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.

Rocky Mountain Human Services (NPI 1922627876)

Field	Value
Entity Type	Organization
Organization	Rocky Mountain Human Services
Address	9900 E Iliff Ave
City	Denver
State	CO
ZIP	80231
Taxonomy	Case Management Agency
NPI Enumerated	April 10, 2020

Payer Source	Total Paid
Medicaid	$30.8M
Medicare	$0

Key Findings

ROCKY MOUNTAIN HUMAN SERVICES is a Case Management Agency with NPI enumeration dated 2020-04-10 (~6 years ago), indicating it has been an active, registered billing entity for several years but is not a long-established legacy provider. Its taxonomy and billing profile align with specialized care coordination rather than direct clinical or procedural services.

The provider reports no Medicare billing on file and $30.8M in lifetime Medicaid revenue, making its payer exposure effectively single-payer (Medicaid) in scale and financial significance. Because Medicare revenue is absent, analyses of competitive standing and revenue risk should focus on Medicaid program dynamics and state-level peers.

Revenue is highly concentrated in targeted case management and related planning codes: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. In particular, T2023 alone generates $26.2M (85.0% of the provider's Medicaid revenue), indicating the business model depends critically on monthly targeted case management encounters.

The code mix (T2023, T2024, T1017) signals an operation centered on recurring case management and waiver-related care planning: T2023 (Targeted case management; per month) and T2024 (Service assessment/plan of care development, waiver) together reflect ongoing care coordination and formal plan development for waiver populations, while T1017 (Targeted case management, each 15 minutes) represents time-based, incremental case management services. This combination suggests workflows focused on longitudinal patient oversight and administrative documentation tied to waiver services.

Competitive standing in-state is strong for the provider's primary revenue drivers: T2023 ranks #3 of 38 providers in-state (95th percentile) and is described as notably above typical state volume, and T2024 ranks #3 of 68 providers in-state (97th percentile) and is likewise notably above typical state volume. These rankings indicate the provider is a major regional player for monthly targeted case management and waiver assessment/planning services.

By contrast, T1017 (Targeted case management, each 15 minutes) contributes $1M (3.3% of Medicaid revenue) and ranks #49 of 309 providers in-state (84th percentile), a profile characterized in the data as typical and unremarkable volume for that code. This suggests the provider is less differentiated on short-interval, time-based case management encounters compared with its dominance in monthly and waiver-planning codes.

The extreme revenue concentration — $26.2M from T2023 (85.0%), $3.6M from T2024 (11.7%), and $1M from T1017 (3.3%) comprising 100.0% of Medicaid revenue — implies operational and reimbursement risk is tightly tied to policy or rate changes affecting these specific code lines. Strategic shifts, audits, or Medicaid policy changes that alter payment or eligibility for targeted case management or waiver planning services could materially affect this provider's total revenue.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2023	Targeted case management; per month	178,360	$150	$26.2M
T2024	Service assessment/plan of care development, waiver	39,150	$90	$3.6M
T1017	Targeted case management, each 15 minutes	7,530	$140	$1M

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

Rocky Mountain Human Services — 1 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	3	40	6,060	$130	$3.9M
T1017	Targeted case management, each 15 minutes	49	310	640	$80	$494.3K
T2024	Service assessment/plan of care development, waiver	3	70	880	$90	$455.1K

Nearby Providers

Other providers in the same ZIP code as Rocky Mountain Human Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpine Homecare, LLC	CO	In Home Supportive Care Agency	$0	$55.5M
Rocky Mountain Human Services	CO	Respite Care	$0	$25.8M
Aspen Complete Health Care, Inc	CO	Home Health Agency	$0	$23.7M
Rocky Mountain Human Services	CO	Case Management Agency	$0	$23.5M
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$22.8M
Carepoint Emergency Medicine, PLLC	CO	Emergency Medicine Physician	$0	$22.5M
Authentic Home Care Inc	CO	Home Health Agency	$0	$17.6M
Alliance For Home Care LLC	CO	In Home Supportive Care Agency	$0	$17.1M
Alpha's Home Care, LLC	CO	Home Health Agency	$0	$16.8M
Acclaimed Home Care LLC	CO	In Home Supportive Care Agency	$0	$14.6M

Rocky Mountain Human Services — Billing Profile & Reimbursement Data

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Rocky Mountain Human Services — 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