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.

Prima Adult Day Care (NPI 1578929428)

Field	Value
Entity Type	Organization
Organization	Prima Adult Day Care
Address	6630 E Hampden Ave
City	Denver
State	CO
ZIP	80224
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 7, 2016

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.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5105	Day care services, center-based; services not included in program fee, per diem	9,650	$920	$8.8M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	9,310	$280	$2.6M

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

Prima Adult Day Care — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5105	Day care services, center-based; services not included in program fee, per diem	17	60	3,770	$380	$3M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	27	160	940	$40	$2.3M

Nearby Providers

Other providers in the same ZIP code as Prima Adult Day Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Supreme Health Care,llc	CO	Homemaker	$0	$62.2M
Irn International Corp.	CO	Home Health Agency	$0	$51M
Temure Inc	CO	Home Health Agency	$0	$46.7M
A Plus Personal Care Provider LLC	CO	In Home Supportive Care Agency	$0	$33.7M
Monaco Adult Day Care	CO	Adult Day Care Clinic/Center	$0	$29.7M
Respect Home Health, Inc.	CO	Home Health Agency	$0	$22.2M
G&b Homecare Services, Inc.	CO	In Home Supportive Care Agency	$0	$18.8M
Four Star Home Care Inc	CO	In Home Supportive Care Agency	$0	$13.9M
Goldin Pharmacy And Medical Supply Inc.	CO	Community/Retail Pharmacy	$0	$11.6M
Medstuff Inc	CO	Pharmacy	$0	$9.6M

Prima Adult Day Care — Billing Profile & Reimbursement Data

Sign up for Prima Adult Day Care — Billing Profile & Reimbursement Data policy alerts

Prima Adult Day Care — Billing Profile & Reimbursement Data

Sign up for Prima Adult Day Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References