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.

Oakshire Gardens (NPI 1356712129)

Field	Value
Entity Type	Organization
Organization	Oakshire Gardens
Address	2400 Oakshire Ln
City	Pueblo
State	CO
ZIP	81001
Taxonomy	Assisted Living Facility
NPI Enumerated	October 19, 2015

Payer Source	Total Paid
Medicaid	$14.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	9,320	$1,590	$14.8M

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

Oakshire 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	12	140	840	$690	$1.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Solutions	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.6M
Argus Home Care Inc	CO	Home Health Agency	$0	$24.9M
Pueblo Community Health Center Inc	CO	Federally Qualified Health Center (FQHC)	$0	$7.7M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$7M
Pueblo Community Health Center Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$6M
Family & Kids Dental PC	CO	General Practice Dentistry	$0	$4.9M
Richard Rivera Mdpc	CO	Health Service Clinic/Center	$0	$4.3M
Rocky Mountain Eye Center Inc A Colorado Provider Network	CO	Ophthalmology Physician	$0	$3.9M
Pueblo Ambulatory Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$273K	$968K
Skyline Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$358.4K	$238K

Oakshire Gardens — Billing Profile & Reimbursement Data

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Oakshire Gardens — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References