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.

North Pointe Gardens (NPI 1336510114)

Field	Value
Entity Type	Organization
Organization	North Pointe Gardens
Address	3777 Parker Blvd
City	Pueblo
State	CO
ZIP	81008
Taxonomy	Assisted Living Facility
NPI Enumerated	October 19, 2015

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	4,730	$1,560	$7.4M

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

North Pointe Gardens — 0 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2031	Assisted living; waiver, per diem	26	140	840	$690	$1.9M

Nearby Providers

Other providers in the same ZIP code as North Pointe Gardens, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$28.9M
Southern Colorado Clinic PC	CO	Clinic/Center	$0	$17.4M
Rapid Medical, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$13.1M
Colorado Bluesky Enterprises, Inc	CO	Case Management Agency	$0	$13M
Park West Vision, LLC	CO	Optometrist	$0	$12.1M
North Pueblo Dental Partners	CO	Dental Clinic/Center	$0	$10M
Colorado Bluesky Enterprises, Inc	CO	Case Management Agency	$0	$9.1M
Mike Jordan	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.1M
Front Range Urgent Care, Inc.	CO	Urgent Care Clinic/Center	$0	$4.7M
Curley Peak Dentistry PLLC	CO	Pediatric Dentistry	$0	$4.5M

North Pointe Gardens — Billing Profile & Reimbursement Data

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North Pointe Gardens — Billing Profile & Reimbursement Data

Sign up for North Pointe Gardens — 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