core revenue source.

Two other Medicaid codes report de minimis or no revenue: T2004 (195 claims, $14 avg, $2.7K revenue; rank #32 of 39, 18th percentile) and T2034 (264 claims, $0 avg, $0 revenue; rank #99 of 162, 39th percentile). These entries appear operationally marginal and do not meaningfully affect the provider’s revenue profile.

The near-total reliance on Medicaid (no Medicare billing) and the dominance of T2016 revenue imply operational sensitivity to changes in waiver per-diem rates, eligibility rules, or program design for residential habilitation. Analysts should treat reimbursement policy shifts for waiver services as the primary lever that could materially affect this provider’s revenue trajectory.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	392,720	$130	$52.6M
T2003	Non-emergency transportation; encounter/trip	49,000	$20	$1M
T2004	Non-emergency transport; commercial carrier, multi-pass	200	$10	$2.7K
T2034	Crisis intervention, waiver; per diem	260	$0	$0

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

Cottonwood Community Alternatives, Inc. — 1 of 3 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	7	190	3,890	$290	$12.4M
T2003	Non-emergency transportation; encounter/trip	19	280	2,640	$20	$881.3K
T2004	Non-emergency transport; commercial carrier, multi-pass	32	40	1,390	$10	$303.7K
T2034	Crisis intervention, waiver; per diem	99	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Cottonwood Community Alternatives, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kci Usa, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$13.6M
Home Care Of Denver, LLC	CO	Home Health Agency	$0	$12M
Accessible Systems Inc	CO	Home Modifications Contractor	$0	$6.8M
Cottonwood Community Alternatives, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$4.3M
Mimi Liu	CO	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
River Point Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$1.4M	$22.3K
Rocky Mountain Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$779.6K	$0
William Richheimer	CO	Ophthalmology Physician	$584.9K	$0
Zachary Vest	CO	Ophthalmology Physician	$320.5K	$0
Pearl Shin	CO	Optometrist	$159.3K	$0

Cottonwood Community Alternatives, Inc. — Billing Profile & Reimbursement Data

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Cottonwood Community Alternatives, 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