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 New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Adelante Development Center, Inc. (NPI 1578698197)

Field	Value
Entity Type	Organization
Organization	Adelante Development Center, Inc.
Address	3900 Osuna Rd Ne
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Personal Care Attendant
NPI Enumerated	February 22, 2007

Payer Source	Total Paid
Medicaid	$57M
Medicare	$0

Key Findings

ADELANTE DEVELOPMENT CENTER, INC. has no Medicare billing on file and is effectively a Medicaid-only billing entity, with reported Medicaid revenue of $57M and “none” reported for Medicare. This concentration in a single payer means analyses of its operational footprint and financial risk should focus on Medicaid program rules, waiver billing, and state-level reimbursement changes.

Revenue concentration is heavily focused: the top three Medicaid codes (T2016, T2021, T2033) together account for 92.5% of this provider’s total Medicaid revenue. Individually these codes represent $31.1M (54.6%) for T2016, $13.8M (24.1%) for T2021, and $7.9M (13.8%) for T2033, indicating that a small set of service lines drive nearly all reported Medicaid receipts.

The code mix points to a residential and day habilitation business model: T2016 (Habilitation, residential, waiver; per diem) and T2033 (Residential care, nos, waiver; per diem) are per-diem residential services, while T2021 (Day habilitation, waiver; per 15 minutes) is a high-volume, time-based day program. This suggests operations are organized around staffed residential settings plus intensive day-program delivery rather than episodic clinical services.

T2021 is an outlier in the state market: with 138.9K claims and $13.8M revenue it ranks #1 of 52 providers in New Mexico and is labeled an “extreme outlier, far above typical state volume.” This indicates ADELANTE is a dominant statewide provider for day habilitation billing and that any payer management or contracting strategy for T2021 in New Mexico should consider this provider’s outsized market share for that code.

By contrast, its largest per-diem residential codes are not market outliers. T2016 ($31.1M; 87.2K claims) ranks #9 of 40 (79th percentile) and T2033 ($7.9M; 50.5K claims) ranks #10 of 39 (76th percentile), both characterized as “typical, unremarkable volume.” These ranks imply the provider is a solid but not dominant participant in residential waiver per-diem services compared to peers.

There are smaller but notable service lines: T2019 (supported employment, per 15 minutes) shows 50K claims and $2.6M revenue and ranks #1 of 4 (100th percentile) but is described as “typical, unremarkable volume,” reflecting limited statewide competition in that niche. T2025 (waiver services NOS) has only 1.6K claims but a high $892 avg paid/claim for $1.4M revenue, indicating occasional high-dollar, specialized waiver transactions rather than recurring volume.

The claim-level payment mix reinforces operational intensity differences across services: average paid/claim values are $357 for T2016 (per diem), $99 for T2021 (per 15 minutes), and $156 for T2033 (per diem). Combined with the very large claim counts for T2016 and especially T2021 (87.2K and 138.9K claims respectively), this pattern points to a business that generates substantial revenue through high-volume, time-based day habilitation units and sustained residential placements rather than a small number of high-dollar episodes.

The provider’s NPI was enumerated on 2007-02-22 (~19 years ago), indicating a long tenure in the market. That longevity, paired with the extreme-state-level position on T2021, suggests an established operational footprint in New Mexico’s waiver-based habilitation services and potential leverage in local payer/provider relationships.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	87,230	$360	$31.1M
T2021	Day habilitation, waiver; per 15 minutes	138,910	$100	$13.8M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	50,520	$160	$7.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	49,960	$50	$2.6M
T2025	Waiver services; not otherwise specified (nos)	1,620	$890	$1.4M
T1002	Rn services, up to 15 minutes	1,900	$50	$96.7K
S5125	Attendant care services; per 15 minutes	920	$80	$74.3K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

Adelante Development Center, Inc. — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	9	40	54,080	$360	$22.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	10	40	11,070	$280	$10.8M
S5125	Attendant care services; per 15 minutes	41	50	10,600	$100	$4.3M
T2021	Day habilitation, waiver; per 15 minutes	1	50	6,810	$120	$1.6M
T2025	Waiver services; not otherwise specified (nos)	14	40	1,010	$360	$1.6M
T2019	Habilitation, supported employment, waiver; per 15 minutes	1	10	2,790	$50	$728K
T1002	Rn services, up to 15 minutes	14	40	1,350	$150	$368.7K

Nearby Providers

Other providers in the same ZIP code as Adelante Development Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M
Tspc-nm, LLC	NM	Nursing Care Agency	$0	$28.9M

Adelante Development Center, Inc. — Billing Profile & Reimbursement Data

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Adelante Development Center, 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