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

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

Lifetime Living Inc. (NPI 1215130497)

Field	Value
Entity Type	Organization
Organization	Lifetime Living Inc.
Address	5425 No Loop 1604 E
City	San Antonio
State	TX
ZIP	78247
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 6, 2007

Payer Source	Total Paid
Medicaid	$79.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: there is no Medicare billing on file and Total Medicaid revenue is $79.6M. The absence of Medicare revenue simplifies payer analysis but means the provider’s financial exposure and negotiating leverage are concentrated entirely within Medicaid programs and waiver funding streams.

Revenue is highly concentrated in a few service lines: the precomputed top 3 Medicaid codes account for 67.3% of this provider’s total Medicaid revenue, with H2016 alone representing $40.8M (52.1% of Medicaid revenue). That level of concentration around a single per-diem code indicates a small number of service types drive the bulk of income and should be prioritized in contract or audit reviews.

The code mix points to core operations in community and residential habilitation services. H2016 (Comprehensive community support services, per diem), T2016 (Habilitation, residential, waiver; per diem), and H2014 (Skills training and development, per 15 minutes) together show the provider focuses on per-diem community support, residential habilitation, and time-based skills training — consistent with its Community/Behavioral Health Agency taxonomy.

Competitive standing within Texas is dominant for certain services: H2016 is ranked #2 of 430 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), and M0123 is ranked #3 of 192 providers (99th percentile; extreme outlier). These rankings mark the provider as a major statewide player for those specific codes rather than a modest participant.

Not all high-revenue codes are clearly described, which limits full service-line interpretation. M0123 ($6.3M, 8.0% of Medicaid revenue) and several other M0xxx codes show material volume but have "no description available," so analysts should treat those line items as significant but ambiguous until code definitions or claims detail are obtained.

Several additional codes illustrate notable secondary service lines and outlier volumes: H2014 accounts for $4.1M (5.3% of Medicaid revenue) and ranks #9 of 560 providers in-state (99th percentile; extreme outlier), while S5150 (Unskilled respite care, per 15 minutes) accounts for $1.4M (1.8%) and ranks #3 of 39 (95th percentile; notably above typical state volume). These figures underscore that beyond the primary per-diem services, the provider also has outsized activity in skills training and respite care.

Operational and financial risk considerations follow from the billing profile: heavy dependence on per-diem and waiver-based codes ties revenue to census, waiver enrollments, and state policy changes rather than fee-for-service volume. Given the provider’s top-code concentration (67.3% precomputed share) and high in-state rankings on multiple codes, policy or reimbursement shifts affecting those codes could materially impact overall revenue.

The provider is long-tenured in Medicare/Medicaid enrollment, with NPI enumerated on 2007-06-06 (~19 years ago), and its $79.6M Medicaid footprint combined with multiple high-percentile ranks indicates a large, established Medicaid contractor in Texas for community/behavioral health and waiver services. This tenure and scale suggest operational capacity and relationships consistent with a major regional service provider.

Medicaid: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2016	Comprehensive community support services, per diem	463,250	$90	$40.8M
M0123	N/A	82,820	$80	$6.3M
T2016	Habilitation, residential, waiver; per diem	54,740	$100	$5.6M
H2014	Skills training and development, per 15 minutes	98,060	$40	$4.1M
M0125	N/A	35,570	$90	$3.3M
M0122	N/A	36,260	$70	$2.6M
M0360	N/A	18,570	$100	$1.8M
T2020	Day habilitation, waiver; per diem	17,840	$90	$1.6M
T2022	Case management, per month	8,240	$180	$1.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	13,050	$110	$1.4M

Showing 1–10 of 43

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Lifetime Living Inc. — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

43 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	10	110	6,810	$200	$8.1M
H2016	Comprehensive community support services, per diem	2	430	5,020	$270	$5.6M
T2022	Case management, per month	18	50	2,920	$180	$1.6M
H2014	Skills training and development, per 15 minutes	9	560	9,630	$80	$1.4M
M0167	N/A	23	40	5,570	$150	$1M
M0124	N/A	6	30	5,900	$120	$879.4K
M0123	N/A	3	190	7,520	$80	$861.3K
M0125	N/A	2	70	6,600	$90	$810.4K
M0122	N/A	3	120	6,320	$70	$648K
M0360	N/A	4	50	3,760	$80	$459.5K

Showing 1–10 of 43

Nearby Providers

Other providers in the same ZIP code as Lifetime Living Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Labtech Diagnostics, LLC	TX	Clinical Medical Laboratory	$1.2M	$43.6K
M D Toxicology Group, LLC	TX	Clinical Medical Laboratory	$318.5K	$130.5K
Mark Robertson	TX	Anesthesiology Physician	$5.9K	$0

Lifetime Living Inc. — Billing Profile & Reimbursement Data

Sign up for Lifetime Living Inc. — Billing Profile & Reimbursement Data policy alerts

Lifetime Living Inc. — Billing Profile & Reimbursement Data

Sign up for Lifetime Living Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References