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 New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Aspire Developmental Services, LLC (NPI 1629490263)

Field	Value
Entity Type	Organization
Organization	Aspire Developmental Services, LLC
Address	2603 W 25th St
City	Roswell
State	NM
ZIP	88201
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	January 16, 2014

Payer Source	Total Paid
Medicaid	$45.5M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported lifetime revenue is Medicaid-based, totaling $45.5M. The absence of Medicare activity indicates the organization operates primarily within Medicaid waiver and state developmental-disability funding streams rather than fee-for-service Medicare markets.

Revenue is highly concentrated: the top three Medicaid codes (T2016, T2033, H2021) together account for 92.3% of the provider's total Medicaid revenue. Those three codes generate $17.7M (T2016), $15.6M (T2033), and $8.7M (H2021) respectively, making the business dependent on a small set of residential and wrap-around service lines.

The code mix indicates a core operation built around residential habilitation and waiver services: T2016 (Habilitation, residential, waiver; per diem) and T2033 (Residential care, nos, waiver; per diem) together represent the majority of revenue, while H2021 (Community-based wrap-around services, per 15 minutes) supplies a meaningful high-dollar complementary service stream. Average paid amounts ($358 for T2016, $866 for T2033, and $1185 for H2021) show a mix of higher-frequency per-diem care and lower-frequency but higher-paid wrap-around encounters.

Statewide competitive standing is modest rather than dominant across the top codes: T2016 ranks #23 of 40 (44th percentile; typical, unremarkable volume), T2033 ranks #16 of 39 (61th percentile; typical, unremarkable volume), and H2021 ranks #29 of 62 (54th percentile; typical, unremarkable volume). These percentiles and rank positions indicate the provider is a routine, mid-market participant in New Mexico's IDD residential and wrap-around service markets rather than a market leader.

Higher per-unit payments for H2021 ($1185 avg paid/claim) paired with fewer claims (7.3K) producing $8.7M suggest the provider supplements per-diem residential care with higher-intensity, higher-paid community-based wrap-around services. This mix can reflect bundled staffing or specialized care episodes that are billed at a higher per-unit rate compared with standard per-diem habilitation.

Several secondary codes contribute smaller portions of revenue and reinforce the waiver/residential service profile: T2021 (Day habilitation, waiver; 6.2K claims, $413 avg paid/claim, $2.5M, 5.6% of revenue; ranks #28 of 52, 47th percentile; typical, unremarkable volume), T2025 (Waiver services, nos; 779 claims, $828 avg paid/claim, $645K, 1.4% of revenue; ranks #21 of 35, 41th percentile; typical, unremarkable volume), and T1002 (Rn services, up to 15 minutes; 2.2K claims, $141 avg paid/claim, $313.7K, 0.7% of revenue; ranks #13 of 38, 68th percentile; typical, unremarkable volume). These smaller streams are complementary but not revenue drivers.

The provider has an established enrollment history, with an NPI enumerated on 2014-01-16 (~12 years ago), indicating a multi-year operating presence in the state Medicaid IDD ecosystem. That tenure supports the interpretation that current revenue patterns reflect stable operational focus rather than a brief or emergent program.

Operational and revenue risk is concentrated in Medicaid waiver and residential per-diem services given the top-code concentration (92.3% from T2016, T2033, H2021). This concentration implies sensitivity to state Medicaid policy, per-diem rate changes, and waiver-eligibility or utilization shifts, so monitoring of reimbursement rules and utilization metrics for these specific codes will be material to the provider's financial outlook.

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	49,500	$360	$17.7M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	18,010	$870	$15.6M
H2021	Community-based wrap-around services, per 15 minutes	7,330	$1,190	$8.7M
T2021	Day habilitation, waiver; per 15 minutes	6,170	$410	$2.5M
T2025	Waiver services; not otherwise specified (nos)	780	$830	$645K
T1002	Rn services, up to 15 minutes	2,230	$140	$313.7K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

Aspire Developmental Services, LLC — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	23	40	54,080	$360	$22.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	16	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	29	60	6,750	$340	$4.4M
T2021	Day habilitation, waiver; per 15 minutes	28	50	6,810	$120	$1.6M
T2025	Waiver services; not otherwise specified (nos)	21	40	1,010	$360	$1.6M
T1002	Rn services, up to 15 minutes	13	40	1,350	$150	$368.7K

Nearby Providers

Other providers in the same ZIP code as Aspire Developmental Services, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roswell Hospital Corporation	NM	General Acute Care Hospital	$0	$41.3M
Bca Medical Associates, PA	NM	Pediatrics Physician	$0	$41.2M
Lovelace Health System LLC	NM	General Acute Care Hospital	$0	$20.1M
Pathology Consultants Of New Mexico	NM	Anatomic Pathology Physician	$376.7K	$18M
Roswell Clinic Corp	NM	Family Medicine Physician	$0	$14.7M
La Casa De Buena Salud Inc	NM	Federally Qualified Health Center (FQHC)	$0	$11M
Masoud Khorsand- Sahbaie Md P A	NM	Hematology & Oncology Physician	$0	$8.1M
Agape Home Care LLC	NM	Supports Brokerage Agency	$0	$7.4M
Roswell Family Care, LLC	NM	Family Nurse Practitioner	$0	$6.3M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$6M

Aspire Developmental Services, LLC — Billing Profile & Reimbursement Data

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Aspire Developmental Services, LLC — 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