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.

Dungarvin Colorado, LLC - Denver (NPI 1245309822)

Field	Value
Entity Type	Organization
Organization	Dungarvin Colorado, LLC - Denver
Address	4704 Harlan St Ste 150
City	Denver
State	CO
ZIP	80212
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 7, 2006

Payer Source	Total Paid
Medicaid	$63.5M
Medicare	$0

Key Findings

DUNGARVIN COLORADO, LLC - DENVER operates as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility and its Medicaid code mix confirms a heavy focus on habilitation services and participant transport. The leading codes are T2016 (Habilitation, residential, waiver; per diem), T2021 (Day habilitation, waiver; per 15 minutes) and T2003 (Non-emergency transportation; encounter/trip), which together compose the provider’s principal service lines and operational footprint in the state.

Medicaid is the overwhelming revenue source for this entity: total Medicaid revenue is $63.5M and there is no Medicare billing on file. This makes the provider effectively single-payer (Medicaid) in scale and exposure, with no Medicare revenue to diversify payer risk.

Revenue concentration is acute: the precomputed top 3 Medicaid codes account for 99.8% of this provider’s total Medicaid revenue. In particular, T2016 generates $57.1M and represents 89.8% of the provider’s Medicaid revenue, signaling extreme concentration into residential habilitation per diem reimbursement.

T2016’s volume and state ranking indicate market dominance in residential habilitation: the provider reports 396.4K claims for T2016, ranks #6 of 191 providers in-state and sits in the 97th percentile (extreme outlier, far above typical state volume for this code). That placement suggests DUNGARVIN is a major in-state provider of waiver residential habilitation services by volume.

T2021 (58.5K claims, $5.2M revenue, 8.2% of Medicaid revenue) ranks #15 of 290 providers in-state and is in the 95th percentile (notably above typical state volume for this code), which points to a significant secondary service line in day habilitation and an elevated presence among peers for time-based day programs. This supports a model combining residential per-diem care with active day habilitation offerings.

T2003 (46.8K claims, $1.1M revenue, 1.8% of Medicaid revenue) ranks #20 of 283 providers in-state and is in the 93th percentile (typical, unremarkable volume for this code), indicating the provider’s non-emergency transport activity is consistent with peer patterns and functions as a supporting operational service rather than a primary revenue driver.

Other listed Medicaid codes are immaterial to overall revenue: T2004 accounts for $129.2K (0.2%), H2019 for $8.3K (0.0%), and T2034 shows 441 claims with $0 revenue (0.0%). These figures underscore that nearly all economic activity is concentrated in the three top codes and that ancillary behavioral or transport subcodes contribute only minimally to lifetime Medicaid receipts.

The provider’s NPI tenure—enumerated 2006-11-07 (~20 years ago)—combined with $63.5M in lifetime Medicaid revenue denotes a sustained in-state operating history focused on Medicaid-funded intellectual/developmental disabilities services. Given the extreme reliance on a single per-diem habilitation code (T2016), the organization’s financial and service footprint is sizable but highly concentrated within the Medicaid waiver residential habilitation market.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	396,370	$140	$57.1M
T2021	Day habilitation, waiver; per 15 minutes	58,500	$90	$5.2M
T2003	Non-emergency transportation; encounter/trip	46,840	$20	$1.1M
T2004	Non-emergency transport; commercial carrier, multi-pass	1,060	$120	$129.2K
H2019	Therapeutic behavioral services, per 15 minutes	100	$90	$8.3K
T2034	Crisis intervention, waiver; per diem	440	$0	$0

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

Dungarvin Colorado, LLC - Denver — 2 of 5 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	15	290	3,700	$160	$2.3M
T2003	Non-emergency transportation; encounter/trip	20	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	91	100	1,090	$90	$600.8K
T2004	Non-emergency transport; commercial carrier, multi-pass	22	40	1,390	$10	$303.7K
T2034	Crisis intervention, waiver; per diem	69	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Dungarvin Colorado, LLC - Denver, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Look Optical, PC	CO	Optometrist	$0	$9.3M
Primary Dental LLC	CO	General Practice Dentistry	$0	$6.1M
National Mental Health Management, LLC	CO	Addiction Psychiatry Physician	$0	$6M
Altitude Anesthesia Group	CO	Dentist	$0	$5.6M
Strock Medical Group LLC	CO	Adult Health Nurse Practitioner	$0	$3.5M
Kelly Lindauer	CO	Diagnostic Radiology Physician	$180.5K	$0

Dungarvin Colorado, LLC - Denver — Billing Profile & Reimbursement Data

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Dungarvin Colorado, LLC - Denver — 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