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.

Loren Cooke (NPI 1689048340)

Field	Value
Entity Type	Individual
Organization	Loren Cooke
Address	567f Sweetwater Rd
City	Ft Wingate
State	NM
ZIP	87316
Taxonomy	Non-emergency Medical Transport (VAN)
NPI Enumerated	November 18, 2015

Payer Source	Total Paid
Medicaid	$76.3M
Medicare	$0

Key Findings

LOREN COOKE is effectively a single-payer Medicaid operator: there is no Medicare billing on file and total Medicaid revenue is reported as $76.3M. The provider's billing profile and scale should therefore be evaluated primarily through its Medicaid activity rather than any Medicare mix.

Revenue is extremely concentrated in three non-emergency transportation codes, with the precomputed top-3 codes accounting for 100.0% of Medicaid revenue. In particular, A0100 is 74.7% of revenue, T2001 is 23.9%, and A0130 is 1.4%, indicating the business relies almost entirely on a narrow set of NEMT services.

The code mix (A0100 – taxi; T2001 – patient attendant/escort; A0130 – wheelchair van) points to a core operation built around high-volume, basic non-emergency medical transport and attendant support rather than medically intensive transport. This suggests operations optimized for frequent short trips and attendant-supported rides rather than specialized clinical transports.

LOREN COOKE is a dominant in-state provider for A0100: the file shows 390.7K claims, $146 avg paid/claim, and $57M revenue for A0100, and the provider ranks #1 of 48 in-state (100th percentile) and is labeled an extreme outlier. That rank and volume position LOREN COOKE as the leading statewide supplier of taxi-style NEMT by a wide margin.

For T2001 (patient attendant/escort) the provider reports 246.3K claims, $74 avg paid/claim, and $18.2M revenue, and it ranks #1 of 35 in-state (100th percentile) and is described as an extreme outlier. This indicates market-leading scale in attendant-supported transport services and suggests substantial operational capacity devoted to escorts.

A0130 (wheelchair van) is a much smaller revenue source at 58.3K claims, $18 avg paid/claim, and $1M revenue, but LOREN COOKE still ranks #1 of 16 in-state (100th percentile) and is an extreme outlier for this code. Even though A0130 represents a small share of revenue, the provider’s top ranking shows it operates the largest wheelchair-van volume among in-state peers.

The provider’s NPI was enumerated on 2015-11-18 (about 11 years ago), indicating an established presence in the market; sustaining the reported multi-year, high-volume claim counts for taxi and attendant services implies operational scale and repeat contracting with Medicaid payers. Analysts should view the provider as a mature, high-volume NEMT operator rather than a recent entrant.

The combination of a sole-payor footprint (Medicaid only) and extreme concentration in A0100 and T2001 creates both a strong market position in statewide NEMT and a concentration risk tied to Medicaid policy or contract changes. Given A0100’s 74.7% share and T2001’s 23.9% share of Medicaid revenue, any payer-level reimbursement or eligibility shifts affecting those codes would have outsized impact on this provider’s revenue base.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A0100	Non-emergency transportation; taxi	390,740	$150	$57M
T2001	Non-emergency transportation; patient attendant/escort	246,260	$70	$18.2M
A0130	Non-emergency transportation: wheelchair van	58,270	$20	$1M

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

Loren Cooke — 3 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0100	Non-emergency transportation; taxi	1	50	10,070	$120	$3.9M
T2001	Non-emergency transportation; patient attendant/escort	1	40	740	$80	$744.3K
A0130	Non-emergency transportation: wheelchair van	1	20	2,350	$30	$187.3K

Loren Cooke — Billing Profile & Reimbursement Data

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Loren Cooke — 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

Frequently Asked Questions

References