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 Opportunities (NPI 1285873562)

Field	Value
Entity Type	Organization
Organization	Developmental Opportunities
Address	700 S 8th St
City	Canon City
State	CO
ZIP	81212
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 11, 2009

Payer Source	Total Paid
Medicaid	$29.7M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based at $29.7M, indicating the organization’s operations and revenue are concentrated wholly within state Medicaid programs rather than split across Medicare and Medicaid. This payer concentration means the provider’s financial performance is tightly coupled to Colorado Medicaid policy and reimbursement for waiver habilitation services.

Revenue is extremely concentrated in three Medicaid codes: the precomputed top 3 codes account for 97.5% of the provider's total Medicaid revenue, led by T2016 with $21.6M (72.6% of Medicaid revenue), followed by T2021 with $6M (20.2%), and T2003 with $1.4M (4.7%). These three codes together drive nearly all billing dollars for the provider, so changes to any of these codes’ reimbursement or utilization would have outsized impact on overall revenue.

The code mix points to a core business focused on habilitation services and client transport: T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) are the dominant revenue sources, indicating the provider operates residential habilitation and day-program services, while T2003 (Non-emergency transportation; encounter/trip) shows a meaningful transportation component that supports those programs. Smaller contributions from codes such as T1017 (Targeted case management) and T2019 (Habilitation, supported employment) suggest ancillary case management and supported-employment offerings but at far lower scale.

On competitive standing for the largest revenue line, T2016 the provider ranks #54 of 191 in-state and is in the 72th percentile with a characterization of "typical, unremarkable volume," which positions the organization as a moderate statewide participant in residential habilitation rather than a market leader or dominant provider for that service. This rank implies sufficient scale to be a recognized local provider but not among the top tier of statewide suppliers for T2016.

For day habilitation and transportation, the provider shows relatively higher in-state placement but still characterized as typical volume: T2021 ranks #60 of 290 (80th percentile; typical, unremarkable volume) and T2003 ranks #62 of 283 (78th percentile; typical, unremarkable volume). These percentiles indicate the provider is more active than many peers in providing day habilitation and trips, but the supplied labels suggest its activity is within the normal competitive range rather than being an outlier or dominant incumbent.

Several codes are small contributors or show reporting anomalies: T1017 generates $435.2K (1.5% of Medicaid revenue) and T2019 generates $308.9K (1.0%), both indicating limited but present case management and supported-employment services; T2028 is negligible at $2.4K (0.0%) and ranks low in-state. Notably, T2034 shows 882 claims with $0 avg paid/claim and $0 revenue (0.0% of Medicaid revenue) despite a rank of #36 of 162 (78th percentile), which may reflect non-billable encounters, zero-paid crisis reporting, or an administrative/reporting artifact rather than meaningful revenue contribution.

The heavy concentration (97.5% of Medicaid revenue in three codes) creates operational and reimbursement risk: the provider’s financial health depends principally on per diem residential habilitation and per‑15‑minute day habilitation payments, making it sensitive to changes in waiver eligibility, per diem rates, or audit and documentation requirements tied specifically to T2016 and T2021. Given zero Medicare activity, any payer diversification would require strategic expansion beyond current Medicaid waiver services to materially alter the revenue mix.

The provider has an established tenure in the market, with the NPI enumerated on 2009-02-11 (~17 years ago), indicating a long-running presence in Canon City, CO; this longevity suggests operational continuity and likely established referral or contracting relationships with local Medicaid case managers and county systems that coordinate waiver services.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	21,160	$1,020	$21.6M
T2021	Day habilitation, waiver; per 15 minutes	18,300	$330	$6M
T2003	Non-emergency transportation; encounter/trip	15,370	$90	$1.4M
T1017	Targeted case management, each 15 minutes	3,300	$130	$435.2K
T2019	Habilitation, supported employment, waiver; per 15 minutes	940	$330	$308.9K
T2028	Specialized supply, not otherwise specified, waiver	70	$40	$2.4K
T2034	Crisis intervention, waiver; per diem	880	$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

Developmental Opportunities — 0 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	54	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	60	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	66	100	1,940	$200	$1.5M
T2003	Non-emergency transportation; encounter/trip	62	280	2,640	$20	$881.3K
T1017	Targeted case management, each 15 minutes	83	310	640	$80	$494.3K
T2028	Specialized supply, not otherwise specified, waiver	20	20	1,320	$50	$251.2K
T2034	Crisis intervention, waiver; per diem	36	160	360	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Central Mental Health Center, Inc.	CO	Community/Behavioral Health Agency	$0	$22.9M
Ease-e Medical Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$16M
Bright Eyes Vision Clinic PC A Colorado Professional Corporation	CO	Optometrist	$0	$11.7M
Hildebrand Home Care Inc.	CO	In Home Supportive Care Agency	$0	$9.2M
Catholic Health Initiatives Colorado	CO	Rural Health Clinic/Center	$0	$8.3M
Button Family Practice PC	CO	Rural Health Clinic/Center	$0	$6.8M
Lincare Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Catholic Health Initiatives Colorado	CO	Critical Access Hospital	$0	$6.4M
Argus Home Care Inc	CO	Home Health Agency	$0	$5.9M
Main Street Dental LLC	CO	General Practice Dentistry	$0	$5M

Developmental Opportunities — Billing Profile & Reimbursement Data

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Developmental Opportunities — 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