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.

Mountain Lane Home Healthcare, LLC (NPI 1518433416)

Field	Value
Entity Type	Organization
Organization	Mountain Lane Home Healthcare, LLC
Address	1286 Rosemary Dr
City	Castle Rock
State	CO
ZIP	80109
Taxonomy	Home Health Agency
NPI Enumerated	October 17, 2018

Payer Source	Total Paid
Medicaid	$11.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	5,270	$690	$3.6M
S5130	Homemaker service, nos; per 15 minutes	8,520	$290	$2.5M
T2016	Habilitation, residential, waiver; per diem	430	$3,000	$1.3M
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…	4,570	$280	$1.3M
S5150	Unskilled respite care, not hospice; per 15 minutes	3,070	$370	$1.1M
T2021	Day habilitation, waiver; per 15 minutes	3,030	$280	$858.1K
T2003	Non-emergency transportation; encounter/trip	4,790	$130	$603.9K
S5151	Unskilled respite care, not hospice; per diem	320	$580	$188K
S5100	Day care services, adult; per 15 minutes	170	$740	$123.5K

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

Mountain Lane Home Healthcare, LLC — 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	166	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…	255	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	162	290	3,700	$160	$2.3M
S5130	Homemaker service, nos; per 15 minutes	103	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	19	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	31	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	111	280	2,640	$20	$881.3K
S5151	Unskilled respite care, not hospice; per diem	25	40	640	$130	$453.2K
S5100	Day care services, adult; per 15 minutes	12	10	740	$100	$158.9K

Nearby Providers

Other providers in the same ZIP code as Mountain Lane Home Healthcare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellspring Community	CO	Developmentally Disabled Services Day Training Agency	$0	$7M
Castle Rock Surgicenter, LLC	CO	Ambulatory Surgical Clinic/Center	$732.3K	$0
Sdg Castle Rock Endoscopy Center	CO	Ambulatory Surgical Clinic/Center	$311.8K	$0
Steven Christiansen	CO	Ophthalmology Physician	$302.9K	$0
James Jensen	CO	Dermatology Physician	$262.5K	$0
Katarzyna Kocol	CO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$140.4K	$0
Anthony Cedrone	CO	Interventional Cardiology Physician	$126.3K	$0
Anthony Sanchez	CO	Sports Medicine (Orthopaedic Surgery) Physician	$117.4K	$0
Maneesh Gupta	CO	Gastroenterology Physician	$109K	$0
David Archibald	CO	Facial Plastic Surgery Physician	$97.6K	$0

Mountain Lane Home Healthcare, LLC — Billing Profile & Reimbursement Data

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Mountain Lane Home Healthcare, LLC — 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