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.

Colorado Springs Independence Center (NPI 1598201618)

Field	Value
Entity Type	Organization
Organization	Colorado Springs Independence Center
Address	729 S Tejon St
City	Colorado Springs
State	CO
ZIP	80903
Taxonomy	Home Health Agency
NPI Enumerated	January 12, 2017

Payer Source	Total Paid
Medicaid	$66.6M
Medicare	$0

Key Findings

COLORADO SPRINGS INDEPENDENCE CENTER is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports $66.6M in lifetime Medicaid revenue. The absence of Medicare activity indicates its operations and revenue are concentrated entirely in Medicaid-funded service lines rather than dual-payer mix.

The provider has been enumerated under NPI since 2017-01-12 (~9 years ago), giving it nearly a decade of recorded Medicaid activity; this tenure supports a pattern of sustained, program-focused service delivery rather than a newly established or transient billing presence.

Revenue is extremely concentrated in a very small set of codes: the top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue. The three codes listed are H0038 ($39.6M, 59.5%), T1019 ($24.2M, 36.3%), and S5130 ($2.8M, 4.2%), which together define nearly the entire revenue base reported.

The code mix—H0038 (Self-help/peer services, per 15 minutes), T1019 (Personal care services, per 15 minutes), and S5130 (Homemaker service, per 15 minutes)—indicates the organization operates as a high-volume community/home-based services agency focused on peer behavioral-health supports and hands-on personal care. The dominance of per-15-minute time-based codes and the very large claim counts imply workflows built around numerous short-duration encounters rather than episodic acute-care procedures.

Volume metrics reinforce a high-frequency, labor-intensive model: H0038 shows 357.2K claims with a $111 avg paid/claim, T1019 shows 371.7K claims with a $65 avg paid/claim, and S5130 shows 70.3K claims with a $40 avg paid/claim. These figures suggest the business is driven by many time-based units of service at relatively modest per-unit payments, consistent with home- and community-based care delivery.

Competitive standing in-state is strong for the top codes: H0038 ranks #4 of 276 providers in Colorado and is described as an extreme outlier at the 99th percentile, and T1019 also ranks #4 of 475 providers and is an extreme outlier at the 99th percentile. S5130 ranks #9 of 342 providers and is in the 98th percentile but noted as a typical, unremarkable volume for that code; collectively these rankings indicate market leadership for peer and personal care services within the state.

Operationally and financially, the provider’s dependence on two dominant codes (H0038 and T1019) creates concentration risk: any Medicaid policy, rate, or coverage changes affecting self-help/peer services or personal care services could materially affect its revenue given those codes’ large share of income. This concentration also means payers negotiating rates or utilization management for these service lines will disproportionately influence the provider’s financial outlook.

From a payer-analytics perspective, this entity is a major, specialized supplier of Medicaid peer support and personal care in Colorado, making it a relevant counterparty for managed long-term services and supports and behavioral-health initiatives. Its rank as an extreme outlier on two high-volume codes and total Medicaid scale ($66.6M) mark it as a key provider for payers focused on community-based care delivery in the region.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	357,200	$110	$39.6M
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…	371,700	$70	$24.2M
S5130	Homemaker service, nos; per 15 minutes	70,330	$40	$2.8M

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

Colorado Springs Independence Center — 3 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	4	280	2,330	$210	$4.8M
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…	4	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	9	340	3,530	$80	$1.2M

Nearby Providers

Other providers in the same ZIP code as Colorado Springs Independence Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Common Roots LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.6M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$7.7M
Iron Horse Pediatrics	CO	Pediatrics Physician	$0	$7.3M
Child Community Services	CO	Clinical Social Worker	$0	$6.6M
Mk Legacy	CO	Developmentally Disabled Services Day Training Agency	$0	$4M
Front Range Endoscopy Centers, LLC	CO	Ambulatory Surgical Clinic/Center	$274.6K	$573.6K
Ronald Pelton	CO	Ophthalmology Physician	$186.1K	$0
Eric Gessner	CO	Foot & Ankle Surgery Podiatrist	$155.9K	$0
Jacob Fassman	CO	Foot & Ankle Surgery Podiatrist	$99.8K	$0
Justin Cheongsiatmoy	CO	Neurology Physician	$96.9K	$0

Colorado Springs Independence Center — Billing Profile & Reimbursement Data

Sign up for Colorado Springs Independence Center — Billing Profile & Reimbursement Data policy alerts

Colorado Springs Independence Center — Billing Profile & Reimbursement Data

Sign up for Colorado Springs Independence Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References