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.

A Rise Above Home Care (NPI 1487268041)

Field	Value
Entity Type	Organization
Organization	A Rise Above Home Care
Address	1485 Golden Hills Rd
City	Colo Spgs
State	CO
ZIP	80919
Taxonomy	Case Manager/Care Coordinator
NPI Enumerated	September 1, 2020

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	82,180	$50	$3.7M

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

A Rise Above Home Care — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	1	20	3,070	$40	$296.9K

Nearby Providers

Other providers in the same ZIP code as A Rise Above Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Resource Exchange Inc.	CO	Case Management Agency	$0	$40M
Centennial State Lab, LLC	CO	Clinical Medical Laboratory	$1.4M	$33.1M
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23.7M
The Resource Exchange Inc	CO	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Simply Kids Dental	CO	Pediatric Dentistry	$0	$14.5M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.3M
Alpine Autism Center	CO	Specialist	$0	$6.2M
Colorado Springs Imaging LLC	CO	Diagnostic Radiology Physician	$337.4K	$5.3M
Ascent Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$411.2K	$0
Kimberly Wagner	CO	Neurology Physician	$353.4K	$0

A Rise Above Home Care — Billing Profile & Reimbursement Data

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A Rise Above Home Care — Billing Profile & Reimbursement Data

Sign up for A Rise Above Home Care — 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