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.

Colorado Autism Consultants, LLC (NPI 1922393073)

Field	Value
Entity Type	Organization
Organization	Colorado Autism Consultants, LLC
Address	10650 E Bethany Dr
City	Aurora
State	CO
ZIP	80014
Taxonomy	Behavior Analyst
NPI Enumerated	June 16, 2011

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	4,340	$1,550	$6.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	2,410	$1,740	$4.2M
H0046	Mental health services, not otherwise specified	340	$1,940	$655.4K
H2019	Therapeutic behavioral services, per 15 minutes	140	$990	$137.9K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	310	$190	$58.2K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	30	$300	$7.7K

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

Colorado Autism Consultants, LLC — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	75	150	2,450	$270	$1.5M
H2019	Therapeutic behavioral services, per 15 minutes	88	100	1,090	$90	$600.8K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	22	150	800	$210	$457.9K
H0046	Mental health services, not otherwise specified	44	60	1,380	$140	$397.2K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	5	30	70	$160	$23.9K
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	5	10	30	$150	$5.1K

Nearby Providers

Other providers in the same ZIP code as Colorado Autism Consultants, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$194.9M
Clinton Home Care, Inc.	CO	In Home Supportive Care Agency	$0	$60.3M
Smith Agency	CO	Foster Care Agency	$0	$51.9M
Colorado Spirit Home Care	CO	In Home Supportive Care Agency	$0	$46.9M
Alternative Choice Home Care Nursing, LLC	CO	Home Health Agency	$0	$42.7M
Care On Call Colorado, LLC	CO	In Home Supportive Care Agency	$0	$33.8M
Atlas Home Health, Inc.	CO	Home Health Agency	$0	$31.3M
Mercy Home Services	CO	In Home Supportive Care Agency	$0	$27.9M
Community Support Services, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$27M
Support Management	CO	Developmentally Disabled Services Day Training Agency	$0	$26.2M

Colorado Autism Consultants, LLC — Billing Profile & Reimbursement Data

Sign up for Colorado Autism Consultants, LLC — Billing Profile & Reimbursement Data policy alerts

Colorado Autism Consultants, LLC — Billing Profile & Reimbursement Data

Sign up for Colorado Autism Consultants, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References