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 1689754046)

Field	Value
Entity Type	Organization
Organization	Total Longterm Care, Inc.
Address	8950 E Lowry Blvd
City	Denver
State	CO
ZIP	80230
Taxonomy	Exclusive Provider Organization
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

Medicaid: Complete Services Breakdown

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

148 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2030	Assisted living, waiver; per month	5,170	$1,580	$8.2M
T2031	Assisted living; waiver, per diem	980	$2,210	$2.2M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	5,310	$100	$515.3K
E1392	Portable oxygen concentrator, rental	3,150	$130	$399.4K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	2,870	$100	$295.7K
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	660	$340	$221.1K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	7,940	$20	$135K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	70	$1,470	$108.8K
E0601	Continuous positive airway pressure (CPAP) device	1,740	$60	$102.7K
11719	The provider performs trimming of one or more normally developed nails of the fingers or toes.	4,020	$20	$96.4K

Showing 1–10 of 148

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. — 1 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

148 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0130	Non-emergency transportation: wheelchair van	2	50	350	$50	$12.3M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	37	50	360	$130	$5.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	8	20	70	$5,260	$4M
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…	43	480	5,200	$150	$3.5M
T2030	Assisted living, waiver; per month	4	20	860	$1,640	$3.4M
T2031	Assisted living; waiver, per diem	64	140	840	$690	$1.9M
S5130	Homemaker service, nos; per 15 minutes	11	340	3,530	$80	$1.2M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	100	140	7,200	$60	$1.1M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	66	130	750	$140	$957.7K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	34	40	1,070	$540	$919.6K

Showing 1–10 of 148

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
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$8.3M
Lowry Pediatrics, PC	CO	Pediatrics Physician	$0	$4.4M
Miriah Teeter	CO	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Nancy Christmas	CO	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
David Johnson	CO	Specialist	$1.5M	$0
Stephen Murphy	CO	Rheumatology Physician	$1.4M	$0
Gregory Barron	CO	Rheumatology Physician	$1.4M	$0
Brian Joondeph	CO	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Rennie Mccabe	CO	Rheumatology Physician	$1.3M	$0

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