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.

Summitwest Care (NPI 1922674324)

Field	Value
Entity Type	Organization
Organization	Summitwest Care
Address	2800 Printers Way Ste 200
City	Grand Junction
State	CO
ZIP	81506
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	May 27, 2021

Payer Source	Total Paid
Medicaid	$15.1M
Medicare	$0

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
H0038	Self‑help/peer services, per 15 minutes	6,860	$1,160	$8M
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…	9,470	$650	$6.2M
S5130	Homemaker service, nos; per 15 minutes	4,520	$220	$980K

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

Summitwest Care — 0 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
H0038	Self‑help/peer services, per 15 minutes	88	280	2,330	$210	$4.8M
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…	184	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	151	340	3,530	$80	$1.2M

Nearby Providers

Other providers in the same ZIP code as Summitwest Care, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Healthcare Services, LLC	CO	In Home Supportive Care Agency	$0	$82.8M
Primary Care Partners, Inc.	CO	Family Medicine Physician	$0	$17.1M
A Better Life Experience Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.8M
Home Care Of Grand Junction LLC	CO	In Home Supportive Care Agency	$0	$13.2M
Summitwest Care	CO	Home Health Agency	$0	$12.3M
Triumph Properties, LLC	CO	Assisted Living Facility	$0	$11.7M
Rocky Mountain Health Maintenance Organization, Inc	CO	Case Management Agency	$0	$9.1M
Premier Healthcare Services, LLC	CO	Home Health Agency	$0	$8.7M
Evolve Behavioral Services, LLC	CO	Behavior Analyst	$0	$3.8M
John Moore	CO	Clinical Cardiac Electrophysiology Physician	$248.2K	$530

Summitwest Care — Billing Profile & Reimbursement Data

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Summitwest Care — 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