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

Why is the Medicaid comparison limited to Virginia 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. Virginia (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.

Depaul Community Resources (NPI 1639240971)

Field	Value
Entity Type	Organization
Organization	Depaul Community Resources
Address	5650 Hollins Rd
City	Roanoke
State	VA
ZIP	24019
Taxonomy	Foster Care Agency
NPI Enumerated	November 10, 2006

Payer Source	Total Paid
Medicaid	$86.6M
Medicare	$0

Key Findings

DEPAUL COMMUNITY RESOURCES reports $86.6M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operation in the claims data. Its NPI was enumerated on 2006-11-10 (~20 years ago), indicating a long-tenured presence in its market which likely supports established Medicaid contracting relationships and operational experience in waiver/residential services.

Revenue is highly concentrated in three Medicaid codes that together account for 99.5% of the provider's total Medicaid revenue. The dominant code is T2033 with $82.1M in revenue (94.8% of Medicaid revenue), followed by 97150 with $3.1M (3.6%) and T1019 with $933K (1.1%), demonstrating extreme dependence on a small set of service lines.

The code mix points to a residential- and waiver-focused operation: T2033 (Residential care, waiver; per diem) drives the vast majority of revenue, consistent with a foster care or residential service model, while 97150 (group therapeutic procedures) and T1019 (personal care services) appear as adjunct clinical and hands-on care components to that residential base. The high average paid per claim for T2033 ($7396 avg paid/claim) reinforces that per-diem residential billing is the core revenue engine rather than high-volume low-dollar outpatient services.

State-level competitive standing is modest rather than dominant despite large absolute revenue from T2033: T2033 ranks #16 of 43 providers in-state (64th percentile) and is described as a typical, unremarkable volume for this code, indicating the provider is not an outlier in per-code volume even though that code generates most of its dollars. Similarly, 97150 ranks #71 of 201 (65th percentile) and T1019 ranks #480 of 758 (37th percentile); these placements characterize the provider as a mid-tier participant for these services within Virginia.

Ancillary Medicaid services are present but limited in scale: H2022 accounted for $250.9K (0.3% of Medicaid revenue) and is recorded as a typical, unremarkable volume for this code, T1016 generated $121.8K (0.1%) and T2021 $23.3K (0.0%), each also described as typical, unremarkable volumes. These smaller revenue lines suggest DEPAUL COMMUNITY RESOURCES offers some wrap-around, case management, and day habilitation capabilities but does not rely on them for material revenue.

Because the provider reports no Medicare billing on file, its financial performance and exposure are tightly coupled to Medicaid policy, waiver program rates, and state contract terms; shifts in Medicaid reimbursement or waiver eligibility could have outsized impact given that T2033 alone represents $82.1M (94.8%) of its Medicaid revenue. Analysts should treat this entity as Medicaid-dependent and evaluate state waiver stability and rate-setting as key risk factors.

Across the dataset the vendor-provided labels indicate none of the listed Medicaid code volumes are flagged as outliers; each is described as a typical, unremarkable volume for its code despite the concentration of revenue in the residential waiver line. This combination—high revenue concentration in a single per-diem residential code plus otherwise typical volume positions—suggests a specialized, established residential/waiver operator rather than a diverse multi-service provider.

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	11,110	$7,400	$82.1M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	4,810	$650	$3.1M
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…	9,060	$100	$933K
H2022	Community-based wrap-around services, per diem	40	$5,970	$250.9K
T1016	Case management, each 15 minutes	330	$370	$121.8K
T2021	Day habilitation, waiver; per 15 minutes	140	$170	$23.3K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Depaul Community Resources — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	16	40	6,080	$1,660	$27.6M
H2022	Community-based wrap-around services, per diem	135	140	4,450	$1,150	$15.3M
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…	480	760	17,620	$150	$5.5M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	71	200	2,840	$320	$2.4M
T2021	Day habilitation, waiver; per 15 minutes	97	110	1,500	$340	$1.3M
T1016	Case management, each 15 minutes	28	40	910	$290	$510K

Nearby Providers

Other providers in the same ZIP code as Depaul Community Resources, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Preservation Services LLC	VA	Community/Behavioral Health Agency	$0	$58.8M
Pinnacle Treatment Services Of Roanoke, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$14.2M
Michael Mcclintock	VA	Retina Specialist (Ophthalmology) Physician	$5.4M	$0
Timothy Byrnes	VA	Retina Specialist (Ophthalmology) Physician	$4.7M	$0
Roanoke County Board Of Supervisors	VA	Land Ambulance	$1.3M	$1.7M
Craig Hartranft	VA	Ophthalmology Physician	$2.8M	$0
Bradley Goad	VA	Internal Medicine Physician	$444.3K	$0
Quasir Raza	VA	Internal Medicine Physician	$409K	$0
Donald Scothorn	VA	Optometrist	$304.1K	$0
Natasha Hart	VA	Psychiatric/Mental Health Nurse Practitioner	$233.6K	$0

Depaul Community Resources — Billing Profile & Reimbursement Data

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Depaul Community Resources — 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