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.

Alpine Autism Center (NPI 1225223126)

Field	Value
Entity Type	Organization
Organization	Alpine Autism Center
Address	2760 Fieldstone Rd
City	Colorado Springs
State	CO
ZIP	80919
Taxonomy	Specialist
NPI Enumerated	September 13, 2007

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	17,510	$290	$5.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	6,010	$120	$721.2K
H0046	Mental health services, not otherwise specified	200	$2,170	$431.6K
S5150	Unskilled respite care, not hospice; per 15 minutes	150	$90	$13.6K

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

Alpine Autism Center — 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	12	150	2,450	$270	$1.5M
S5150	Unskilled respite care, not hospice; per 15 minutes	71	90	1,540	$130	$1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	13	150	800	$210	$457.9K
H0046	Mental health services, not otherwise specified	48	60	1,380	$140	$397.2K

Nearby Providers

Other providers in the same ZIP code as Alpine Autism Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Resource Exchange Inc.	CO	Case Management Agency	$0	$40M
Centennial State Lab, LLC	CO	Clinical Medical Laboratory	$1.4M	$33.1M
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23.7M
The Resource Exchange Inc	CO	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Simply Kids Dental	CO	Pediatric Dentistry	$0	$14.5M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Colorado Springs Imaging LLC	CO	Diagnostic Radiology Physician	$337.4K	$5.3M
A Rise Above Home Care	CO	Case Manager/Care Coordinator	$0	$3.7M
Ascent Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$411.2K	$0
Kimberly Wagner	CO	Neurology Physician	$353.4K	$0

Alpine Autism Center — Billing Profile & Reimbursement Data

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Alpine Autism Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References