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.

Spectra Human Services, Inc. (NPI 1508239450)

Field	Value
Entity Type	Organization
Organization	Spectra Human Services, Inc.
Address	3333 S Wadsworth Blvd
City	Lakewood
State	CO
ZIP	80227
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 1, 2015

Payer Source	Total Paid
Medicaid	$94M
Medicare	$0

Key Findings

SPECTRA HUMAN SERVICES, INC. is effectively a Medicaid-centric provider: it has no Medicare billing on file and reports $94M in lifetime Medicaid revenue, making Medicaid the sole payer driving its recorded activity. The provider’s NPI was enumerated on 2015-11-01 (~11 years ago), indicating roughly a decade of billing history concentrated in state Medicaid programs.

Revenue is highly concentrated in a small set of waiver habilitation codes: the precomputed top three Medicaid codes (T2016, T2021, T2019) account for 88.8% of this provider's total Medicaid revenue. T2016 alone contributes $61.4M (65.2% of Medicaid revenue) with an average paid per claim of $1065, signaling that residential habilitation per diems are the dominant revenue stream.

The code mix and payment levels point to a business focused on residential and day habilitation services for individuals with intellectual/developmental disabilities: large volume and high average-paid claims for T2016 (residential habilitation, per diem) and T2021 (day habilitation, per 15 minutes, $396 avg paid/claim) indicate core operations are group residential programs supplemented by day services and supported employment.

Competitive standing in-state is solid but not market-dominant: for its largest code T2016 the provider ranks #31 of 191 (84th percentile; typical, unremarkable volume for this code), while T2021 ranks #27 of 290 (91th percentile; typical, unremarkable volume for this code). These ranks suggest an above-median presence in key habilitation services—not the top provider statewide but a consistent, high-volume participant.

Supported employment and ancillary services contribute meaningfully but are much smaller revenue drivers: T2019 (supported employment) accounts for $5M (5.3% of Medicaid revenue) with a $632 avg paid/claim and ranks #29 of 102 (72th percentile; typical, unremarkable volume). Other ancillary codes such as non-emergency transportation (T2003; $3.4M, 3.6% of revenue) and respite (S5150; $1.8M, 1.9% of revenue) show the provider also captures transportation and caregiver support revenue streams.

The provider’s claims and payment profile show a mix of moderate-to-high unit reimbursement rates for core services: average paid per claim values include $1065 for T2016, $396 for T2021, and $632 for T2019. These per-claim payment levels underline why residential/day habilitation dominates total dollars despite the programmatic focus on time-based and per-diem services.

Concentration risk is material given the dependence on a few waiver habilitation codes: with 88.8% of Medicaid revenue coming from the top three codes, policy, rate, or authorization changes to T2016/T2021/T2019 reimbursement or utilization could disproportionately affect overall revenue. The rest of the code portfolio (transport, personal care, homemaker services) provides some diversification but represents only small single-digit percentages of total Medicaid revenue.

Across the broader Medicaid code set the provider generally reports "typical, unremarkable" volumes by the data labels—many codes sit in upper-middle percentiles (for example, T2003 ranks #64 of 283, 78th percentile; S5150 ranks #21 of 86, 76th percentile) while several others are near median participation (T1019 ranks #207 of 475, 57th percentile). This pattern indicates a stable, program-focused operator that participates broadly in waiver-related service lines but does not overwhelmingly dominate most individual service categories statewide.

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
T2016	Habilitation, residential, waiver; per diem	57,610	$1,070	$61.4M
T2021	Day habilitation, waiver; per 15 minutes	43,150	$400	$17.1M
T2019	Habilitation, supported employment, waiver; per 15 minutes	7,940	$630	$5M
T2003	Non-emergency transportation; encounter/trip	13,280	$260	$3.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	5,940	$300	$1.8M
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…	7,160	$250	$1.8M
S5130	Homemaker service, nos; per 15 minutes	7,600	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	4,450	$200	$877.2K
H2019	Therapeutic behavioral services, per 15 minutes	1,670	$200	$327.5K
H2023	Supported employment, per 15 minutes	1,310	$210	$276K

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

Spectra Human Services, 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
T2016	Habilitation, residential, waiver; per diem	31	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…	207	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	27	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	29	100	1,940	$200	$1.5M
S5130	Homemaker service, nos; per 15 minutes	116	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	24	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	21	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	64	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	43	100	1,090	$90	$600.8K
T2024	Service assessment/plan of care development, waiver	62	70	880	$90	$455.1K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Spectra Human Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rocky Mountain Medical Equipment, Inc.	CO	Oxygen Equipment & Supplies (DME)	$0	$26.9M
Integrated Life Choices	CO	Developmentally Disabled Services Day Training Agency	$0	$16.3M
Rocky Mountain Gastroenterology Associates, PLLC	CO	Gastroenterology Physician	$0	$3.7M
Hall Medical, LLC	CO	Family Medicine Physician	$0	$3.6M
David Hurt	CO	Dermatology Physician	$285.5K	$0
Michaela Mcdonnell	CO	Dermatology Physician	$188.3K	$0
Kelly Richardson	CO	Family Nurse Practitioner	$77.3K	$0
Kyle Odvody	CO	Family Nurse Practitioner	$68.2K	$0
Mary Brady	CO	MOHS-Micrographic Surgery Physician	$59.3K	$0
Christian Jones	CO	Physical Therapist	$24.2K	$0

Spectra Human Services, Inc. — Billing Profile & Reimbursement Data

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Spectra Human Services, Inc. — 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