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.

A Better Way Of Living, Inc. (NPI 1780625285)

Field	Value
Entity Type	Organization
Organization	A Better Way Of Living, Inc.
Address	117 Montclaire Dr Se
City	Albuquerque
State	NM
ZIP	87108
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$32.4M
Medicare	$0

Key Findings

A BETTER WAY OF LIVING, INC. is enumerated under NPI since 2006-06-08 (~20 years ago) and is classified as an Intellectual and/or Developmental Disabilities Residential Treatment Facility based in ALBUQUERQUE, NM. Its long tenure suggests established participation in state Medicaid waiver and residential habilitation networks for developmental disability services.

This provider reports no Medicare billing on file and $32.4M in lifetime Medicaid revenue, making its business effectively single-payer (Medicaid) in the available claims data. The absence of Medicare activity means analyses of competitive standing and revenue drivers must focus solely on Medicaid-coded services.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes (T2016, H2021, T2025) together account for 99.6% of the provider’s total Medicaid revenue. Specifically, T2016 contributes $23.9M (73.9%), H2021 contributes $6.4M (19.9%), and T2025 contributes $1.9M (5.9%) of Medicaid revenue, indicating a narrow set of service lines that drive nearly all billing.

The code mix indicates a primarily residential habilitation operation supplemented by intensive community-based wrap-around and waiver services. T2016 (Habilitation, residential, waiver; per diem) dominates billing with 70K claims and an average paid/claim of $342, while H2021 (Community-based wrap-around services, per 15 minutes) generates substantial revenue with only 4.3K claims but a high $1502 avg paid/claim, and T2025 (Waiver services; nos) appears as a secondary waiver-related revenue source with 2.1K claims and a $910 avg paid/claim.

Competitive standing across in-state peers is mixed but generally modest: T2016 ranks #14 of 40 providers (67th percentile; described as typical, unremarkable volume), indicating above-median presence but not dominance for residential habilitation. H2021 ranks #38 of 62 (39th percentile; typical, unremarkable volume), placing the provider below the state median on wrap-around services, while T2025 ranks #12 of 35 (68th percentile; typical, unremarkable volume), again reflecting an above-median but not leading position.

There is a clear mismatch between claim volume and revenue per claim: T2016’s large volume (70K claims) produces the bulk of revenue ($23.9M) at a low average paid/claim ($342), whereas H2021 produces $6.4M of revenue from just 4.3K claims due to a much higher avg paid/claim ($1502). This suggests the provider’s revenue mix is driven both by high-volume per-diem residential billing and by a smaller number of high-paid, time-based wrap-around sessions.

Service-line concentration creates operational exposure and strategic focus: with 99.6% of Medicaid revenue coming from the top three codes, changes in waiver policies, per-diem rates, or utilization patterns for T2016, H2021, or T2025 could materially affect overall revenue. The lack of Medicare billing further reduces payer diversification, amplifying sensitivity to Medicaid policy shifts.

Ancillary services are minimal in the billing profile: S5125 (Attendant care services; per 15 minutes) accounts for $128.7K (0.4% of Medicaid revenue) across 229 claims and ranks #44 of 45 providers (2th percentile; typical, unremarkable volume). This indicates attendant care is a negligible revenue stream relative to the provider’s core residential and waiver services.

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	69,990	$340	$23.9M
H2021	Community-based wrap-around services, per 15 minutes	4,280	$1,500	$6.4M
T2025	Waiver services; not otherwise specified (nos)	2,090	$910	$1.9M
S5125	Attendant care services; per 15 minutes	230	$560	$128.7K

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

A Better Way Of Living, Inc. — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	14	40	54,080	$360	$22.1M
H2021	Community-based wrap-around services, per 15 minutes	38	60	6,750	$340	$4.4M
S5125	Attendant care services; per 15 minutes	44	50	10,600	$100	$4.3M
T2025	Waiver services; not otherwise specified (nos)	12	40	1,010	$360	$1.6M

Nearby Providers

Other providers in the same ZIP code as A Better Way Of Living, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Safeway Medical Transportation	NM	Non-emergency Medical Transport (VAN)	$0	$27.3M
Albuquerque Treatment Services LLC	NM	Methadone Clinic	$105.4K	$18.1M
First Nations Community Health Source, Inc.	NM	Clinic/Center	$0	$15.4M
Perfectly Imperfect	NM	Mental Health Counselor	$0	$13.7M
Ds Personal Care Inc	NM	Home Health Agency	$0	$12.9M
Therapeutic Living Services, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$10.1M
A Step Above Case Management	NM	Case Management Agency	$0	$8.5M
State Of The Heart Recovery	NM	Community/Behavioral Health Agency	$0	$7.5M
Blingual Multicultural Services Inc	NM	Early Intervention Provider Agency	$0	$6.1M
Kidsfirst Dental Care LLC	NM	General Practice Dentistry	$0	$5.5M

A Better Way Of Living, Inc. — Billing Profile & Reimbursement Data

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A Better Way Of Living, 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