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.

Recovery Omega (NPI 1316692684)

Field	Value
Entity Type	Organization
Organization	Recovery Omega
Address	6105 S Main St Ste 200
City	Aurora
State	CO
ZIP	80016
Taxonomy	Substance Use Disorder Rehabilitation Hospital Unit
NPI Enumerated	February 15, 2022

Payer Source	Total Paid
Medicaid	$4.8M
Medicare	$0

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
H0038	Self‑help/peer services, per 15 minutes	19,490	$110	$2.2M
H0023	Alcohol and/or drug outreach	15,460	$80	$1.3M
H2014	Skills training and development, per 15 minutes	9,200	$110	$1M
H0001	Alcohol and/or drug assessment	1,030	$110	$108.5K
H0004	Behavioral health counseling and therapy, per 15 minutes	1,060	$100	$108.4K
H0032	Mental health service plan development by non-physician	990	$50	$47.6K

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

Recovery Omega — 1 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	50	280	2,330	$210	$4.8M
H2014	Skills training and development, per 15 minutes	13	140	870	$150	$457.7K
H0004	Behavioral health counseling and therapy, per 15 minutes	107	290	480	$70	$280.8K
H0023	Alcohol and/or drug outreach	7	190	360	$60	$163.1K
H0032	Mental health service plan development by non-physician	31	180	120	$40	$61.3K
H0001	Alcohol and/or drug assessment	22	130	200	$110	$61.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hanna Cares, LLC	CO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.5M
Complete Care Counseling Agency	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.5M
Colorado Addiction Recovery Services	CO	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.3M
Reich Healthsystem LLC	CO	In Home Supportive Care Agency	$0	$6.9M
Aw Home Care, Inc	CO	Personal Care Attendant	$0	$5.6M
Monaco And Evans Dental, P.C.	CO	General Practice Dentistry	$0	$5.3M
Me Physical Therapy LLC	CO	Physical Therapist	$0	$4.3M
Capitol Peak Home Care Services	CO	Home Health Agency	$0	$4M
Dennis Oconnell	CO	Ophthalmology Physician	$1.6M	$0
Cher, LLC	CO	Diagnostic Radiology Physician	$244.4K	$232.1K

Recovery Omega — Billing Profile & Reimbursement Data

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Recovery Omega — Billing Profile & Reimbursement Data

Sign up for Recovery Omega — 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