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.

Alta Mira Specialized Family Services, Inc. (NPI 1699833640)

Field	Value
Entity Type	Organization
Organization	Alta Mira Specialized Family Services, Inc.
Address	1605 Carlisle Blvd Ne
City	Albuquerque
State	NM
ZIP	87110
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicaid	$46.2M
Medicare	$0

Key Findings

This provider is effectively single-payer in practice: there is no Medicare billing on file while lifetime Medicaid revenue totals $46.2M, indicating the organization’s entire Medicare/Medicaid billing footprint is driven by Medicaid programs rather than traditional Medicare fee-for-service. The Medicaid-only pattern suggests operations concentrated in state waiver and community behavioral health funding streams rather than Medicare-funded services.

Revenue is highly concentrated in a small set of waiver and community-support codes: the top 3 Medicaid codes (T2033, H2021, T1005) account for 97.9% of the provider’s total Medicaid revenue. Specifically, T2033 alone generates $36.6M (79.2% of Medicaid revenue), H2021 contributes $5.3M (11.5%), and T1005 contributes $3.3M (7.1%), so the business’s financial profile depends heavily on a narrow set of Medicaid service lines.

The code mix points to a residential and community support operating model: T2033 (Residential care, not otherwise specified, waiver; per diem) as the overwhelming revenue driver implies the provider runs sizable residential waiver programs or group-residential settings. H2021 (Community-based wrap-around services, per 15 minutes) and T1005 (Respite care services, up to 15 minutes) further indicate complementary community wraparound and caregiver-support offerings typical of a Community/Behavioral Health Agency.

Competitive standing within New Mexico is dominant for the primary residential code: for T2033 this provider ranks #1 of 39 providers in-state (100th percentile; extreme outlier), signaling market leadership or unusually large residential capacity relative to peers. T1005 also ranks #1 of 12 providers in-state (100th percentile; notably above typical state volume), reinforcing the provider’s leading role in respite and related support services.

For supportive clinical services, the provider reports material but smaller volumes: T1002 (Rn services, up to 15 minutes) shows 11.3K claims, $76 avg paid/claim, $857.8K revenue and ranks #2 of 38 providers in-state (97th percentile; notably above typical state volume), indicating notable use of nursing services alongside residential care. By contrast, T1003 (Lpn/lvn services, up to 15 minutes) and T2021 (Day habilitation, waiver; per 15 minutes) are minor revenue contributors ($73.6K and $54.8K respectively) and rank lower in state peer comparisons, suggesting limited scope in those service lines.

The provider’s scale in activity is reflected in claims volumes for top codes: T2033 reports 290.3K claims at $126 avg paid/claim and T2033’s absolute claim count underpins the large per-diem revenue stream. H2021 and T1005 also report substantial utilization (30K claims and 24.7K claims respectively), which together with the per-claim payment levels explains the heavy Medicaid revenue concentration in those three codes.

Tenure and stability: the NPI was enumerated on 2006-12-04 (~20 years ago), indicating long-standing enrollment in federal provider systems and an established presence in New Mexico’s Medicaid service network. Long tenure combined with concentrated waiver billing suggests entrenched programmatic relationships with state Medicaid waiver operations.

Risk and operational implications: because 97.9% of Medicaid revenue is tied to three codes, payer or policy changes affecting waiver per-diem rules or community wraparound/respite reimbursement could materially impact this provider’s revenue. The provider’s dominant rank for T2033 (extreme outlier) and top rank for T1005 imply that monitoring state waiver policy, census trends in residential programs, and authorization practices will be especially important for any analyst assessing financial or service-line risk.

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
T2033	Residential care, not otherwise specified (nos), waiver; per diem	290,320	$130	$36.6M
H2021	Community-based wrap-around services, per 15 minutes	29,960	$180	$5.3M
T1005	Respite care services, up to 15 minutes	24,720	$130	$3.3M
T1002	Rn services, up to 15 minutes	11,290	$80	$857.8K
T1003	Lpn/lvn services, up to 15 minutes	1,530	$50	$73.6K
T2021	Day habilitation, waiver; per 15 minutes	510	$110	$54.8K

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

Alta Mira Specialized Family Services, Inc. — 3 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	9	60	6,750	$340	$4.4M
T2021	Day habilitation, waiver; per 15 minutes	49	50	6,810	$120	$1.6M
T1005	Respite care services, up to 15 minutes	1	10	2,760	$160	$906.3K
T1002	Rn services, up to 15 minutes	2	40	1,350	$150	$368.7K
T1003	Lpn/lvn services, up to 15 minutes	4	10	1,040	$120	$150.7K

Nearby Providers

Other providers in the same ZIP code as Alta Mira Specialized Family Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
1st Care Of New Mexico LLC	NM	In Home Supportive Care Agency	$0	$86.5M
Community Options, Inc	NM	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$76.7M
Abarim Home Health Care Inc.	NM	Community Based Hospice Care Agency	$0	$66M
New Mexico Department Of Health	NM	Customized Equipment (DME)	$0	$60.4M
Independent Living Resource Center	NM	Personal Care Attendant	$0	$57.7M
Ability First, LLC	NM	Exclusive Provider Organization	$0	$49M
Southwest Family Guidance Center LLC	NM	Adolescent and Children Mental Health Clinic/Center	$0	$32.7M
Aid Home Health Care Services LLC.	NM	Home Health Agency	$0	$32.4M
Active Solutions Incorporated	NM	Developmentally Disabled Services Day Training Agency	$0	$31.3M
Great Livin', LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$27.1M

Alta Mira Specialized Family Services, Inc. — Billing Profile & Reimbursement Data

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Alta Mira Specialized Family Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Alta Mira Specialized Family Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References