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.

Quality Life Services, LLC (NPI 1295246098)

Field	Value
Entity Type	Organization
Organization	Quality Life Services, LLC
Address	4212 Hermia Ct
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	Specialist
NPI Enumerated	October 19, 2017

Payer Source	Total Paid
Medicaid	$44.9M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $44.9M in lifetime Medicaid revenue, making its business effectively single-payer with Medicaid as the sole recorded public payer. Analysts should treat Medicaid policy and waiver payment changes as the primary drivers of revenue performance for this entity.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. The three codes are T2016 (66.1% of Medicaid revenue), H2021 (29.4% of Medicaid revenue), and T2033 (4.5% of Medicaid revenue), indicating very limited revenue diversification across procedure codes.

The top codes indicate a residential and waiver-focused operating model. T2016 (Habilitation, residential, waiver; per diem) generates $29.6M from 62K claims at $478 avg paid/claim, H2021 (Community-based wrap-around services, per 15 minutes) generates $13.2M from 6.1K claims at $2168 avg paid/claim, and T2033 (Residential care, nos, waiver; per diem) contributes $2M from 1.8K claims at $1122 avg paid/claim — together these figures point to a mix of high-volume per-diem residential habilitation and a smaller number of high-dollar wrap-around encounters.

Competitive standing across these Medicaid codes is modest rather than dominant within New Mexico. T2016 ranks #18 of 40 providers (56th percentile; typical, unremarkable volume), H2021 ranks #33 of 62 providers (48th percentile; typical, unremarkable volume), and T2033 ranks #34 of 39 providers (13th percentile; typical, unremarkable volume), suggesting the provider is a routine participant in state markets for these services rather than a market leader.

The claim-level profile contrasts high-volume, lower-paid per-diem habilitation with lower-volume, high-paid wrap-around services: 62K claims for T2016 at $478 avg paid/claim versus 6.1K claims for H2021 at $2168 avg paid/claim. This mix indicates operational emphasis on steady residential occupancy supplemented by time‑based, higher-dollar community supports.

The provider’s NPI was enumerated on 2017-10-19 (~9 years ago), indicating several years of Medicaid activity to establish state contracts and referral streams; longevity supports visibility into recurring waiver-based revenue patterns.

Ancillary nursing services appear negligible in the billing mix: T1002 shows only 51 claims, $99 avg paid/claim, and $5K in revenue, reinforcing that direct nursing visits are a minor component compared with the dominant residential and wrap-around codes.

Given the combination of single-payer dependence (Medicaid only) and the fact that T2016 + H2021 + T2033 account for 100.0% of reported Medicaid revenue, the provider’s financial performance is operationally sensitive to changes in waiver per-diems, wrap-around rate-setting, or state-level program policy affecting those specific codes.

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
T2016	Habilitation, residential, waiver; per diem	62,030	$480	$29.6M
H2021	Community-based wrap-around services, per 15 minutes	6,090	$2,170	$13.2M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1,810	$1,120	$2M
T1002	Rn services, up to 15 minutes	50	$100	$5K

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

Quality Life Services, LLC — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	18	40	54,080	$360	$22.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	34	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	33	60	6,750	$340	$4.4M
T1002	Rn services, up to 15 minutes	33	40	1,350	$150	$368.7K

Nearby Providers

Other providers in the same ZIP code as Quality Life Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Shadows Home Care Services, Inc	NM	Home Health Agency	$0	$92.9M
Las Cruces Medical Center LLC	NM	General Acute Care Hospital	$0	$86.8M
Addus Healthcare, Inc.	NM	In Home Supportive Care Agency	$0	$81.1M
Phc-las Cruces Inc	NM	General Acute Care Hospital	$0	$64.8M
Las Cruces Physician Services LLC	NM	Orthopaedic Surgery Physician	$0	$62.9M
Multicultural Evaluation & Consultation Associates LLC	NM	Early Intervention Provider Agency	$0	$59.3M
Las Cruces Physician Practices, LLC	NM	Family Medicine Physician	$0	$22.8M
Southwest Emergency Medical Associates Of Nm PC	NM	Emergency Medicine Physician	$0	$20.3M
Milagro De Vida Community Services LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.2M
Joseph B. Furlong, P.A.	NM	Specialist	$0	$14.4M

Quality Life Services, LLC — Billing Profile & Reimbursement Data

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Quality Life Services, LLC — 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