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.

Southern Colorado Developmental Disabilities Services, Inc (NPI 1508996711)

Field	Value
Entity Type	Organization
Organization	Southern Colorado Developmental Disabilities Services, Inc
Address	1205 Congress Dr
City	Trinidad
State	CO
ZIP	81082
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$10.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	37,640	$160	$6.1M
T2021	Day habilitation, waiver; per 15 minutes	33,370	$70	$2.2M
S5130	Homemaker service, nos; per 15 minutes	21,880	$40	$962.7K
T2003	Non-emergency transportation; encounter/trip	23,270	$20	$442K
T1017	Targeted case management, each 15 minutes	2,050	$210	$425.6K
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…	13,170	$30	$421.6K
T2019	Habilitation, supported employment, waiver; per 15 minutes	4,160	$70	$286.9K
H2019	Therapeutic behavioral services, per 15 minutes	1,090	$110	$121.5K
T2028	Specialized supply, not otherwise specified, waiver	300	$30	$7.8K
T2023	Targeted case management; per month	290	$0	$0

Showing 1–10 of 12

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

Southern Colorado Developmental Disabilities Services, Inc — 0 of 9 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	45	190	3,890	$290	$12.4M
T2023	Targeted case management; per month	32	40	6,060	$130	$3.9M
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…	154	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	39	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	39	100	1,940	$200	$1.5M
S5130	Homemaker service, nos; per 15 minutes	47	340	3,530	$80	$1.2M
T2003	Non-emergency transportation; encounter/trip	42	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	50	100	1,090	$90	$600.8K
T1017	Targeted case management, each 15 minutes	101	310	640	$80	$494.3K
T2024	Service assessment/plan of care development, waiver	53	70	880	$90	$455.1K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Southern Colorado Developmental Disabilities Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Innova Emergency Medical Associates PC	CO	Emergency Medicine Physician	$0	$19.3M
Las Animas County Rehabilitation Center	CO	Adult Day Care Clinic/Center	$0	$10.2M
Trinidad Area Health Association	CO	Critical Access Hospital	$0	$5.8M
Huerfano Las Animas Area Council Of Governments	CO	In Home Supportive Care Agency	$0	$3.8M
Trinidad Ambulance District	CO	Land Ambulance	$247.1K	$772.2K
Dario San Roman	CO	Family Nurse Practitioner	$1.3K	$0

Southern Colorado Developmental Disabilities Services, Inc — Billing Profile & Reimbursement Data

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Southern Colorado Developmental Disabilities Services, 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