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.

Developmental Disabilities Center (NPI 1831236009)

Field	Value
Entity Type	Organization
Organization	Developmental Disabilities Center
Address	1400 Dixon St
City	Lafayette
State	CO
ZIP	80026
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$114.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and lifetime Medicaid revenue totals $114.2M, indicating the organization’s scale and reimbursement exposure are driven almost exclusively by Medicaid programs. The NPI was enumerated 2007-01-30 (~19 years ago), which signals a long operational history focused on Medicaid-funded services.

Revenue is highly concentrated in a small set of waiver/habilitation codes: T2016 ($68M, 59.5% of Medicaid revenue), T2021 ($15.7M, 13.7%), and S5150 ($5.1M, 4.5%) together account for 77.7% of this provider’s total Medicaid revenue. That concentration points to dependence on a few program lines for the majority of cash flow and makes reimbursement changes to those codes a material risk to overall revenue.

The top codes’ service mix indicates the organization operates primarily as a waiver habilitation and residential/day habilitation provider: T2016 is Habilitation, residential, waiver (per diem), T2021 is Day habilitation, waiver (per 15 minutes), and S5150 is Unskilled respite care (per 15 minutes). Combined with substantial claims volumes reported (15.1K claims for T2016 and 24.7K for T2021), this pattern is consistent with ongoing residential supports, day programming, and respite services as core lines of business.

Competitive standing for the three largest revenue codes is middling statewide: T2016 ranks #58 of 191 providers in-state (70th percentile), T2021 ranks #46 of 290 (84th percentile), and S5150 ranks #18 of 86 (80th percentile), each described in the source as having "typical, unremarkable volume for this code." In other words, these top lines generate large absolute revenue for the organization but do not represent extreme outlier market dominance in Colorado for those specific codes.

The provider shows pockets of stronger market position in ancillary service codes: T1017 (Targeted case management) reports 31K claims, $4.5M revenue and ranks #14 of 309 providers (96th percentile; typical, unremarkable volume for this code), H2019 (Therapeutic behavioral services) ranks #10 of 99 (91th percentile; typical, unremarkable volume for this code), and T2004 (non‑emergency transport, multi‑pass) ranks #3 of 39 (95th percentile; typical, unremarkable volume for this code). These high percentiles signal the provider is a leading statewide deliverer of case management, certain behavioral therapies, and transportation services even though those lines contribute smaller shares of total Medicaid revenue.

Operational scale is evident from claim counts across multiple codes: large claim volumes such as 24.7K claims for T2021, 31K claims for T1017, and 18.5K claims for T2004 suggest significant ongoing service throughput and logistical capacity to support day programs, case management, and transport at scale. That throughput aligns with the provider’s long tenure since NPI enumeration in 2007 and the $114.2M Medicaid revenue footprint.

While a few ancillary codes show strong statewide ranks, the overall revenue profile remains vulnerable to reimbursement or policy changes affecting waiver habilitation per‑diem and per‑15‑minute rules because T2016 alone represents 59.5% of Medicaid revenue. Analysts evaluating contract risk or partnership opportunities should prioritize monitoring payment policy and utilization trends for T2016 and T2021.

Given the absence of Medicare billing and dominant Medicaid exposure, payer negotiations, network participation, and compliance efforts for DEVELOPMENTAL DISABILITIES CENTER will largely hinge on Medicaid waiver program rules and state policy; competitive posture varies by service line, with typical statewide placement for core habilitation codes but leadership in certain support services like case management, behavioral therapy, and non‑emergency transport.

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	15,120	$4,500	$68M
T2021	Day habilitation, waiver; per 15 minutes	24,700	$640	$15.7M
S5150	Unskilled respite care, not hospice; per 15 minutes	6,260	$820	$5.1M
T1017	Targeted case management, each 15 minutes	31,030	$150	$4.5M
S5130	Homemaker service, nos; per 15 minutes	14,250	$280	$3.9M
T2019	Habilitation, supported employment, waiver; per 15 minutes	5,830	$490	$2.9M
H2019	Therapeutic behavioral services, per 15 minutes	20,300	$120	$2.5M
T2004	Non-emergency transport; commercial carrier, multi-pass	18,470	$100	$1.9M
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	$560	$1.9M
H2021	Community-based wrap-around services, per 15 minutes	1,680	$940	$1.6M

Showing 1–10 of 28

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

Developmental Disabilities Center — 1 of 25 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	58	190	3,890	$290	$12.4M
T2023	Targeted case management; per month	28	40	6,060	$130	$3.9M
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…	286	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	46	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	32	100	1,940	$200	$1.5M
S5130	Homemaker service, nos; per 15 minutes	70	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	42	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	18	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	72	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	10	100	1,090	$90	$600.8K

Showing 1–10 of 28

Nearby Providers

Other providers in the same ZIP code as Developmental Disabilities Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Karuna Care Services	CO	Developmentally Disabled Services Day Training Agency	$0	$28.4M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$16.2M
Tru Community Care	CO	PACE Provider Organization	$0	$11.2M
Developmental Disabilities Center	CO	Case Management Agency	$0	$11.1M
Clinica Campesina Family Health Services	CO	Clinic/Center	$0	$7.1M
Behavior Services Of The Rockies	CO	Community/Behavioral Health Agency	$0	$5.6M
Summit Supports LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.5M
Behavior Services Of The Rockies	CO	Community/Behavioral Health Agency	$0	$3.9M
Community Roots, LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.5M
Robert Courtney	CO	Retina Specialist (Ophthalmology) Physician	$2.9M	$0

Developmental Disabilities Center — Billing Profile & Reimbursement Data

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Developmental Disabilities Center — 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