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 Southern Colorado, LLC (NPI 1376967695)

Field	Value
Entity Type	Organization
Organization	Peoplecare Of Southern Colorado, LLC
Address	201 W 8th St Ste 810
City	Pueblo
State	CO
ZIP	81003
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	February 6, 2014

Payer Source	Total Paid
Medicaid	$34.2M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: it has no Medicare billing on file and reports $34.2M in lifetime Medicaid revenue, indicating Medicaid is the sole material payer population in the dataset for PEOPLECARE OF SOUTHERN COLORADO, LLC. The absence of Medicare activity suggests the entity’s services and contracts are focused on Medicaid-covered in-home supportive care rather than traditional Medicare-covered home health services.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 99.8% of this provider’s total Medicaid revenue, signaling that a few service lines drive almost all reported Medicaid income and that changes to reimbursement or utilization for those codes would have outsized impact on overall revenues.

T1019 is a primary revenue driver and defines much of the organization’s operational footprint: the provider billed 231.7K claims for T1019 (Personal care services, per 15 minutes) with an average paid per claim of $53, generating $12.3M or 35.9% of its Medicaid revenue. T1019 ranks #8 of 475 providers in-state (99th percentile) and is labeled an "extreme outlier, far above typical state volume," which positions the organization as an unusually large statewide provider of Medicaid personal care services.

H0038 is the single-largest Medicaid code by revenue, consistent with substantial behavioral health peer/self-help activity within the in-home supportive care mix: the provider recorded 212.1K claims for H0038 (Self-help/peer services, per 15 minutes) at $97 avg paid/claim, producing $20.6M or 60.2% of Medicaid revenue. H0038 ranks #7 of 276 providers in-state (98th percentile) and is described as "notably above typical state volume," indicating the provider is a major state-level participant in peer/self-help service delivery.

Smaller ancillary service lines are present but immaterial to total revenue: S5130 (Homemaker service, per 15 minutes) generated 29K claims and $1.3M (3.7% of Medicaid revenue), ranking #30 of 342 providers in-state (91st percentile), which is typical and unremarkable in scale relative to peers. S5161 (Emergency response system; service fee, per month) accounted for 1K claims and $65.2K (0.2% of Medicaid revenue) and ranks #43 of 51 providers in-state (16th percentile), indicating minimal reliance on monitored emergency response services.

From a competitive-standing perspective, the provider is a dominant specialist for its top codes within Colorado: ranking in the 98th–99th percentiles for H0038 and T1019 places the entity among the very largest in-state providers for both peer/self-help and personal care services, implying meaningful operational scale and market presence in those service lines.

The service-code mix aligns with its taxonomy as an In Home Supportive Care Agency: heavy billing for T1019 and S5130 reflects hands-on personal care and homemaker support delivered in-home, while the outsized H0038 volume indicates a substantial component of peer/self-help behavioral health services integrated into its care model. This combination suggests the organization operates at the intersection of personal care and behavioral health peer support within Medicaid.

Operational and reimbursement risk is concentrated: because H0038 and T1019 together constitute the large majority of Medicaid revenue (60.2% and 35.9% respectively) and the top three codes account for 99.8% of revenue, the provider’s financial performance is highly sensitive to utilization changes, audit focus, or policy shifts affecting those specific codes. Finally, the supplier has been established for a substantial period—NPI enumerated 2014-02-06 (~12 years ago)—indicating an established operating history in the state’s Medicaid market rather than a newly created entity.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	212,150	$100	$20.6M
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…	231,680	$50	$12.3M
S5130	Homemaker service, nos; per 15 minutes	28,970	$40	$1.3M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	1,020	$60	$65.2K

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 Southern Colorado, LLC — 2 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	7	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…	8	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	30	340	3,530	$80	$1.2M
S5161	Emergency response system; service fee, per month (excludes installation and testing)	43	50	3,160	$40	$382.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parkview Medical Center, Inc.	CO	General Acute Care Hospital	$0	$20.7M
Pueblo Community Resources Co. Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.3M
Park West Dental PC	CO	General Practice Dentistry	$0	$13.5M
Rocky Mountain Vein Institute Professional LLC	CO	Vascular & Interventional Radiology Physician	$0	$9.8M
Interim Healthcare Of Southeastern Colorado, Inc.	CO	In Home Supportive Care Agency	$0	$8.7M
Lincare Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$7.2M
Community Residential & Respite, LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.3M
Pueblo Pulmonary Associates	CO	Pulmonary Disease Physician	$0	$5.3M
Southern Colorado Radiologists, P.C.	CO	Specialist	$0	$4.4M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$4.3M

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

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Peoplecare Of Southern 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