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.

Visions 4 You (NPI 1467934992)

Field	Value
Entity Type	Organization
Organization	Visions 4 You
Address	1229 Lake Plaza Dr Ste D
City	Colorado Springs
State	CO
ZIP	80906
Taxonomy	Home Health Agency
NPI Enumerated	August 31, 2018

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,670	$1,550	$4.1M
H0038	Self‑help/peer services, per 15 minutes	1,920	$720	$1.4M
S5130	Homemaker service, nos; per 15 minutes	450	$830	$373.2K

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

Visions 4 You — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	145	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…	311	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	282	340	3,530	$80	$1.2M

Nearby Providers

Other providers in the same ZIP code as Visions 4 You, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$9.2M
Abba Eye Care PC	CO	Optometrist	$0	$8M
Poudre Valley Medical Group, LLC	CO	Urgent Care Clinic/Center	$0	$6M
Bright Futures Psychiatry LLC	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.9M
Axel Medical Transportation	CO	Non-emergency Medical Transport (VAN)	$0	$5.3M
Crossroads Turning Points Inc	CO	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.2M
Transit To Care, LLC	CO	Non-emergency Medical Transport (VAN)	$0	$4M
Jodie Gallegos	CO	Family Nurse Practitioner	$2.8M	$0
Patricia Balascik	CO	Physical Therapist	$128.1K	$0
Colorado Springs Pathology Associates PC	CO	Clinical Medical Laboratory	$93.3K	$0

Visions 4 You — Billing Profile & Reimbursement Data

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Visions 4 You — Billing Profile & Reimbursement Data

Sign up for Visions 4 You — 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