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.

Ted Hernandez Inc (NPI 1447622634)

Field	Value
Entity Type	Organization
Organization	Ted Hernandez Inc
Address	105 Lehigh Ave
City	Pueblo
State	CO
ZIP	81005
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	October 27, 2015

Payer Source	Total Paid
Medicaid	$26.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	14,310	$1,170	$16.7M
T2021	Day habilitation, waiver; per 15 minutes	14,190	$310	$4.3M
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…	3,150	$1,090	$3.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	2,130	$670	$1.4M
T2003	Non-emergency transportation; encounter/trip	3,910	$180	$718.5K
H2021	Community-based wrap-around services, per 15 minutes	570	$240	$135.7K
S5130	Homemaker service, nos; per 15 minutes	670	$180	$118.6K

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

Ted Hernandez Inc — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	60	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…	294	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	73	290	3,700	$160	$2.3M
S5130	Homemaker service, nos; per 15 minutes	266	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	58	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	38	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	124	280	2,640	$20	$881.3K

Nearby Providers

Other providers in the same ZIP code as Ted Hernandez Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pueblo Diversified Industries, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$17.8M
Abc Home Health Care Personal Services,inc	CO	Home Health Agency	$0	$15.1M
Boone Guest Home	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$11.8M
Pawel R Bielecki, Dds, PC	CO	General Practice Dentistry	$0	$11.5M
Yah Vision	CO	Optometrist	$0	$7M
Hv Pueblo South LLC	CO	Clinic/Center	$0	$6.3M
South Pueblo Dental Partners LLP	CO	General Practice Dentistry	$0	$5.8M
Yah Ortho Inc	CO	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$5.7M
Adapthealth West, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$4.5M
Pdsc PC	CO	General Practice Dentistry	$0	$4M

Ted Hernandez Inc — Billing Profile & Reimbursement Data

Sign up for Ted Hernandez Inc — Billing Profile & Reimbursement Data policy alerts

Ted Hernandez Inc — Billing Profile & Reimbursement Data

Sign up for Ted Hernandez Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References