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.

Total Longterm Care, Inc. (NPI 1598361891)

Field	Value
Entity Type	Organization
Organization	Total Longterm Care, Inc.
Address	445 E 124th Ave
City	Thornton
State	CO
ZIP	80241
Taxonomy	PACE Provider Organization
NPI Enumerated	December 10, 2020

Payer Source	Total Paid
Medicaid	$12.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2030	Assisted living, waiver; per month	6,010	$1,370	$8.2M
T2031	Assisted living; waiver, per diem	1,150	$1,290	$1.5M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	8,470	$90	$719.9K
E1392	Portable oxygen concentrator, rental	5,480	$110	$624.8K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	2,810	$70	$188.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,130	$140	$158.1K
E0601	Continuous positive airway pressure (CPAP) device	2,650	$50	$140.2K
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	5,320	$20	$117.1K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	8,100	$10	$97.2K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	830	$90	$76.7K

Showing 1–10 of 91

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

Total Longterm Care, Inc. — 1 of 25 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

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	43	50	360	$130	$5.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	12	20	70	$5,260	$4M
T2030	Assisted living, waiver; per month	3	20	860	$1,640	$3.4M
T2031	Assisted living; waiver, per diem	58	140	840	$690	$1.9M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	101	140	7,200	$60	$1.1M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	89	130	750	$140	$957.7K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	35	40	1,070	$540	$919.6K
A0425	Ground mileage, per statute mile	153	280	990	$20	$636.8K
T1017	Targeted case management, each 15 minutes	133	310	640	$80	$494.3K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	14	50	3,160	$40	$382.1K

Showing 1–10 of 91

Nearby Providers

Other providers in the same ZIP code as Total Longterm Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scltdi Jv, LLC	CO	Physiological Laboratory	$182.2K	$238.8K
Daniel Ramirez	CO	Nurse Practitioner	$144.8K	$0
Garrett Baker	CO	Emergency Medicine Physician	$133.3K	$0
Kevin Morris	CO	Physical Therapist	$54.6K	$0

Total Longterm Care, Inc. — Billing Profile & Reimbursement Data

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Total Longterm Care, 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