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.

Lighthouse Residenital (NPI 1710483714)

Field	Value
Entity Type	Organization
Organization	Lighthouse Residenital
Address	10200 W 44th Ave Ste 400b
City	Wheat Ridge
State	CO
ZIP	80033
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	March 30, 2018

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	4,130	$2,160	$8.9M
T2004	Non-emergency transport; commercial carrier, multi-pass	90	$110	$9.4K

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

Lighthouse Residenital — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	94	190	3,890	$290	$12.4M
T2004	Non-emergency transport; commercial carrier, multi-pass	36	40	1,390	$10	$303.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Real Care, Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$59.7M
Jefferson Center For Mental Health	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.1M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$23.6M
Peak Pediatrics PLLC	CO	Clinic/Center	$0	$11.4M
Emergency Service Physicians, Inc.	CO	Emergency Medicine Physician	$0	$11.3M
A Brighter Community LLC	CO	Developmentally Disabled Services Day Training Agency	$0	$10M
My Second Home	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$8M
Children's Eye Physicians PC	CO	Eyewear Supplier	$0	$6M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.7M
Ariel Clinical Services	CO	Case Management Agency	$0	$4.8M

Lighthouse Residenital — Billing Profile & Reimbursement Data

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Lighthouse Residenital — Billing Profile & Reimbursement Data

Sign up for Lighthouse Residenital — 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