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.

Total Longterm Care, Inc (NPI 1639770183)

Field	Value
Entity Type	Organization
Organization	Total Longterm Care, Inc
Address	8405 W Alameda Ave
City	Lakewood
State	CO
ZIP	80226
Taxonomy	PACE Provider Organization
NPI Enumerated	November 2, 2020

Payer Source	Total Paid
Medicaid	$20.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2030	Assisted living, waiver; per month	9,620	$1,420	$13.6M
T2031	Assisted living; waiver, per diem	2,510	$1,600	$4M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	10,800	$90	$972.3K
E1392	Portable oxygen concentrator, rental	5,670	$120	$675.2K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	660	$270	$178.1K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	10,640	$20	$170.2K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1,990	$80	$162.9K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	140	$1,170	$160.6K
E0601	Continuous positive airway pressure (CPAP) device	2,620	$50	$136.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,750	$40	$134.8K

Showing 1–10 of 85

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

Total Longterm Care, Inc — 3 of 25 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

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0130	Non-emergency transportation: wheelchair van	42	50	350	$50	$12.3M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	33	50	360	$130	$5.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	7	20	70	$5,260	$4M
T2030	Assisted living, waiver; per month	1	20	860	$1,640	$3.4M
T2031	Assisted living; waiver, per diem	45	140	840	$690	$1.9M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	110	140	7,200	$60	$1.1M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	65	130	750	$140	$957.7K
A0425	Ground mileage, per statute mile	106	280	990	$20	$636.8K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	10	50	3,160	$40	$382.1K
A9999	Miscellaneous dme supply or accessory, not otherwise specified	3	20	2,720	$80	$377.9K

Showing 1–10 of 85

Nearby Providers

Other providers in the same ZIP code as Total Longterm Care, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	CO	Clinical Medical Laboratory	$1.3M	$11.7M
West Metro Fire Protection District	CO	Land Ambulance	$1.5M	$8.6M
Kidsfirst Pediatrics Prof., PLLC	CO	Specialist	$0	$7.1M
Grace Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$6.8M
Consultants For Children, Inc.	CO	Community/Behavioral Health Agency	$0	$6.4M
Sowash Optometry Group PC	CO	Optometrist	$0	$3.9M
Nas Recovery Solutions	CO	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.7M
Jagadish Boggavarapu	CO	Allergy & Immunology Physician	$191.9K	$0
Bryan Coffing	CO	Anatomic Pathology & Clinical Pathology Physician	$126.6K	$0
Hohans Group LLC	CO	Long Term Care Pharmacy	$63.1K	$43.9K

Total Longterm Care, Inc — Billing Profile & Reimbursement Data

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Total Longterm Care, 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