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.

Peoplecare Of Western Colorado, LLC (NPI 1356613244)

Field	Value
Entity Type	Organization
Organization	Peoplecare Of Western Colorado, LLC
Address	300 Stafford Ln Ste 30240
City	Delta
State	CO
ZIP	81416
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	February 7, 2012

Payer Source	Total Paid
Medicaid	$59.5M
Medicare	$0

Key Findings

PEOPLECARE OF WESTERN COLORADO, LLC reports $59.5M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operator in the available data. Its NPI was enumerated on 2012-02-07 (~14 years ago), indicating more than a decade of active enrollment in federal provider systems.

Revenue is extremely concentrated: the provider's top three Medicaid codes account for 99.6% of its total Medicaid revenue, with H0038 representing 73.5%, T1019 19.7%, and S5130 6.4%. This narrow code mix indicates that nearly all Medicaid dollars flow through a very small set of time-based home- and community-based service codes.

The code mix and descriptions point to a core business focused on time-based, in-home supportive services and peer support rather than episodic clinical care. H0038 (Self-help/peer services, per 15 minutes) accounts for $43.7M of revenue and 319.3K claims, while T1019 (Personal care services, per 15 minutes) contributes $11.7M on 244K claims, signaling an operational model built around high-volume, per-15-minute delivery of peer and personal care.

PEOPLECARE is a statewide heavyweight on its two dominant codes: H0038 ranks #5 of 276 providers in-state and is characterized as an "extreme outlier" at the 99th percentile, and T1019 ranks #6 of 475 providers in-state also at the 99th percentile and labeled an "extreme outlier." These rankings indicate the provider operates at a scale far above typical state volume for those service lines and is a major market participant for peer-support and personal care services.

S5130 (Homemaker service, per 15 minutes) is the third-largest revenue driver with $3.8M from 90.6K claims (6.4% of Medicaid revenue) and is ranked #7 of 342 providers in-state at the 98th percentile; despite the high rank, the available labels describe this as a typical, unremarkable volume for that code, suggesting the provider's true dominance is concentrated in H0038 and T1019.

Several ancillary codes produce only a small share of revenue and reflect peripheral service lines rather than core operations: S5161 (Emergency response system; service fee, per month) generated $157.2K on 2.4K claims (0.3% of revenue) and ranks #31 of 51 (40th percentile), while S5185 (Medication reminder service, non-face-to-face; per month) produced $92.3K on 1.3K claims (0.2% of revenue) and ranks #17 of 27 (38th percentile). These lower-percentile ranks indicate typical, modest participation in these niche service categories.

From a risk and strategic perspective, the provider's dependence on Medicaid and on a very small set of time-based community care codes creates concentration risk: policy, rate, or utilization changes for H0038 or T1019 would materially affect overall revenue given those codes together make up 93.2% of revenue (H0038 73.5% + T1019 19.7%) within the precomputed top-three breakdown. The absence of Medicare billing suggests limited diversification across payers and a business model tightly aligned with Medicaid-funded home and community-based services.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	319,330	$140	$43.7M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	244,020	$50	$11.7M
S5130	Homemaker service, nos; per 15 minutes	90,560	$40	$3.8M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2,420	$70	$157.2K
S5185	Medication reminder service, non-face-to-face; per month	1,340	$70	$92.3K

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

Peoplecare Of Western Colorado, LLC — 3 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	5	280	2,330	$210	$4.8M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	6	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	7	340	3,530	$80	$1.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	31	50	3,160	$40	$382.1K
S5185	Medication reminder service, non-face-to-face; per month	17	30	1,560	$40	$135K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Olathe Community Clinic Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.5M
Delta County Memorial Hospital	CO	Rural Acute Care Hospital	$0	$4.9M
Mountain Taxi	CO	Taxi	$0	$4.6M
Delta County Memorial Hospital	CO	Rural Acute Care Hospital	$0	$4M
Delta County Ambulance District	CO	Land Ambulance	$440.5K	$1M
John Knutson	CO	Orthopaedic Surgery Physician	$239.5K	$0
Daniel Olson	CO	Neuromusculoskeletal Medicine & OMM Physician	$126.5K	$0
Michelle Purvis	CO	Family Medicine Physician	$110.4K	$0
Douglas Huene	CO	Orthopaedic Surgery Physician	$107.6K	$0
Marcela Abuid	CO	Specialist	$87.7K	$0

Peoplecare Of Western Colorado, LLC — Billing Profile & Reimbursement Data

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Peoplecare Of Western Colorado, 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