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.

Laradon Hall Society For Exceptional Children And Adults (NPI 1376992339)

Field	Value
Entity Type	Organization
Organization	Laradon Hall Society For Exceptional Children And Adults
Address	5100 Lincoln St
City	Denver
State	CO
ZIP	80216
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	June 9, 2016

Payer Source	Total Paid
Medicaid	$51.1M
Medicare	$0

Key Findings

LARADON HALL SOCIETY FOR EXCEPTIONAL CHILDREN AND ADULTS is effectively a Medicaid-focused provider with no Medicare billing on file and $51.1M in lifetime Medicaid revenue, indicating the organization’s business is built almost entirely around state Medicaid-funded services rather than Medicare populations. This single-payer concentration shapes both revenue risk and operational dependency on Medicaid program policy and reimbursement for developmental disability services.

Revenue is highly concentrated in a small set of habilitation codes: the top 3 Medicaid codes account for 98.1% of the provider’s total Medicaid revenue, signaling heavy dependence on a narrow service mix. This concentration suggests that changes in reimbursement, authorizations, or utilization for those specific codes would materially affect the provider’s financials.

T2016 (Habilitation, residential, waiver; per diem) is the largest single revenue driver with $34.8M (68.1% of Medicaid revenue), 227.6K claims and a $153 avg paid/claim, and the provider ranks #11 of 191 in-state (95th percentile), which indicates it is a high-volume residential habilitation provider relative to peers. The prominence of T2016 revenues points to a substantial residential habilitation operation and suggests housing and around-the-clock support services are a core business line.

T2021 (Day habilitation, waiver; per 15 minutes) is an outsized programmatic focus: 202K claims, $66 avg paid/claim, $13.3M revenue (26.1% of Medicaid revenue) and a #1 rank of 290 providers in-state (100th percentile, extreme outlier). Being the state’s top reporter on T2021 and described as an "extreme outlier" implies this provider operates a very large day habilitation program relative to peers and likely captures a dominant share of in-state per-minute day habilitation delivery.

T2019 (Habilitation, supported employment, waiver; per 15 minutes) contributes $2M (3.9% of Medicaid revenue) across 27.8K claims with a $72 avg paid/claim and ranks #6 of 102 providers in-state (95th percentile), indicating a meaningful but smaller supported-employment service line relative to the provider’s residential and day habilitation volumes. The higher-than-typical ranking for T2019 suggests the organization also maintains a competitive presence in employment supports within the state.

Lower-revenue codes such as T2003 (Non-emergency transportation; encounter/trip) and H2019 (Therapeutic behavioral services, per 15 minutes) appear as ancillary services: T2003 produced $491.5K (1.0% of Medicaid revenue) and ranks #38 of 283 (87th percentile), while H2019 produced $376K (0.7% of Medicaid revenue) and ranks #23 of 99 (78th percentile). These figures suggest the provider offers transportation and behavioral services to support core habilitation programs but does not rely on them for the majority of revenue.

The provider’s NPI was enumerated on 2016-06-09 (~10 years ago), reflecting roughly a decade of participation in Medicaid billing under the current identifier. This tenure combined with top-state rankings on key codes implies an established operational footprint in Colorado’s developmental disability services market, with program scale concentrated in residential and day habilitation offerings.

From a competitive standpoint, LARADON HALL is a major in-state player for its primary lines: it is an extreme outlier for T2021 and ranks in the 95th percentile or above for both T2016 and T2019, which collectively drive 98.1% of its Medicaid revenue. For payers and analysts, the provider should be viewed as a specialized, high-volume Medicaid habilitation provider whose business profile is concentrated in residential and day habilitation services and therefore sensitive to policy or utilization shifts affecting those specific waiver codes.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	227,600	$150	$34.8M
T2021	Day habilitation, waiver; per 15 minutes	202,040	$70	$13.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	27,840	$70	$2M
T2003	Non-emergency transportation; encounter/trip	25,870	$20	$491.5K
H2019	Therapeutic behavioral services, per 15 minutes	7,520	$50	$375.9K
T2004	Non-emergency transport; commercial carrier, multi-pass	6,640	$10	$59.8K
T2024	Service assessment/plan of care development, waiver	1,110	$50	$53.3K
T2028	Specialized supply, not otherwise specified, waiver	60	$60	$3.4K
T2034	Crisis intervention, waiver; per diem	4,090	$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

Laradon Hall Society For Exceptional Children And Adults — 2 of 8 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	11	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	1	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	6	100	1,940	$200	$1.5M
T2003	Non-emergency transportation; encounter/trip	38	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	23	100	1,090	$90	$600.8K
T2024	Service assessment/plan of care development, waiver	33	70	880	$90	$455.1K
T2004	Non-emergency transport; commercial carrier, multi-pass	8	40	1,390	$10	$303.7K
T2028	Specialized supply, not otherwise specified, waiver	21	20	1,320	$50	$251.2K
T2034	Crisis intervention, waiver; per diem	7	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Laradon Hall Society For Exceptional Children And Adults, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aerocare Holdings LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$4.8M
Lincare Inc	CO	Oxygen Equipment & Supplies (DME)	$0	$4.2M
Aerocare Holdings, Inc	CO	Oxygen Equipment & Supplies (DME)	$0	$3.5M
Advanced Pharmacy Services LLC	CO	Long Term Care Pharmacy	$89.8K	$0
Kathryn Hubbard	CO	Family Nurse Practitioner	$18.3K	$0

Laradon Hall Society For Exceptional Children And Adults — Billing Profile & Reimbursement Data

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Laradon Hall Society For Exceptional Children And Adults — Billing Profile & Reimbursement Data

Sign up for Laradon Hall Society For Exceptional Children And Adults — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References