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 Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

Public Partnerships-colorado, Inc. (NPI 1124304621)

Field	Value
Entity Type	Organization
Organization	Public Partnerships-colorado, Inc.
Address	148 State St
City	Boston
State	MA
ZIP	02109
Taxonomy	Supports Brokerage Agency
NPI Enumerated	October 27, 2011

Payer Source	Total Paid
Medicaid	$885.3M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: Medicare revenue is listed as none and total Medicaid revenue is $885.3M, indicating the organization’s revenue footprint is concentrated entirely in Medicaid rather than split across Medicare/Medicaid. Analysts should treat payer exposure and market risk as tied to Medicaid policy and waiver program dynamics rather than traditional Medicare service lines.

NPI tenure and taxonomy point to an established brokerage/waiver operator: the NPI was enumerated 2011-10-27 (~15 years ago) and the declared taxonomy is Supports Brokerage Agency. That tenure and taxonomy are consistent with a sustained administrative or brokerage role in long-term services and supports rather than episodic clinical care.

Revenue concentration is extreme: precomputed data show the top 3 Medicaid codes by revenue account for 100.0% of this provider’s total Medicaid revenue, with the single top code T2025 representing 97.4% of Medicaid revenue. This level of concentration indicates material dependence on a very small set of service descriptors, which creates both operational leverage and concentration risk for payers.

T2025 dominates the billing profile: the provider reported 5.4M claims for T2025 at an average paid/claim of $161, producing $862.1M in revenue (97.4% of the provider’s total Medicaid revenue). T2025 ranks #1 of 10 providers in-state (100th percentile; notably above typical state volume for this code), signaling market dominance in unspecified waiver services within the state.

T2040 is a minor but specialized revenue stream: the provider reported 244.9K claims for T2040 at an average paid/claim of $95, yielding $23.3M in revenue (2.6% of the provider’s total Medicaid revenue). This code ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), indicating the organization is the sole reported in-state biller for financial management/self-directed waiver services in the dataset.

The service mix and code descriptions imply an operational focus on waiver administration and financial management rather than direct clinical provision: T2025 is Waiver services, not otherwise specified, and T2040 is Financial management, self-directed, waiver; per 15 minutes. Combined with the Supports Brokerage Agency taxonomy, the pattern is consistent with brokerage, fiscal employer agent, or program-support operations that aggregate and bill waiver-related services.

Competitive positioning is strong within the state waiver market: ranking #1 on T2025 and accounting for the vast majority of the provider’s $885.3M Medicaid revenue suggests this entity is a dominant in-state provider for waiver-related billing. For payers and analysts, that dominance means changes in the provider’s contracts or in state waiver policy could have outsized budgetary and operational impact.

From a monitoring and contract management perspective, the dataset highlights two priorities: (1) the provider’s near-total revenue dependence on a narrow set of waiver codes (top 3 = 100.0%) and (2) the statistical note that T2025 is notably above typical state volume. Both points argue for focused oversight of pricing, service definitions, and contract terms for these waiver services.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2025	Waiver services; not otherwise specified (nos)	5,354,360	$160	$862.1M
T2040	Financial management, self-directed, waiver; per 15 minutes	244,850	$100	$23.3M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

Claims Volume vs. Massachusetts Distribution

Public Partnerships-colorado, Inc. — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2025	Waiver services; not otherwise specified (nos)	1	10	230	$160	$86.5M
T2040	Financial management, self-directed, waiver; per 15 minutes	1	10	244,850	$100	$23.4M

Nearby Providers

Other providers in the same ZIP code as Public Partnerships-colorado, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Community/Behavioral Health Agency	$0	$35.2M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$12.1M
Dara Pumphrey-ruiz	MA	Psychiatry Physician	$19.9K	$625.6K
Stephany Gyasi	MA	Family Nurse Practitioner	$297.5K	$0
Steven Afrow	MA	Gerontology Nurse Practitioner	$212.2K	$0
Corey Baechel	MA	Clinical Psychologist	$165.1K	$0
Erica Visco	MA	Family Nurse Practitioner	$142K	$0
Tatum Siebert	MA	Clinical Psychologist	$94.3K	$0
Arlie Sterling	MA	Clinical Psychologist	$82.4K	$0
Kelly Lincoln	MA	Family Nurse Practitioner	$57.2K	$0

Public Partnerships-colorado, Inc. — Billing Profile & Reimbursement Data

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Public Partnerships-colorado, 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