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.

Real Care, Inc. (NPI 1740663483)

Field	Value
Entity Type	Organization
Organization	Real Care, Inc.
Address	10200 West 44th Ave
City	Wheat Ridge
State	CO
ZIP	80033
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	June 30, 2015

Payer Source	Total Paid
Medicaid	$59.7M
Medicare	$0

Key Findings

REAL CARE, INC. operates as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, with its billing dominated by residential habilitation and related waiver services. The Medicaid code mix—led by T2016 (Habilitation, residential, waiver; per diem), T2021 (Day habilitation, waiver; per 15 minutes), and T2003 (Non-emergency transportation; encounter/trip)—aligns with a provider running residential group-home style services supplemented by day programs and transportation for enrollees.

Medicaid revenue is highly concentrated: the top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with T2016 alone representing $56.2M (94.2% of the provider’s Medicaid revenue). T2021 contributes $2.5M (4.2%) and T2003 $944.9K (1.6%), leaving virtually no material revenue outside these three service lines on the Medicaid side.

This provider is effectively single-payer at present: there is no Medicare billing on file while Medicaid billing totals $59.7M, indicating Medicaid is the sole recorded public payer driving the organization’s revenue base. Analysts evaluating payer risk should treat Medicaid policy and waiver-rate changes as the primary external financial exposure for the entity.

Despite the large absolute revenue from T2016, REAL CARE’s competitive standing on that code is modest within Colorado: it ranks #65 of 191 providers (66th percentile) and is described as having typical, unremarkable volume for this code. In other words, the provider’s residential habilitation footprint is meaningful in dollars but not dominant statewide on a per-provider basis.

Its secondary services show similar mid-tier statewide positioning: T2021 ranks #197 of 290 providers (32nd percentile) and T2003 ranks #141 of 283 providers (50th percentile), both labeled as typical, unremarkable volume for those codes. A very small additional code, T2028, appears at negligible revenue and a low rank (#19 of 21, 10th percentile), underscoring that most activity is concentrated in the top three listed codes.

REAL CARE, INC. has an established enrollment history, with its NPI enumerated on 2015-06-30 (~11 years ago). This tenure suggests the provider has had time to stabilize operations and claims workflows for Medicaid waiver billing streams.

Operational scale is evident in claim-level details for the dominant service: T2016 shows 12.5K claims with a high average paid per claim ($4492), producing $56.2M in revenue; this pattern is consistent with ongoing per-diem residential billing rather than episodic clinical interventions. T2021’s 1.9K claims at $1301 avg and T2003’s 2.7K claims at $351 avg further indicate routine, repeatable day-program and transport services supporting the residential population.

The extreme concentration in a single code creates a strategic sensitivity: since T2016 drives 94.2% of Medicaid dollars and the top three codes make up 100.0% of Medicaid revenue, changes to waiver rules, per-diem rates, or authorization practices for residential habilitation would materially affect this provider’s financial profile. Monitoring state waiver policy and reimbursement updates should be a priority for payers and partners analyzing this entity.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	12,520	$4,490	$56.2M
T2021	Day habilitation, waiver; per 15 minutes	1,930	$1,300	$2.5M
T2003	Non-emergency transportation; encounter/trip	2,690	$350	$944.9K
T2028	Specialized supply, not otherwise specified, waiver	110	$50	$5.2K

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

Real Care, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	65	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	197	290	3,700	$160	$2.3M
T2003	Non-emergency transportation; encounter/trip	141	280	2,640	$20	$881.3K
T2028	Specialized supply, not otherwise specified, waiver	19	20	1,320	$50	$251.2K

Nearby Providers

Other providers in the same ZIP code as Real Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Lighthouse Residenital	CO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$8.9M
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

Real Care, Inc. — Billing Profile & Reimbursement Data

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Real Care, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References