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.

Developmental Disabilities Resource Center (NPI 1144362922)

Field	Value
Entity Type	Organization
Organization	Developmental Disabilities Resource Center
Address	11177 W 8th Ave
City	Lakewood
State	CO
ZIP	80215
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$61.9M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and $61.9M in Medicaid revenue, making it effectively a Medicaid-focused operation rather than a dual-payer provider. The absence of Medicare activity simplifies payer exposure but also indicates reliance on state Medicaid policy and contracting for the provider’s revenue stream.

Revenue is highly concentrated: the top three Medicaid codes — T2016 ($37M, 59.7%), T2021 ($8.3M, 13.3%) and T1017 ($5.5M, 8.9%) — together account for 81.9% of the provider’s total Medicaid revenue. That level of concentration means changes to reimbursement or utilization for any of these codes would disproportionately affect the provider’s statewide revenue performance.

The codes billed point to a core business model centered on habilitation and care coordination: T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) indicate the provider delivers both residential and day habilitation services, while T1017 (Targeted case management, each 15 minutes) shows a significant role in care planning and case management for individuals with developmental disabilities. The mix of per-diem and per-15-minute codes suggests operations with both long-stay residential programs and time-based community habilitation/day services.

Competitive standing is mixed by service line: T1017 ranks #15 of 309 providers in-state (95th percentile; typical, unremarkable volume for this code), signaling a comparatively strong position in targeted case management despite the label “typical, unremarkable volume.” By contrast, T2016 ranks #66 of 191 (66th percentile; typical, unremarkable volume for this code) and T2021 ranks #56 of 290 (81th percentile; typical, unremarkable volume for this code), indicating the provider is a solid but not dominant statewide participant for its two largest habilitation codes.

Beyond the top three, the provider bills a variety of complementary waiver and support services (examples include S5130, S5150, T2003, T1019) that together form a services portfolio for community-based supports. Notable specialties include V2799 (Vision item or service, miscellaneous) with $518.8K revenue and a rank of #3 of 27 (92th percentile; typical, unremarkable volume for this code) and S8940 (Equestrian/hippotherapy) at $102.1K, showing the provider offers some higher-cost and niche modalities in addition to core habilitation.

There are identifiable coding/claim patterns of operational interest: T2034 (Crisis intervention, waiver; per diem) appears with 1.4K claims but $0 reported revenue ($0 avg paid/claim), which stands out against other lines and may reflect encounter-only reporting, zero-paid adjudications, or administrative coding practices that warrant further review. Analysts should treat $0-revenue claim lines as a signal to investigate claim-level adjudication or program reporting rules rather than immediate revenue impact.

The reimbursement profile of the top codes underscores the intensity and resource implications of the services delivered: T2016 carries a high average paid/claim ($3226), consistent with per-diem residential habilitation costs, while T2021 ($427 avg paid/claim) and T1017 ($179 avg paid/claim) reflect time-based payments for day habilitation and case management. These per-claim averages help explain why a relatively smaller number of high-dollar T2016 claims drive the majority of Medicaid revenue.

The provider’s NPI was enumerated on 2007-02-12 (~19 years ago), indicating an established presence in the market; combined with $61.9M in lifetime Medicaid revenue, this suggests sustained scale in state Medicaid programs and an operational footprint focused on long-term habilitation and care coordination services for individuals with developmental disabilities.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	11,450	$3,230	$37M
T2021	Day habilitation, waiver; per 15 minutes	19,330	$430	$8.3M
T1017	Targeted case management, each 15 minutes	30,640	$180	$5.5M
S5130	Homemaker service, nos; per 15 minutes	8,260	$220	$1.8M
S5150	Unskilled respite care, not hospice; per 15 minutes	4,970	$360	$1.8M
T2003	Non-emergency transportation; encounter/trip	9,690	$170	$1.6M
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…	6,510	$200	$1.3M
H2021	Community-based wrap-around services, per 15 minutes	3,760	$230	$857.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	2,590	$280	$724.9K
H2019	Therapeutic behavioral services, per 15 minutes	6,210	$110	$651.8K

Showing 1–10 of 20

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

Developmental Disabilities Resource Center — 1 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	66	190	3,890	$290	$12.4M
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…	222	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	56	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	49	100	1,940	$200	$1.5M
S5130	Homemaker service, nos; per 15 minutes	108	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	25	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	23	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	80	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	26	100	1,090	$90	$600.8K
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	31	40	1,400	$110	$566.3K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Developmental Disabilities Resource Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carmel Community Living Corporation	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$38M
Accent On Independence Inc	CO	In Home Supportive Care Agency	$0	$18.6M
Developmental Disabilities Resource Center	CO	Case Management Agency	$0	$11.7M
Joshua Renkin	CO	Neurology Physician	$228.8K	$0
Danielle Whitacre	CO	Family Medicine Physician	$152.2K	$0
Lauren Foster	CO	Primary Care Nurse Practitioner	$125.9K	$0
Joanne Ruch	CO	Internal Medicine Physician	$120.6K	$0
Katherine Butcher	CO	Adult Health Nurse Practitioner	$109.1K	$0
Darnell Martin-wimmer	CO	Dermatology Physician	$108.9K	$0
Rachel Matsoukas	CO	Occupational Therapist	$44.6K	$0

Developmental Disabilities Resource Center — Billing Profile & Reimbursement Data

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Developmental Disabilities Resource 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