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.

Mountain Valley Developmental Services (NPI 1053467498)

Field	Value
Entity Type	Organization
Organization	Mountain Valley Developmental Services
Address	700 Mount Sopris Dr
City	Glenwood Springs
State	CO
ZIP	81601
Taxonomy	Case Management Agency
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$15.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	64,620	$140	$8.9M
T2021	Day habilitation, waiver; per 15 minutes	39,940	$70	$2.8M
T2019	Habilitation, supported employment, waiver; per 15 minutes	15,190	$90	$1.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	3,130	$370	$1.2M
T2003	Non-emergency transportation; encounter/trip	40,730	$20	$896K
H2019	Therapeutic behavioral services, per 15 minutes	7,360	$30	$198.6K
T1017	Targeted case management, each 15 minutes	2,710	$60	$154.6K
S5150	Unskilled respite care, not hospice; per 15 minutes	610	$90	$55.4K
H2021	Community-based wrap-around services, per 15 minutes	450	$110	$50.8K
T2004	Non-emergency transport; commercial carrier, multi-pass	640	$60	$40.4K

Showing 1–10 of 17

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

Mountain Valley Developmental Services — 0 of 16 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	26	190	3,890	$290	$12.4M
T2023	Targeted case management; per month	30	40	6,060	$130	$3.9M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	295	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	31	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	18	100	1,940	$200	$1.5M
S5130	Homemaker service, nos; per 15 minutes	246	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	60	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	57	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	24	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	24	100	1,090	$90	$600.8K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Mountain Valley Developmental Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maura Stack Oden LLC	CO	Community/Behavioral Health Agency	$0	$22.9M
Mountain Family Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$8.9M
All Kids Dental Pediatrics And Orthodontics	CO	Pediatric Dentistry	$0	$8.7M
Swann Clinic For Behavioral Health	CO	Behavior Analyst	$0	$5.3M
Valley View Hospital Association	CO	General Acute Care Hospital	$0	$4.5M
Pediatric Psychology Services Of Colorado	CO	Clinical Psychologist	$0	$3.5M
Lola Sawyer	CO	Diagnostic Radiology Physician	$130.7K	$379K
Matthew Ehrlich	CO	Ophthalmology Physician	$250K	$0
Carl Valentin	CO	Diagnostic Radiology Physician	$84.9K	$135.2K
Peter Rossi	CO	Radiation Oncology Physician	$200.5K	$0

Mountain Valley Developmental Services — Billing Profile & Reimbursement Data

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Mountain Valley Developmental Services — 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