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.

Bright Horizons, Inc. (NPI 1922187814)

Field	Value
Entity Type	Organization
Organization	Bright Horizons, Inc.
Address	600 Central Ave Se Ste G
City	Albuquerque
State	NM
ZIP	87102
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$46.9M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file, and reported Medicaid revenue totals $46.9M. The absence of any Medicare claims on file indicates the provider’s revenue base and operations are concentrated entirely within Medicaid-funded programs.

Revenue is highly concentrated in a very small set of services: the top 3 Medicaid codes by revenue account for 97.1% of this provider’s total Medicaid revenue. That concentration signals that a few program lines — rather than a broad service mix — drive nearly all billed Medicaid dollars for this entity.

The code mix and top revenue drivers indicate a residential habilitation and intensive community-support model. T2016 (habilitation, residential, waiver; per diem) generates $33.2M (70.8% of Medicaid revenue), T2033 (residential care, nos, waiver; per diem) contributes $7.2M (15.3%), and H2021 (community-based wrap-around services, per 15 minutes) brings $5.1M (10.9%), together representing the primary service lines on which the business operates.

Volume and payment characteristics reinforce an operational emphasis on high-frequency per-diem habilitation services alongside fewer, higher-paid wrap-around units: T2016 shows 98.2K claims at $338 avg paid/claim, while T2033 has 5.3K claims at $1360 avg paid/claim and H2021 has 2.1K claims at $2419 avg paid/claim. These figures suggest the core business is durable daily residential habilitation supplemented by episodic, higher-intensity wrap-around services and other per-15-minute habilitation offerings.

Competitive standing for the largest revenue driver is relatively strong in-state but still characterized as typical: the provider ranks #6 of 40 for T2016 (87th percentile) even though the dataset labels this volume as "typical, unremarkable." This means the provider is a notable statewide participant in residential habilitation by revenue for T2016, but the activity level falls within expected ranges among peers.

For its other major codes the provider is a more modest participant: T2033 ranks #24 of 39 (39th percentile) and H2021 ranks #46 of 62 (26th percentile), both described as "typical, unremarkable volume." These lower percentiles indicate the provider is not a leading statewide operator for residential care NOS or community-based wrap-around relative to other in-state vendors.

Smaller-coded services represent only a trace of revenue and reach: T2021 contributes $1.3M (2.7% of Medicaid revenue) and T1002 contributes $99.7K (0.2% of Medicaid revenue), with both ranking in lower percentiles among in-state peers. These ancillary lines appear to play a minor role in the overall business model compared with the dominant per-diem residential habilitation codes.

The provider has an established tenure in the NPI system, enumerated on 2006-11-03 (~20 years ago), which aligns with a long-standing role as a Medicaid habilitation/residential services provider. Given the concentrated revenue mix and absence of Medicare billing, changes in Medicaid policy, per-diem rates, or in-state competition for T2016/T2033/H2021 could materially affect the provider’s financial profile.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	98,220	$340	$33.2M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	5,270	$1,360	$7.2M
H2021	Community-based wrap-around services, per 15 minutes	2,120	$2,420	$5.1M
T2021	Day habilitation, waiver; per 15 minutes	1,240	$1,030	$1.3M
T1002	Rn services, up to 15 minutes	90	$1,130	$99.7K

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

Bright Horizons, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	6	40	54,080	$360	$22.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	24	40	11,070	$280	$10.8M
H2021	Community-based wrap-around services, per 15 minutes	46	60	6,750	$340	$4.4M
T2021	Day habilitation, waiver; per 15 minutes	40	50	6,810	$120	$1.6M
T1002	Rn services, up to 15 minutes	30	40	1,350	$150	$368.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tricore Reference Laboratories	NM	Clinical Medical Laboratory	$0	$64.8M
Lovelace Health System LLC	NM	General Acute Care Hospital	$0	$45.2M
Tricore Inc.	NM	Clinical Medical Laboratory	$7M	$35.8M
App Of New Mexico Ed PLLC	NM	Emergency Medicine Physician	$0	$42M
Duke City Recovery Toolbox LLC	NM	Community/Behavioral Health Agency	$108.4K	$28M
Metro Treatment Of New Mexico LP	NM	Methadone Clinic	$220.4K	$27.9M
Enchanted Care Solutions, LLC	NM	Home Health Agency	$0	$25.8M
Open Skies Healthcare	NM	Community/Behavioral Health Agency	$0	$23.8M
Krossroads Integrative Health And Recovery Solutions Inc	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.7M
Behavioral Healthcare Services, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$14.8M

Bright Horizons, Inc. — Billing Profile & Reimbursement Data

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Bright Horizons, 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