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.

Pueblo Regional Center (NPI 1063545465)

Field	Value
Entity Type	Organization
Organization	Pueblo Regional Center
Address	270 W John Powell Blvd
City	Pueblo West
State	CO
ZIP	81007
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 14, 2007

Payer Source	Total Paid
Medicaid	$39.2M
Medicare	$0

Key Findings

This provider is effectively single-payer at scale: there is no Medicare billing on file and all reported lifetime public revenue is Medicaid-only, totaling $39.2M. The NPI was enumerated 2007-03-14 (~19 years ago), indicating a long-tenured provider footprint in the market rather than a recent entrant.

Revenue is highly concentrated in a narrow set of waiver habilitation codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue. In particular, T2016 alone represents $34.2M (87.2% of Medicaid revenue) and T2021 contributes $4.9M (12.4%), with T2003 accounting for a much smaller $126.5K (0.3%).

The code mix and paid amounts point to a residential and day habilitation operational model: T2016 is billed as Habilitation, residential, waiver (per diem) with 3.8K claims and a high $8979 avg paid/claim, while T2021 is Day habilitation, waiver (per 15 minutes) with 4.7K claims and a $1039 avg paid/claim. These unit payment levels are consistent with per-diem residential services supplemented by time-based day habilitation programming under waiver arrangements.

Despite the large dollar concentration in T2016, the provider is not a dominant statewide player for that code: T2016 ranks #98 of 191 providers in-state (49th percentile), which the peer data characterizes as typical, unremarkable volume for this code. That ranking suggests the provider captures substantial absolute revenue from residential habilitation but sits near the middle of the state peer distribution rather than at the top.

T2021 activity similarly places the provider in a mid-tier position: T2021 ranks #133 of 290 providers in-state (54th percentile) and is labeled typical, unremarkable volume. The combination of mid-percentile ranks for both T2016 and T2021 indicates the organization operates at steady, program-focused scale without being a statewide leader in either day or residential habilitation.

Non-emergency transportation (T2003) is present but marginal for revenue and scale: 1.5K claims generated $126.5K (0.3% of Medicaid revenue) with an $84 avg paid/claim, and the code ranks #166 of 283 providers in-state (41th percentile), described as typical, unremarkable volume. This suggests transportation supports service delivery but is not a meaningful revenue driver.

There are recorded claims for crisis intervention (T2034) that produced no paid revenue: 636 claims are listed with a $0 avg paid/claim and $0 revenue, and the code ranks #48 of 162 providers in-state (71th percentile) with typical, unremarkable volume. The presence of zero-dollar paid claims for T2034 is a notable operational artifact—likely reflecting non-reimbursed reporting, administrative entries, or program-tracking activity rather than a material revenue stream.

Business risk and opportunity are concentrated: because $34.2M (87.2%) of Medicaid revenue is tied to a single per-diem habilitation code (T2016), reimbursement changes or policy shifts affecting residential waiver rates would have outsized impact on total revenue. Conversely, the strong per-diem unit value ($8979 avg paid/claim) and established tenure (NPI since 2007-03-14) suggest the provider has an entrenched operational model that could support negotiations or program expansion within Medicaid waiver markets.

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	3,800	$8,980	$34.2M
T2021	Day habilitation, waiver; per 15 minutes	4,690	$1,040	$4.9M
T2003	Non-emergency transportation; encounter/trip	1,510	$80	$126.5K
T2034	Crisis intervention, waiver; per diem	640	$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

Pueblo Regional Center — 0 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	98	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	133	290	3,700	$160	$2.3M
T2003	Non-emergency transportation; encounter/trip	166	280	2,640	$20	$881.3K
T2034	Crisis intervention, waiver; per diem	48	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Pueblo Regional Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pueblo West Gardens	CO	Assisted Living Facility	$0	$6.8M
Maguy Medical Transport	CO	Non-emergency Medical Transport (VAN)	$0	$5.8M
Soaring Eagles Center For Autism	CO	Behavior Analyst	$0	$3.6M
Reach Air Medical Services LLC	CO	Air Ambulance	$541.7K	$896.6K
Abner Fernandez	CO	Family Medicine Physician	$69.8K	$0
Scott Deruiter	CO	Family Medicine Physician	$44.2K	$0

Pueblo Regional Center — Billing Profile & Reimbursement Data

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Pueblo Regional Center — 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