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.

Kaaum Enterprises (NPI 1689158511)

Field	Value
Entity Type	Organization
Organization	Kaaum Enterprises
Address	155 Printers Parkway
City	Colorado Springs
State	CO
ZIP	80910
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	September 17, 2018

Payer Source	Total Paid
Medicaid	$34.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operation: Total Medicare revenue is none (no Medicare billing on file) while reported Medicaid revenue is $34.3M, and the NPI was enumerated on 2018-09-17 (~8 years ago). The absence of Medicare activity combined with several years of Medicaid billing indicates the organization’s financial footprint and payer exposure are concentrated in state Medicaid programs rather than dual-payer service lines.

Revenue is extremely concentrated in a small set of Medicaid codes: the top three Medicaid codes (T2016, T2021, T2003) account for 99.4% of the provider’s total Medicaid revenue. Specifically, T2016 produced $24.6M (71.7% of Medicaid revenue), T2021 produced $8M (23.2%), and T2003 produced $1.5M (4.5%), showing that nearly all cash flow is tied to these habilitation and transport services.

The code mix points to a core business model centered on developmental-disability habilitation services: heavy billing for T2016 (Habilitation, residential, waiver; per diem) and T2021 (Day habilitation, waiver; per 15 minutes) implies the provider operates residential habilitation capacity plus substantial day-program activity, while T2003 (Non-emergency transportation; encounter/trip) supports client movement to/from services. This cluster is consistent with a Developmental Disabilities Clinic/Center that combines residential care, day habilitation programming, and client transport rather than outpatient medical procedures.

Despite deriving most revenue from T2016, the provider is not a statewide dominant player on that code: T2016 ranks #50 of 191 providers in-state (74th percentile), which the source characterizes as typical, unremarkable volume for this code. In other words, the provider earns a majority of its Medicaid revenue from residential habilitation but does so at a scale that is moderate relative to peers rather than market-leading.

For day habilitation and non-emergency transport the provider shows relatively stronger in-state positioning: T2021 ranks #45 of 290 providers (85th percentile) and T2003 ranks #47 of 283 providers (84th percentile), both described as typical, unremarkable volume for these codes. These percentiles imply the provider is a meaningful regional participant for day services and transport, even if those services are not unique outliers statewide.

Several secondary codes account for only a negligible share of revenue and are described as typical, unremarkable volume: H2021 ($164.5K, 0.5%), S5150 ($36.3K, 0.1%), and S5130 ($13.2K, 0.0%). Their small dollar contributions suggest these services (community wrap-around, unskilled respite, homemaker) are accessory to the core residential/day habilitation model rather than independent revenue drivers.

There are multiple codes with claims reported but $0 average paid/claim, most notably T2038 (969 claims, $0 avg paid/claim, $0 revenue) where the provider ranks #1 of 4 providers in-state (100th percentile; typical, unremarkable volume for this code), and T2034 (141 claims, $0 avg paid/claim, $0 revenue). These zero-revenue entries likely represent claims or encounters that did not yield paid dollars (administrative submissions, non-covered services, or zero-dollar adjustments) and are important to flag when assessing utilization versus realized reimbursement.

From a contracting and risk perspective, the provider’s heavy reliance on three Medicaid codes and the absence of Medicare revenue create concentration risk: changes to reimbursement rates, waiver policies, or utilization rules for T2016, T2021, or T2003 could materially affect overall revenue. Analysts and payers should therefore prioritize monitoring payment trends and utilization for these specific codes when evaluating the provider’s financial exposure and service capacity.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	28,890	$850	$24.6M
T2021	Day habilitation, waiver; per 15 minutes	25,090	$320	$8M
T2003	Non-emergency transportation; encounter/trip	20,860	$70	$1.5M
H2021	Community-based wrap-around services, per 15 minutes	600	$280	$164.5K
S5150	Unskilled respite care, not hospice; per 15 minutes	200	$190	$36.3K
S5130	Homemaker service, nos; per 15 minutes	100	$140	$13.2K
T2034	Crisis intervention, waiver; per diem	140	$0	$0
T2038	Community transition, waiver; per service	970	$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

Kaaum Enterprises — 0 of 6 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	50	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	45	290	3,700	$160	$2.3M
S5130	Homemaker service, nos; per 15 minutes	324	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	57	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	69	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	47	280	2,640	$20	$881.3K
T2038	Community transition, waiver; per service	1	10	360	$740	$325.8K
T2034	Crisis intervention, waiver; per diem	128	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Kaaum Enterprises, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$37.8M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$28.6M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$19.9M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$12.4M
Diversus Health Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.2M
Summit Primary Care	CO	Family Medicine Physician	$0	$10.3M
Diversus Health Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.5M
Your Choice Residential	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.5M
Kids Crossing	CO	Voluntary or Charitable Agency	$0	$8M
Diversus Health Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.8M

Kaaum Enterprises — 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