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.

Stellar Care And Services, LLC (NPI 1497071930)

Field	Value
Entity Type	Organization
Organization	Stellar Care And Services, LLC
Address	1150 Elkton Dr
City	Colorado Springs
State	CO
ZIP	80907
Taxonomy	Child Intellectual and/or Developmental Disabilities Respite Care
NPI Enumerated	April 8, 2010

Payer Source	Total Paid
Medicaid	$31M
Medicare	$0

Key Findings

STELLAR CARE AND SERVICES, LLC is effectively a Medicaid-focused provider with no Medicare billing on file and $31M in total Medicaid revenue; this places the organization as a single‑payer operation in practice rather than a mixed Medicare/Medicaid billing entity. The absence of Medicare data means payer-mix analysis should be centered on Medicaid program dynamics and waiver-based service delivery in Colorado.

Revenue concentration is extremely high: the precomputed top three Medicaid codes account for 99.9% of the provider's total Medicaid revenue. Within that set, T2016 is the largest single revenue driver ($23M, 74.3% of Medicaid revenue) followed by T2021 ($6.6M, 21.2%) and T2003 ($1.4M, 4.5%), indicating most financial exposure is tied to a very small set of services.

The code mix (T2016 – Habilitation, residential, waiver; T2021 – Day habilitation, waiver; and T2003 – Non-emergency transportation) indicates the business is primarily delivering waiver-funded habilitation services with an integrated residential and day-program model. High volumes of per‑diem residential habilitation and per‑15-minute day habilitation claims suggest ongoing, repeated service delivery to a stable population of children with intellectual and developmental disabilities.

Volume metrics reinforce an operational scale in these service lines: T2016 shows 152.4K claims with an average paid/claim of $151, T2021 shows 89.9K claims with an average paid/claim of $73, and T2003 shows 66.3K claims with an average paid/claim of $21. These claim counts reflect large, recurring utilization across residential, day habilitation, and transportation services rather than sporadic episodic care.

Competitive standing in-state is mixed by code: for T2021 the provider ranks #9 of 290 (97th percentile) and is described as notably above typical state volume, indicating a strong position in day habilitation relative to peers. By contrast, T2016 ranks #14 of 191 (93th percentile) and is labeled typical/unremarkable for that code, so while residential habilitation generates the largest revenue dollar amount, the provider is not an extreme outlier statewide on per‑diem residential volume.

T2003 (non-emergency transportation) ranks #10 of 283 (97th percentile) and is characterized as typical/unremarkable volume despite producing $1.4M (4.5% of Medicaid revenue) across 66.3K claims; this suggests transportation services are a meaningful operational component but follow common state patterns for NEMT providers. T1019 represents a negligible part of revenue ($20.7K, 0.1%) and shows low utilization (423 claims), ranking #414 of 475 (13th percentile), so personal-care services of this form are not a material service line for this entity.

The provider has an established tenure in the market, with its NPI enumerated on 2010-04-08 (~16 years ago), which supports interpretation of the present billing patterns as the result of sustained operational focus rather than a new or transient entrant. That longevity, combined with concentrated revenue in waiver habilitation codes, suggests organizational experience managing Medicaid waiver programs.

From a risk and strategic perspective, the business is heavily dependent on waiver habilitation codes (notably T2016 and T2021) for the vast majority of revenue; any policy, rate, or utilization change affecting those specific codes could materially impact overall revenue. Analysts should therefore prioritize monitoring state waiver policy, rate changes for T2016 and T2021, and referral/source networks feeding residential and day habilitation caseloads in Colorado Springs.

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	152,390	$150	$23M
T2021	Day habilitation, waiver; per 15 minutes	89,850	$70	$6.6M
T2003	Non-emergency transportation; encounter/trip	66,340	$20	$1.4M
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…	420	$50	$20.7K

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

Stellar Care And Services, LLC — 2 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	14	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…	414	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	9	290	3,700	$160	$2.3M
T2003	Non-emergency transportation; encounter/trip	10	280	2,640	$20	$881.3K

Nearby Providers

Other providers in the same ZIP code as Stellar Care And Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Physicians Home Care	CO	In Home Supportive Care Agency	$0	$247.9M
A Circle Of Care Colorado, LLC.	CO	In Home Supportive Care Agency	$0	$101.8M
Goodwill Of Colorado	CO	Home Health Agency	$0	$33.3M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$25.2M
American Medical Response Of Colorado Inc	CO	Ambulance	$3.4M	$21.6M
Special Kids Special Families	CO	Developmentally Disabled Services Day Training Agency	$0	$24.8M
Lucas Inc	CO	Respite Care	$0	$23.6M
Achieve Whole Recovery, PC	CO	Specialist	$0	$22.7M
Loving Care Agency, Inc.	CO	In Home Supportive Care Agency	$0	$18.2M
United Seating And Mobility LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$15.4M

Stellar Care And Services, LLC — Billing Profile & Reimbursement Data

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Stellar Care And Services, 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