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.

Monaco Adult Day Care (NPI 1124091020)

Field	Value
Entity Type	Organization
Organization	Monaco Adult Day Care
Address	6825 E Tennessee Ave
City	Denver
State	CO
ZIP	80224
Taxonomy	Adult Day Care Clinic/Center
NPI Enumerated	February 10, 2006

Payer Source	Total Paid
Medicaid	$29.7M
Medicare	$0

Key Findings

This provider is effectively single-payer at the federal/state level: there is no Medicare billing on file and all reported lifetime public-payer revenue is Medicaid $29.7M. That concentration in a single payer makes Medicaid policy, eligibility, and rate changes the dominant external financial driver for the organization.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 99.6% of the provider's total Medicaid revenue, led by S5105 at $22.3M (75.2%), A0120 at $6.7M (22.6%), and S5100 at $537.3K (1.8%). This indicates that nearly all billed Medicaid dollars flow through these specific adult day care and transportation services.

Operationally, the code mix positions MONACO ADULT DAY CARE as a center-based adult day services operator: S5105 (Day care services, center-based; services not included in program fee, per diem) generates $22.3M and is the dominant revenue stream, while S5100 (Day care services, adult; per 15 minutes) also appears in the top three, reflecting time-based, on-site care delivery. Together these codes describe a service model focused on in-center care by the day.

Transportation is a material secondary service line: A0120 (Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems) produced $6.7M on 30.7K claims, and A0130 (wheelchair van) adds $114.6K. The volume and dollar amounts suggest the provider directly operates or coordinates extensive non-emergency transport capacity for its participants as part of its care model.

Competitive standing in-state is mixed by service line: for S5105 the provider ranks #6 of 62 in Colorado (92th percentile; notably above typical state volume for this code), indicating a major presence in center-based day services statewide. For A0120 it ranks #10 of 161 (94th percentile; typical, unremarkable volume for this code), which reflects a high rank yet labeled as typical activity for transportation, while S5100 and A0130 occupy more modest middle-tier positions (#5 of 12, 64th percentile and #25 of 54, 55th percentile respectively).

There is a pronounced statistical anomaly in crisis-related claims: T2034 (Crisis intervention, waiver; per diem) shows 5.9K claims but $0 avg paid/claim and $0 revenue, and it ranks #2 of 162 in-state (99th percentile; extreme outlier, far above typical state volume for this code). This pattern indicates unusually high claim-level activity for T2034 without corresponding paid revenue, which may reflect reporting, billing configuration, or reimbursement policy effects rather than cash flow.

The provider has long tenure in the public payer system, with its NPI enumerated on 2006-02-10 (~20 years ago). This duration suggests established operational capabilities and likely sustained relationships with state Medicaid programs and referral sources.

The overall business risk profile is concentrated: with 99.6% of Medicaid revenue coming from the top three codes and no Medicare revenue to diversify payer exposure, MONACO ADULT DAY CARE is highly exposed to Medicaid rate changes, utilization shifts in center-based day services, or service authorization policies tied to S5105 and A0120. Small changes in utilization or reimbursement for those codes could have outsized impacts on total revenue.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5105	Day care services, center-based; services not included in program fee, per diem	29,060	$770	$22.3M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	30,730	$220	$6.7M
S5100	Day care services, adult; per 15 minutes	1,400	$380	$537.3K
A0130	Non-emergency transportation: wheelchair van	410	$280	$114.6K
T2034	Crisis intervention, waiver; per diem	5,890	$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

Monaco Adult Day Care — 0 of 4 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0130	Non-emergency transportation: wheelchair van	25	50	350	$50	$12.3M
S5105	Day care services, center-based; services not included in program fee, per diem	6	60	3,770	$380	$3M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	10	160	940	$40	$2.3M
S5100	Day care services, adult; per 15 minutes	5	10	740	$100	$158.9K
T2034	Crisis intervention, waiver; per diem	2	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Monaco Adult Day Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Supreme Health Care,llc	CO	Homemaker	$0	$62.2M
Irn International Corp.	CO	Home Health Agency	$0	$51M
Temure Inc	CO	Home Health Agency	$0	$46.7M
A Plus Personal Care Provider LLC	CO	In Home Supportive Care Agency	$0	$33.7M
Respect Home Health, Inc.	CO	Home Health Agency	$0	$22.2M
G&b Homecare Services, Inc.	CO	In Home Supportive Care Agency	$0	$18.8M
Four Star Home Care Inc	CO	In Home Supportive Care Agency	$0	$13.9M
Goldin Pharmacy And Medical Supply Inc.	CO	Community/Retail Pharmacy	$0	$11.6M
Prima Adult Day Care	CO	Developmentally Disabled Services Day Training Agency	$0	$11.5M
Medstuff Inc	CO	Pharmacy	$0	$9.6M

Monaco Adult Day Care — Billing Profile & Reimbursement Data

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Monaco Adult Day Care — 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