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.

A Circle Of Care Colorado, LLC. (NPI 1306303680)

Field	Value
Entity Type	Organization
Organization	A Circle Of Care Colorado, LLC.
Address	1365 Garden Of The Gods Rd Ste 100
City	Colorado Springs
State	CO
ZIP	80907
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	February 22, 2019

Payer Source	Total Paid
Medicaid	$101.8M
Medicare	$0

Key Findings

A CIRCLE OF CARE COLORADO, LLC. is effectively a single-payer Medicaid provider with no Medicare billing on file; the profile shows Total Medicare revenue: none and Total Medicaid revenue: $101.8M, indicating Medicaid is the sole recorded source of programmatic revenue in this dataset. This strongly frames any operational, competitive, or utilization analysis around Medicaid service lines rather than Medicare-oriented care.

Medicaid revenue is highly concentrated in a single service line: H0038 (Self-help/peer services, per 15 minutes) accounts for $101.8M and is reported as 100.0% of this provider's total Medicaid revenue. This concentration signals that the organization’s operations and financial performance are driven almost exclusively by delivery of peer support/self-help services.

The activity mix—378.3K claims for H0038 at an average paid/claim of $269—indicates a high-volume, unit-based delivery model focused on short-interval, per-15-minute encounters typical of peer support programs. The unit and reimbursement pattern suggest the organization operates many brief, repeatable contacts rather than a small number of high-dollar episodic services.

Competitive standing within Colorado for the top code is dominant: the provider ranks #3 of 276 in-state providers for H0038 and is described as in the 99th percentile and an "extreme outlier, far above typical state volume for this code." This positioning indicates the provider is one of the largest single suppliers of peer/self-help services in the state by volume and revenue for that code.

Secondary Medicaid code activity is negligible: T2034 (Crisis intervention, waiver; per diem) shows 25 claims with $0 average paid/claim and $0 revenue, and ranks #159 of 162 providers in-state. This low or non-revenue-producing activity implies the provider’s service mix does not meaningfully include per-diem crisis-waiver billing despite a small number of recorded encounters.

NPI enumeration date of 2019-02-22 (~7 years ago) signals a relatively recent market entry compared with long-established institutions; within around seven years the provider has scaled to $101.8M in Medicaid revenue driven almost entirely by H0038, suggesting rapid growth or niche specialization in peer/self-help services.

Because H0038 accounts for the entire reported Medicaid revenue, the provider faces concentrated operational and reimbursement risk tied to policy, rate changes, or utilization shifts for that single service line. Any changes to Medicaid coverage, per-claim payment levels, or program rules for peer/self-help services would likely have an outsized impact on the provider’s financial performance.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	378,250	$270	$101.8M
T2034	Crisis intervention, waiver; per diem	30	$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

A Circle Of Care Colorado, LLC. — 1 of 1 code 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	3	280	2,330	$210	$4.8M
T2034	Crisis intervention, waiver; per diem	159	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as A Circle Of Care Colorado, LLC., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Physicians Home Care	CO	In Home Supportive Care Agency	$0	$247.9M
Goodwill Of Colorado	CO	Home Health Agency	$0	$33.3M
Stellar Care And Services, LLC	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$31M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$25.2M
American Medical Response Of Colorado Inc	CO	Ambulance	$3.4M	$21.6M
Special Kids Special Families	CO	Developmentally Disabled Services Day Training Agency	$0	$24.8M
Lucas Inc	CO	Respite Care	$0	$23.6M
Achieve Whole Recovery, PC	CO	Specialist	$0	$22.7M
Loving Care Agency, Inc.	CO	In Home Supportive Care Agency	$0	$18.2M
United Seating And Mobility LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$15.4M

A Circle Of Care Colorado, LLC. — Billing Profile & Reimbursement Data

Sign up for A Circle Of Care Colorado, LLC. — Billing Profile & Reimbursement Data policy alerts

A Circle Of Care Colorado, LLC. — Billing Profile & Reimbursement Data

Sign up for A Circle Of Care Colorado, LLC. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References