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.

Wellspring Community (NPI 1306291968)

Field	Value
Entity Type	Organization
Organization	Wellspring Community
Address	826 Park St
City	Castle Rock
State	CO
ZIP	80109
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	May 2, 2016

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	54,590	$100	$5.5M
T2003	Non-emergency transportation; encounter/trip	21,200	$70	$1.4M
T2034	Crisis intervention, waiver; per diem	2,260	$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

Wellspring Community — 0 of 2 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	18	290	3,700	$160	$2.3M
T2003	Non-emergency transportation; encounter/trip	45	280	2,640	$20	$881.3K
T2034	Crisis intervention, waiver; per diem	15	160	360	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain Lane Home Healthcare, LLC	CO	Home Health Agency	$0	$11.5M
Castle Rock Surgicenter, LLC	CO	Ambulatory Surgical Clinic/Center	$732.3K	$0
Sdg Castle Rock Endoscopy Center	CO	Ambulatory Surgical Clinic/Center	$311.8K	$0
Steven Christiansen	CO	Ophthalmology Physician	$302.9K	$0
James Jensen	CO	Dermatology Physician	$262.5K	$0
Katarzyna Kocol	CO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$140.4K	$0
Anthony Cedrone	CO	Interventional Cardiology Physician	$126.3K	$0
Anthony Sanchez	CO	Sports Medicine (Orthopaedic Surgery) Physician	$117.4K	$0
Maneesh Gupta	CO	Gastroenterology Physician	$109K	$0
David Archibald	CO	Facial Plastic Surgery Physician	$97.6K	$0

Wellspring Community — Billing Profile & Reimbursement Data

Sign up for Wellspring Community — Billing Profile & Reimbursement Data policy alerts

Wellspring Community — Billing Profile & Reimbursement Data

Sign up for Wellspring Community — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References