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.

A Better Life Experience Inc. (NPI 1639397334)

Field	Value
Entity Type	Organization
Organization	A Better Life Experience Inc.
Address	550 Thornton Pkwy
City	Thornton
State	CO
ZIP	80229
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 20, 2007

Payer Source	Total Paid
Medicaid	$30.7M
Medicare	$0

Key Findings

A BETTER LIFE EXPERIENCE INC. is effectively a single-payer Medicaid provider: it reports no Medicare revenue on file and $30.7M in lifetime Medicaid revenue, with an NPI enumerated on 2007-04-20 (~19 years ago), indicating an established presence in the Colorado waiver services market. The absence of Medicare billing means all measurable fee-for-service scale and utilization available in claims data come from Medicaid programs.

Revenue is highly concentrated in a narrow set of waiver habilitation codes: the precomputed top 3 Medicaid codes account for 98.8% of this provider's total Medicaid revenue, driven primarily by T2016 ($21.5M, 69.9% of Medicaid revenue), T2021 ($8M, 25.9%), and T2003 ($935.7K, 3.0%). This concentration shows the business is overwhelmingly dependent on a few Medicaid-funded habilitation and transport services rather than a broad mix of procedure lines.

The provider’s code mix aligns with a developmentally disabled services day training agency focused on waiver-funded residential and day habilitation plus transport: T2016 is Habilitation, residential, waiver (per diem) and represents the largest single revenue stream, while T2021 is Day habilitation, waiver (per 15 minutes) and T2003 is Non-emergency transportation (encounter/trip). The combination of per-diem residential billing and per-15-minute day habilitation billing indicates the operation bills both sustained residential supports and high-frequency time-based day services.

Competitive standing for the primary revenue driver T2016 is middling statewide: the provider reports $21.5M on T2016 (69.9% of its Medicaid revenue) but ranks #80 of 191 providers in-state (58th percentile; typical, unremarkable volume for this code), suggesting it is a meaningful local participant in residential habilitation but not a dominant statewide operator on that code. The large dollar share coming from T2016 reflects internal dependence on that service line even if the provider’s market rank is not top-tier.

For T2021 (day habilitation per 15 minutes), the provider shows $8M in revenue (25.9% of Medicaid revenue) and ranks #74 of 290 in-state (75th percentile; typical, unremarkable volume for this code), indicating a stronger relative position among peers in day habilitation. The 75th percentile placement combined with the sizable share of total Medicaid revenue signals that day habilitation is a competitive strength within the provider’s service mix.

Smaller ancillary lines—T2003, T2004, and T2019—contribute only a combined, modest share of revenue but reveal additional service activities: T2003 shows 5.3K claims and $935.7K revenue (3.0% of Medicaid revenue) and ranks #107 of 283 (62th percentile; typical, unremarkable volume for this code), while T2004 and T2019 account for 0.6% and 0.5% of revenue respectively with mid-to-low percentile ranks. These figures suggest the provider offers non-emergency transport and supported employment services at modest scale relative to habilitation.

One statistical anomaly in the claims mix is T2034 (Crisis intervention, waiver; per diem): the record shows 456 claims with $0 avg paid/claim and $0 revenue (0.0% of this provider's total Medicaid revenue), yet it ranks #63 of 162 in-state (61th percentile; typical, unremarkable volume for this code). The presence of non-zero claim counts paired with zero paid dollars is an operational or administrative signal warranting further review by analysts (e.g., zero-dollar billing, denials, or non-covered submissions) rather than an indicator of material revenue contribution.

Taken together, the provider’s longevity (~19 years) and concentrated revenue mix—98.8% from the top three codes—mean its financial performance is closely tied to waiver habilitation reimbursement and utilization patterns; changes to per-diem or per-15-minute rates, eligibility, or utilization management for waiver services could materially affect overall revenue. Analysts should treat this profile as that of an established, Medicaid-focused habilitation and transport operator with a concentrated revenue base and localized competitive strengths rather than a diversified multi-payer medical practice.

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	6,040	$3,560	$21.5M
T2021	Day habilitation, waiver; per 15 minutes	13,810	$580	$8M
T2003	Non-emergency transportation; encounter/trip	5,350	$180	$935.7K
T2004	Non-emergency transport; commercial carrier, multi-pass	1,110	$170	$191.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	390	$430	$167K
T2034	Crisis intervention, waiver; per diem	460	$0	$0

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

A Better Life Experience Inc. — 0 of 5 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	80	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	74	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	79	100	1,940	$200	$1.5M
T2003	Non-emergency transportation; encounter/trip	107	280	2,640	$20	$881.3K
T2004	Non-emergency transport; commercial carrier, multi-pass	21	40	1,390	$10	$303.7K
T2034	Crisis intervention, waiver; per diem	63	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as A Better Life Experience Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allegiance Home Care Inc	CO	In Home Supportive Care Agency	$0	$33.7M
Hca Healthone LLC	CO	General Acute Care Hospital	$0	$30.6M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Oliver Behavioral Consultants LLC	CO	Behavior Analyst	$0	$16.6M
Rocky Mountain Youth Medical & Nursing Consultants Inc	CO	Pediatrics Physician	$0	$16.2M
Carepoint Emergency Medicine, PLLC	CO	Emergency Medicine Physician	$0	$7.6M
Physician's Choice Medical, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.5M
Thornton Youth Dentistry, PC	CO	General Practice Dentistry	$0	$7.1M
H.e.a.r.t Counseling Center, LLC	CO	Community/Behavioral Health Agency	$0	$5.4M
Thornton Youth Vision, LLC	CO	Optometrist	$0	$5M

A Better Life Experience Inc. — Billing Profile & Reimbursement Data

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A Better Life Experience Inc. — 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