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.

Mountain High Home Care (NPI 1700492030)

Field	Value
Entity Type	Organization
Organization	Mountain High Home Care
Address	805 Bishop Pine Way
City	Castle Rock
State	CO
ZIP	80104
Taxonomy	Home Health Agency
NPI Enumerated	September 22, 2020

Payer Source	Total Paid
Medicaid	$6.1M
Medicare	$0

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
S5130	Homemaker service, nos; per 15 minutes	17,550	$100	$1.7M
H2021	Community-based wrap-around services, per 15 minutes	10,740	$150	$1.6M
T2016	Habilitation, residential, waiver; per diem	8,610	$190	$1.6M
S5150	Unskilled respite care, not hospice; per 15 minutes	6,010	$110	$673K
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…	3,390	$120	$389.9K
T2021	Day habilitation, waiver; per 15 minutes	900	$120	$104.1K

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

Mountain High Home Care — 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	73	190	3,890	$290	$12.4M
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…	285	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	232	290	3,700	$160	$2.3M
S5130	Homemaker service, nos; per 15 minutes	56	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	9	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	20	90	1,540	$130	$1M

Nearby Providers

Other providers in the same ZIP code as Mountain High Home Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marti Perkins	CO	In Home Supportive Care Agency	$0	$3.8M
Ty Shettron	CO	Family Nurse Practitioner	$3M	$0
Town Of Castle Rock	CO	Land Ambulance	$300.9K	$750.6K
Jeffrey Jones	CO	Ophthalmology Physician	$411.9K	$0
Jason Mammino	CO	Dermatology Physician	$181.6K	$0
Phaedra Hockman	CO	Physician Assistant	$142.4K	$0
Walgreen Co	CO	Community/Retail Pharmacy	$128.8K	$5.8K
Belton Hallmark	CO	Family Medicine Physician	$127.1K	$0
Doris Kleinert	CO	Family Medicine Physician	$97.5K	$0
Gordon Blair	CO	Orthopedic Physical Therapist	$90.5K	$0

Mountain High Home Care — Billing Profile & Reimbursement Data

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Mountain High Home Care — Billing Profile & Reimbursement Data

Sign up for Mountain High Home Care — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References