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.

Integrated Life Choices (NPI 1376040303)

Field	Value
Entity Type	Organization
Organization	Integrated Life Choices
Address	7800 S Elati St
City	Littleton
State	CO
ZIP	80120
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 6, 2018

Payer Source	Total Paid
Medicaid	$123.6M
Medicare	$0

Key Findings

INTEGRATED LIFE CHOICES is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and its lifetime Medicaid revenue is $123.6M, indicating the organization operates almost entirely within Medicaid-funded programs. Its NPI was enumerated on 2018-04-06 (~8 years ago), so this scale of Medicaid billing has been achieved within an approximately eight‑year operating window.

Revenue is heavily concentrated in a very small set of service lines: the precomputed top three Medicaid codes (T2016, T2021, H2021) account for 83.7% of the provider's total Medicaid revenue. Those three codes—T2016 ($87.3M, 70.6%), T2021 ($9.3M, 7.6%), and H2021 ($6.8M, 5.5%)—drive the vast majority of reported Medicaid dollars for this entity.

The code mix signals an operational focus on long‑term habilitation and high‑volume day services: T2016 (Habilitation, residential, waiver; per diem) dominates revenue, while T2021 (Day habilitation, waiver; per 15 minutes) and H2021 (Community‑based wrap‑around services, per 15 minutes) indicate substantial day‑program activity and care coordination. Combined, these codes suggest the provider runs residential habilitation settings together with intensive day habilitation and wrap‑around supports rather than episodic clinical encounters.

Competitive standing within Colorado is concentrated and in some cases extreme: T2016 ranks #3 of 191 providers in‑state (99th percentile) and is labeled an "extreme outlier, far above typical state volume for this code," signaling that the provider is a dominant statewide participant for residential habilitation billing. T2021 also appears as an "extreme outlier" (rank #6 of 290; 98th percentile), while H2021 is ranked #3 of 102 (98th percentile) but categorized as a "typical, unremarkable volume for this code," indicating high absolute activity but a different comparative interpretation for wrap‑around services.

Beyond the top three codes, several high‑volume ancillary service lines support operations and client needs: S5130 (Homemaker service; 137.7K claims, $6.2M, 5.0% of Medicaid revenue; rank #4 of 342, 99th percentile) and S5150 (Unskilled respite care; 60.4K claims, $5.3M, 4.3%; rank #2 of 86, 99th percentile) reflect sizable homemaker and respite capacity. Additional high claim counts for T1019 (90.5K claims, $3.7M) and T2003 (111.2K claims, $3.0M) underscore that personal care and non‑emergency transportation are meaningful operational components rather than marginal add‑ons.

Utilization patterns show very high claim volumes consistent with per‑diem and per‑15‑minute billing models: for example, T2016 has 602K claims, T2021 has 108.7K claims, S5130 has 137.7K claims, and T2003 has 111.2K claims. These counts indicate sustained, frequent service delivery across residential habilitation, day habilitation, homemaker, and transportation services rather than low‑frequency episodic care.

The heavy concentration of revenue in T2016 ($87.3M, 70.6% of Medicaid revenue) implies operational and reimbursement sensitivity: policy, rate, eligibility, or authorization changes affecting T2016 could materially impact overall revenue. While diversification into day habilitation, wrap‑around, homemaker, and respite services partially spreads operational scope, the business remains highly dependent on one dominant code group.

Taken together, the provider presents as an established Medicaid‑focused habilitation operator: NPI tenure (~8 years) plus $123.6M in lifetime Medicaid revenue and top‑ranked in‑state positions on multiple waiver codes indicate organizational maturity and significant in‑state market share for residential and day habilitation services. The profile is consistent with a large, specialized developmental disability services agency concentrated in waiver‑funded care pathways.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	602,020	$150	$87.3M
T2021	Day habilitation, waiver; per 15 minutes	108,670	$90	$9.3M
H2021	Community-based wrap-around services, per 15 minutes	66,710	$100	$6.8M
S5130	Homemaker service, nos; per 15 minutes	137,720	$50	$6.2M
S5150	Unskilled respite care, not hospice; per 15 minutes	60,450	$90	$5.3M
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…	90,480	$40	$3.7M
T2003	Non-emergency transportation; encounter/trip	111,200	$30	$3M
S5151	Unskilled respite care, not hospice; per diem	14,910	$130	$1.9M
S5100	Day care services, adult; per 15 minutes	1,940	$70	$140K
T2034	Crisis intervention, waiver; per diem	840	$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

Integrated Life Choices — 6 of 9 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	3	190	3,890	$290	$12.4M
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…	27	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	6	290	3,700	$160	$2.3M
S5130	Homemaker service, nos; per 15 minutes	4	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	3	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	2	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	3	280	2,640	$20	$881.3K
S5151	Unskilled respite care, not hospice; per diem	3	40	640	$130	$453.2K
S5100	Day care services, adult; per 15 minutes	3	10	740	$100	$158.9K
T2034	Crisis intervention, waiver; per diem	37	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Integrated Life Choices, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caps - Mental Health And Dui Services, LLC	CO	Community/Behavioral Health Agency	$0	$6.8M
Actualize Behavior Alternatives	CO	Clinical Social Worker	$0	$6.4M
Andy M. Fine, M.d., Inc	CO	Internal Medicine Physician	$0	$3.8M
Rocky Mountain Health & Rehab, LLC	CO	Physical Therapist	$0	$3.5M
Manojkumar Bupathi	CO	Hematology & Oncology Physician	$1.4M	$0
Functional Neurosurgical Ambulatory Surgery Center,llc	CO	Ambulatory Surgical Clinic/Center	$955.9K	$0
Arapahoe Surgicenter, LLC	CO	Ambulatory Surgical Clinic/Center	$452K	$353.4K
Charles Leonard	CO	Radiation Oncology Physician	$495.5K	$0
Littleton Day Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$384.3K	$0
Marie Weeks	CO	Radiation Oncology Physician	$355.2K	$0

Integrated Life Choices — Billing Profile & Reimbursement Data

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Integrated Life Choices — 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