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.

Goldstar Learning Options, Inc (NPI 1477910081)

Field	Value
Entity Type	Organization
Organization	Goldstar Learning Options, Inc
Address	7000 Broadway Ste 208
City	Denver
State	CO
ZIP	80221
Taxonomy	Attendant Care Provider
NPI Enumerated	January 27, 2016

Payer Source	Total Paid
Medicaid	$9.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	34,080	$100	$3.2M
H2021	Community-based wrap-around services, per 15 minutes	10,460	$150	$1.5M
H0046	Mental health services, not otherwise specified	9,080	$160	$1.4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	7,240	$180	$1.3M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	4,230	$180	$752.2K
H2019	Therapeutic behavioral services, per 15 minutes	5,780	$100	$572.1K
S5150	Unskilled respite care, not hospice; per 15 minutes	6,090	$80	$462.6K
T2003	Non-emergency transportation; encounter/trip	12,570	$20	$238.7K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1,830	$60	$100.8K
S5130	Homemaker service, nos; per 15 minutes	1,030	$40	$42.1K

Showing 1–10 of 15

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

Goldstar Learning Options, Inc — 0 of 14 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	37	290	3,700	$160	$2.3M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	36	150	2,450	$270	$1.5M
S5130	Homemaker service, nos; per 15 minutes	236	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	10	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	19	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	69	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	27	100	1,090	$90	$600.8K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	23	150	800	$210	$457.9K
T2024	Service assessment/plan of care development, waiver	55	70	880	$90	$455.1K
H0046	Mental health services, not otherwise specified	5	60	1,380	$140	$397.2K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Goldstar Learning Options, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rocky Mountain Medical Equipment LLC	CO	Oxygen Equipment & Supplies (DME)	$0	$34.8M
Mile High Homecare LLC	CO	In Home Supportive Care Agency	$0	$22.4M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$22.3M
Apex Paramedics, LLC.	CO	Ambulance	$1.5M	$10.2M
Goldstar Learning Options, Inc	CO	Behavior Analyst	$0	$4.2M

Goldstar Learning Options, Inc — Billing Profile & Reimbursement Data

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Goldstar Learning Options, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References