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.

Vitalcare Corporation (NPI 1720532765)

Field	Value
Entity Type	Organization
Organization	Vitalcare Corporation
Address	1400 W 122nd Ave Ste 140
City	Westminster
State	CO
ZIP	80234
Taxonomy	Home Health Agency
NPI Enumerated	August 8, 2016

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	26,440	$90	$2.3M
H2021	Community-based wrap-around services, per 15 minutes	15,000	$140	$2M
H0038	Self‑help/peer services, per 15 minutes	14,650	$130	$1.9M
S5150	Unskilled respite care, not hospice; per 15 minutes	15,800	$100	$1.6M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	14,370	$80	$1.1M
S5130	Homemaker service, nos; per 15 minutes	15,530	$70	$1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6,130	$90	$527.3K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	6,370	$70	$465.3K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	1,960	$10	$9.8K
T1017	Targeted case management, each 15 minutes	20	$30	$530

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

Vitalcare Corporation — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	62	280	2,330	$210	$4.8M
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…	93	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	64	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	8	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	9	90	1,540	$130	$1M
G0176	Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more)	5	40	1,400	$110	$566.3K
T1017	Targeted case management, each 15 minutes	301	310	640	$80	$494.3K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	7	40	1,180	$90	$281.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	136	1,670	550	$100	$229.3K
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	34	180	390	$10	$7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Metro Community Services, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$107.8M
Choice Home Care, LLC	CO	In Home Supportive Care Agency	$0	$34.3M
Evergreen Home Healthcare, LLC	CO	In Home Supportive Care Agency	$0	$28.6M
Trust Home Care, LLC	CO	Home Health Agency	$0	$14.4M
Childrens Therapy Services Of Colorado, Inc.	CO	Speech-Language Pathologist	$0	$9.9M
C & D Choices, Inc	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.6M
Trust Home Care, LLC	CO	Home Health Agency	$0	$9.1M
North Metro Community Services, Inc	CO	Case Management Agency	$0	$7.6M
North Metro Community Services, Inc	CO	Developmentally Disabled Services Day Training Agency	$0	$6.5M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$6.5M

Vitalcare Corporation — Billing Profile & Reimbursement Data

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Vitalcare Corporation — 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