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.

Community Connections Inc. (NPI 1912171190)

Field	Value
Entity Type	Organization
Organization	Community Connections Inc.
Address	281 Sawyer Dr Ste 200
City	Durango
State	CO
ZIP	81303
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 17, 2008

Payer Source	Total Paid
Medicaid	$21.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	109,400	$150	$16.5M
T2021	Day habilitation, waiver; per 15 minutes	46,120	$70	$3.1M
T2003	Non-emergency transportation; encounter/trip	31,980	$20	$671.6K
T1017	Targeted case management, each 15 minutes	2,790	$220	$620K
S5130	Homemaker service, nos; per 15 minutes	5,820	$50	$273.7K
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…	5,320	$30	$181K
T1016	Case management, each 15 minutes	2,620	$20	$62.9K
T2028	Specialized supply, not otherwise specified, waiver	420	$60	$23.8K
H2019	Therapeutic behavioral services, per 15 minutes	140	$110	$15.7K
H2021	Community-based wrap-around services, per 15 minutes	330	$40	$13.6K

Showing 1–10 of 11

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

Community Connections Inc. — 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	18	190	3,890	$290	$12.4M
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…	235	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	25	290	3,700	$160	$2.3M
S5130	Homemaker service, nos; per 15 minutes	137	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	70	100	960	$100	$1.1M
T2003	Non-emergency transportation; encounter/trip	32	280	2,640	$20	$881.3K
H2019	Therapeutic behavioral services, per 15 minutes	88	100	1,090	$90	$600.8K
T1017	Targeted case management, each 15 minutes	90	310	640	$80	$494.3K
T1016	Case management, each 15 minutes	14	20	3,070	$40	$296.9K
T2028	Specialized supply, not otherwise specified, waiver	16	20	1,320	$50	$251.2K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Colorado Mental Health Center, Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.5M
Justin Curtis	CO	Podiatrist	$7.7M	$0
Sara Haug	CO	Retina Specialist (Ophthalmology) Physician	$3.9M	$0
Moss Fenberg	CO	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Durango Fire Protection District	CO	Land Ambulance	$434.9K	$1.7M
Victoria Knauf	CO	Foot & Ankle Surgery Podiatrist	$1.7M	$0
Kayse Lake	CO	Podiatrist	$1.3M	$790
Grant Gebhard	CO	Ophthalmology Physician	$706.5K	$0
Mark Gaughan	CO	Dermatology Physician	$480.5K	$0
Carmen Julian	CO	Dermatology Physician	$420.6K	$0

Community Connections Inc. — Billing Profile & Reimbursement Data

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Community Connections Inc. — 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