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 New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Lessons Of Life, LLC (NPI 1386809473)

Field	Value
Entity Type	Organization
Organization	Lessons Of Life, LLC
Address	5025 Meadow Cir
City	Las Cruces
State	NM
ZIP	88007
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	July 28, 2008

Payer Source	Total Paid
Medicaid	$61.1M
Medicare	$0

Key Findings

LESSONS OF LIFE, LLC is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $61.1M in lifetime Medicaid revenue, indicating its operating scale is concentrated in Medicaid-funded developmental disability services rather than Medicare-payable services. This payer concentration implies financial and operational exposure primarily to Medicaid policy and waiver program changes.

Revenue for this provider is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes account for 99.9% of its total Medicaid revenue, signaling reliance on a narrow set of waiver and residential habilitation services for the bulk of receipts. Such concentration suggests that shifts in reimbursement or utilization for those codes would materially affect overall revenue.

The provider’s code mix and taxonomy (Developmentally Disabled Services Day Training Agency) align with residential habilitation and community wrap-around service delivery: T2016 (habilitiation, residential, waiver; per diem), T2033 (residential care, nos, waiver; per diem) and H2021 (community-based wrap-around services; per 15 minutes) together dominate billing, which is consistent with an organization operating both per-diem residential programs and time-based community supports. This operational footprint implies staffing and facility commitments associated with 24/7 residential care plus intensive community support services.

T2016 is the single largest revenue driver: 96.4K claims at $374 avg paid/claim produced $36M in revenue, representing 59.0% of the provider’s Medicaid revenue. The provider ranks #7 of 40 in-state for T2016 (85th percentile), which the data characterizes as a typical, unremarkable volume for this code; this indicates an above-average but not dominant statewide position in residential habilitation per diems.

H2021 is the second-largest contributor by dollar value: 8.7K claims at $1566 avg paid/claim yielded $13.6M, or 22.2% of Medicaid revenue. With a rank of #24 of 62 in-state (62th percentile) and described as typical/unremarkable, the provider is a modest participant in community-based wrap-around services rather than a leading statewide provider for this 15-minute, time-based code.

T2033 accounts for $11.4M (18.7% of Medicaid revenue) from 11.1K claims at $1030 avg paid/claim; the provider ranks #20 of 39 in-state (50th percentile) and is characterized as typical/unremarkable for this residential-care per-diem code. This mid-market placement suggests the provider maintains a meaningful but not exceptional footprint in residential care segments of the waiver system.

A small residual service line, T2025, is negligible to overall scale: 131 claims at $448 avg paid/claim produced $58.7K (0.1% of Medicaid revenue) and the provider ranks #34 of 35 in-state (3th percentile), signaling that this waiver NOS code is not a material part of the business. The presence of this minor billing line further underscores how narrowly revenue sources are focused on the top three codes.

The provider has established tenure in the market, with an NPI enumerated on 2008-07-28 (~18 years ago), which combined with $61.1M in Medicaid receipts and concentrated specialization suggests an experienced operator within New Mexico’s developmental disability waiver and residential habilitation ecosystem. However, the lack of any Medicare billing means strategic growth or diversification would require expansion into new payer lines or service types if desired.

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
T2016	Habilitation, residential, waiver; per diem	96,380	$370	$36M
H2021	Community-based wrap-around services, per 15 minutes	8,670	$1,570	$13.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	11,070	$1,030	$11.4M
T2025	Waiver services; not otherwise specified (nos)	130	$450	$58.7K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

Lessons Of Life, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	7	40	54,080	$360	$22.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	20	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	24	60	6,750	$340	$4.4M
T2025	Waiver services; not otherwise specified (nos)	34	40	1,010	$360	$1.6M

Nearby Providers

Other providers in the same ZIP code as Lessons Of Life, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Links Of Life LLC	NM	Developmentally Disabled Services Day Training Agency	$0	$54.2M
La Clinica De Familia, Incorporated	NM	Federally Qualified Health Center (FQHC)	$0	$17.3M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$2.2M
Walgreen Co	NM	Pharmacy	$115.4K	$0
Geetanjali Dodson	NM	Family Medicine Physician	$112.6K	$0
Syed Rafique Ahmed	NM	Internal Medicine Physician	$82.5K	$0

Lessons Of Life, LLC — Billing Profile & Reimbursement Data

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Lessons Of Life, 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