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.

Horizons Specialized Services (NPI 1063636256)

Field	Value
Entity Type	Organization
Organization	Horizons Specialized Services
Address	405 Oak Street
City	Steamboat Springs
State	CO
ZIP	80477
Taxonomy	Case Management Agency
NPI Enumerated	April 12, 2007

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	54,380	$230	$12.6M
T2021	Day habilitation, waiver; per 15 minutes	3,490	$190	$645.6K
T1017	Targeted case management, each 15 minutes	1,670	$180	$295.9K
T2003	Non-emergency transportation; encounter/trip	2,170	$60	$130K
H2021	Community-based wrap-around services, per 15 minutes	60	$50	$3.4K
T2034	Crisis intervention, waiver; per diem	180	$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

Horizons Specialized Services — 0 of 5 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	32	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	150	290	3,700	$160	$2.3M
H2021	Community-based wrap-around services, per 15 minutes	89	100	960	$100	$1.1M
T2003	Non-emergency transportation; encounter/trip	148	280	2,640	$20	$881.3K
T1017	Targeted case management, each 15 minutes	115	310	640	$80	$494.3K
T2034	Crisis intervention, waiver; per diem	117	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Horizons Specialized Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raymond Petersen	CO	Internal Medicine Physician	$60.6K	$0
Russ Fasolino	CO	Chiropractor	$14.5K	$0

Horizons Specialized Services — Billing Profile & Reimbursement Data

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Horizons Specialized 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