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.

Carmel Community Living Corporation (NPI 1598887804)

Field	Value
Entity Type	Organization
Organization	Carmel Community Living Corporation
Address	11177 W 8th Ave Ste 220
City	Lakewood
State	CO
ZIP	80215
Taxonomy	Child Intellectual and/or Developmental Disabilities Respite Care
NPI Enumerated	April 6, 2007

Payer Source	Total Paid
Medicaid	$38M
Medicare	$0

Key Findings

CARMEL COMMUNITY LIVING CORPORATION is a Colorado provider registered under the Child Intellectual and/or Developmental Disabilities Respite Care taxonomy in LAKEWOOD, with an NPI enumerated on 2007-04-06 (~19 years ago). The provider’s billing footprint is overwhelmingly Medicaid-focused; there is no Medicare billing on file and all reported revenue comes from Medicaid, totaling $38M. This tenure and taxonomy align with a long-standing, Medicaid-centered residential and habilitation operation.

Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 99.6% of the provider’s total Medicaid revenue. That concentration indicates the business is functionally single-service-line at scale within Medicaid, with the vast majority of dollars tied to a small set of waiver and habilitation codes.

T2016 drives the business: the code T2016 (Habilitation, residential, waiver; per diem) alone accounts for $37.3M in revenue (36.6K claims at $1019 avg paid/claim), representing 98.2% of this provider’s total Medicaid revenue. This dominance by a per-diem residential habilitation code suggests the organization operates primarily as a residential habilitation provider under waiver programs rather than as a diversified clinical or outpatient service vendor.

Secondary Medicaid activity is limited and complementary: T2021 (Day habilitation, waiver; per 15 minutes) produced $417K across 1.8K claims ($227 avg paid/claim; 1.1% of Medicaid revenue) and T2003 (Non-emergency transportation; encounter/trip) produced $84.5K across 1.1K claims ($76 avg paid/claim; 0.2% of Medicaid revenue). These volumes are consistent with support services that accompany a residential habilitation population—day habilitation and transportation—rather than independent high-revenue lines.

State competitive standing on the top code is mid-range: for T2016 this provider ranks #46 of 191 in-state (76th percentile) and is described in the source as delivering a "typical, unremarkable volume for this code." That ranking places the provider above the median statewide but not among the dominant or largest residential habilitation operators in Colorado.

Other Medicaid codes show modest participation: H2019 (Therapeutic behavioral services) generated $78.5K (545 claims, $144 avg) and ranks #70 of 99 (30th percentile); T2019 (supported employment) generated $58.1K (273 claims, $213 avg) and ranks #83 of 102 (19th percentile); T2024, T2004 and others similarly register small revenues and lower-state percentiles. Across these codes the characterization in the data is "typical, unremarkable volume," indicating modest, ancillary service delivery rather than leadership in those lines.

Operational and payer implications follow from the revenue mix: with $38M in Medicaid revenue and no Medicare activity, the provider’s financial performance and growth prospects are tightly coupled to Medicaid waiver policies and per-diem rates for residential habilitation (T2016). Analysts should view this as a concentrated Medicaid play where changes in waiver funding, eligibility, or per-diem reimbursement could materially affect overall revenue.

For payer/provider analysts investigating partnerships or network value, priority areas should be validating residential bed capacity and utilization patterns tied to T2016, understanding contract and rate history for per-diem habilitation services, and benchmarking per-diem economics against other 191 in-state providers. Given the negligible Medicare footprint, strategic considerations should focus on Medicaid contracting, waiver program participation, and the operational capacity that supports the 36.6K T2016 claims and associated daily service model.

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	36,650	$1,020	$37.3M
T2021	Day habilitation, waiver; per 15 minutes	1,840	$230	$417K
T2003	Non-emergency transportation; encounter/trip	1,110	$80	$84.5K
H2019	Therapeutic behavioral services, per 15 minutes	550	$140	$78.5K
T2019	Habilitation, supported employment, waiver; per 15 minutes	270	$210	$58.1K
T2024	Service assessment/plan of care development, waiver	110	$200	$22.6K
T2004	Non-emergency transport; commercial carrier, multi-pass	360	$30	$10.2K

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

Carmel Community Living Corporation — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	46	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	200	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	83	100	1,940	$200	$1.5M
T2003	Non-emergency transportation; encounter/trip	182	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	70	100	1,090	$90	$600.8K
T2024	Service assessment/plan of care development, waiver	50	70	880	$90	$455.1K
T2004	Non-emergency transport; commercial carrier, multi-pass	30	40	1,390	$10	$303.7K

Nearby Providers

Other providers in the same ZIP code as Carmel Community Living Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Disabilities Resource Center	CO	Developmentally Disabled Services Day Training Agency	$0	$61.9M
Accent On Independence Inc	CO	In Home Supportive Care Agency	$0	$18.6M
Developmental Disabilities Resource Center	CO	Case Management Agency	$0	$11.7M
Joshua Renkin	CO	Neurology Physician	$228.8K	$0
Danielle Whitacre	CO	Family Medicine Physician	$152.2K	$0
Lauren Foster	CO	Primary Care Nurse Practitioner	$125.9K	$0
Joanne Ruch	CO	Internal Medicine Physician	$120.6K	$0
Katherine Butcher	CO	Adult Health Nurse Practitioner	$109.1K	$0
Darnell Martin-wimmer	CO	Dermatology Physician	$108.9K	$0
Rachel Matsoukas	CO	Occupational Therapist	$44.6K	$0

Carmel Community Living Corporation — 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