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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Active Solutions Incorporated (NPI 1174655617)

Field	Value
Entity Type	Organization
Organization	Active Solutions Incorporated
Address	2730 San Pedro Dr Ne
City	Albuquerque
State	NM
ZIP	87110
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 11, 2007

Payer Source	Total Paid
Medicaid	$31.3M
Medicare	$0

Key Findings

ACTIVE SOLUTIONS INCORPORATED shows no Medicare billing on file and $31.3M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid provider at scale. Its NPI was enumerated 2007-03-11 (~19 years ago), indicating an established presence in New Mexico's waiver and developmental-disability service network.

Revenue is highly concentrated: the provider's top three Medicaid codes (T2033, H2021, T2021) together account for 94.5% of its total Medicaid revenue. The single largest line is T2033 (77.4K claims, $263 avg paid/claim, $20.4M revenue, 65.1% of Medicaid revenue), followed by H2021 (16.6K claims, $366 avg paid/claim, $6.1M revenue, 19.5%) and T2021 (21.3K claims, $147 avg paid/claim, $3.1M revenue, 10.0%).

The billing mix implies a business model centered on long-term supports and habilitation rather than acute medical care: T2033 is residential care (waiver, per diem), H2021 is community-based wrap-around services (per 15 minutes), and T2021 is day habilitation (per 15 minutes). This combination suggests the provider operates both residential waiver placements and intensive community/day habilitation programs, consistent with its Developmentally Disabled Services Day Training Agency taxonomy.

T2033 dominates the provider's Medicaid portfolio by revenue (65.1% of Medicaid revenue) with 77.4K claims and $20.4M paid; the provider ranks #8 of 39 in-state and sits in the 82th percentile, characterized in the data as "typical, unremarkable volume for this code." That rank and percentile indicate an above-average statewide presence on this code but not a statewide dominant outlier.

H2021 and T2021 constitute the next-largest revenue streams and show solid but not exceptional statewide placement: H2021 produced $6.1M (19.5% of Medicaid revenue) across 16.6K claims and ranks #19 of 62 (70th percentile), and T2021 produced $3.1M (10.0%) across 21.3K claims and ranks #9 of 52 (84th percentile); both are labeled "typical, unremarkable volume for this code." These positions point to meaningful operational capacity in wrap-around and day habilitation services without indicating statistical outlier status.

Smaller Medicaid lines (for example S5125 $758.4K/2.4% rank #40 of 45, "typical, unremarkable volume for this code"; T2025 $493.4K/1.6% rank #24 of 35; T1002 $433.8K/1.4% rank #10 of 38) are peripheral revenue contributors. Collectively these ancillary codes represent modest, supplementary services to the core residential and habilitation footprint rather than separate major business lines.

The combination of long tenure (~19 years), a $31.3M Medicaid revenue base, and extreme concentration (94.5% of Medicaid revenue in three codes) signals both market entrenchment and vulnerability: the provider is well-established in New Mexico's waiver service ecosystem but is operationally and financially sensitive to changes in waiver reimbursement, utilization patterns, or state program policy given its reliance on a few high-share codes. For analysts and payers, that concentrated Medicaid exposure — plus the absence of any Medicare billing — is a primary consideration for contracting, network risk, and oversight assessments.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	77,420	$260	$20.4M
H2021	Community-based wrap-around services, per 15 minutes	16,640	$370	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	21,280	$150	$3.1M
S5125	Attendant care services; per 15 minutes	1,630	$470	$758.4K
T2025	Waiver services; not otherwise specified (nos)	560	$880	$493.4K
T1002	Rn services, up to 15 minutes	4,210	$100	$433.8K
T1005	Respite care services, up to 15 minutes	140	$160	$22.1K
T1003	Lpn/lvn services, up to 15 minutes	540	$20	$9.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Active Solutions Incorporated — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	8	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	19	60	6,750	$340	$4.4M
S5125	Attendant care services; per 15 minutes	40	50	10,600	$100	$4.3M
T2021	Day habilitation, waiver; per 15 minutes	9	50	6,810	$120	$1.6M
T2025	Waiver services; not otherwise specified (nos)	24	40	1,010	$360	$1.6M
T1005	Respite care services, up to 15 minutes	12	10	2,760	$160	$906.3K
T1002	Rn services, up to 15 minutes	10	40	1,350	$150	$368.7K
T1003	Lpn/lvn services, up to 15 minutes	5	10	1,040	$120	$150.7K

Nearby Providers

Other providers in the same ZIP code as Active Solutions Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1st Care Of New Mexico LLC	NM	In Home Supportive Care Agency	$0	$86.5M
Community Options, Inc	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$76.7M
Abarim Home Health Care Inc.	NM	Community Based Hospice Care Agency	$0	$66M
New Mexico Department Of Health	NM	Customized Equipment (DME)	$0	$60.4M
Independent Living Resource Center	NM	Personal Care Attendant	$0	$57.7M
Ability First, LLC	NM	Exclusive Provider Organization	$0	$49M
Alta Mira Specialized Family Services, Inc.	NM	Community/Behavioral Health Agency	$0	$46.2M
Southwest Family Guidance Center LLC	NM	Adolescent and Children Mental Health Clinic/Center	$0	$32.7M
Aid Home Health Care Services LLC.	NM	Home Health Agency	$0	$32.4M
Great Livin', LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$27.1M

Active Solutions Incorporated — Billing Profile & Reimbursement Data

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Active Solutions Incorporated — 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