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.

C & D Choices, Inc (NPI 1619410636)

Field	Value
Entity Type	Organization
Organization	C & D Choices, Inc
Address	11678 Huron St
City	Northglenn
State	CO
ZIP	80234
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	November 22, 2016

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	9,530	$730	$7M
T2021	Day habilitation, waiver; per 15 minutes	8,240	$170	$1.4M
S5130	Homemaker service, nos; per 15 minutes	4,180	$160	$672.2K
T2003	Non-emergency transportation; encounter/trip	3,990	$80	$315.2K
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…	770	$190	$146.5K
H2021	Community-based wrap-around services, per 15 minutes	160	$120	$18K

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

C & D Choices, Inc — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	71	190	3,890	$290	$12.4M
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…	392	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	97	290	3,700	$160	$2.3M
S5130	Homemaker service, nos; per 15 minutes	160	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	82	100	960	$100	$1.1M
T2003	Non-emergency transportation; encounter/trip	119	280	2,640	$20	$881.3K

Nearby Providers

Other providers in the same ZIP code as C & D Choices, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Metro Community Services, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$107.8M
Choice Home Care, LLC	CO	In Home Supportive Care Agency	$0	$34.3M
Evergreen Home Healthcare, LLC	CO	In Home Supportive Care Agency	$0	$28.6M
Trust Home Care, LLC	CO	Home Health Agency	$0	$14.4M
Vitalcare Corporation	CO	Home Health Agency	$0	$11M
Childrens Therapy Services Of Colorado, Inc.	CO	Speech-Language Pathologist	$0	$9.9M
Trust Home Care, LLC	CO	Home Health Agency	$0	$9.1M
North Metro Community Services, Inc	CO	Case Management Agency	$0	$7.6M
North Metro Community Services, Inc	CO	Developmentally Disabled Services Day Training Agency	$0	$6.5M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$6.5M

C & D Choices, Inc — Billing Profile & Reimbursement Data

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C & D Choices, 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