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 Family Caregivers LLC (NPI 1952923179)

Field	Value
Entity Type	Organization
Organization	Colorado Family Caregivers LLC
Address	10475 Elizabeth Way
City	Colorado Springs
State	CO
ZIP	80908
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	May 11, 2020

Payer Source	Total Paid
Medicaid	$98.4M
Medicare	$0

Key Findings

COLORADO FAMILY CAREGIVERS LLC is classified as an In Home Supportive Care Agency and its Medicaid code mix (H2021, S5130, S5150) aligns with home- and community-based services: community-based wrap-around services, homemaker services, and unskilled respite care. This pattern indicates the operation is focused on direct in-home support and waiver-style services rather than clinic- or facility-based care, reflecting a service-line emphasis on personal care and caregiver supports for Medicaid populations.

Revenue is highly concentrated in a narrow set of service lines: the precomputed top 3 Medicaid codes account for 88.6% of the provider's total Medicaid revenue. Specifically, H2021 generated $37M (37.6%), S5130 generated $31.4M (31.9%), and S5150 generated $18.9M (19.2%) of total Medicaid revenue, showing that a very large share of dollars flow through these three service categories.

This provider is effectively single-payer in scale: there is no Medicare billing on file while Medicaid lifetime revenue is $98.4M, so Medicaid represents the dominant and almost exclusive source of publicly billed revenue for this NPI. Analysts should treat Medicaid policy, waiver program changes, and state contracting dynamics as the primary levers that will affect this entity's financial performance.

Colorado Family Caregivers is a dominant statewide provider for multiple high-volume home- and community-based codes: it ranks #1 in-state for H2021 (1 of 102), S5130 (1 of 342), and S5150 (1 of 86) and each of those is flagged as an extreme outlier in state volume. Those rank and percentile positions indicate the organization is a market leader for these specific service lines in Colorado and operates at volumes far above typical peers.

Operational scale is substantial based on claim counts: S5130 shows 1.2M claims, H2021 shows 671.9K claims, and S5150 shows 245.4K claims, implying a very high frequency of short-interval service units (per 15 minutes) that will require significant caregiver workforce and scheduling capacity. These volumes are consistent with a large field-based delivery model and suggest considerable operational complexity in route planning, workforce management, and billing throughput.

Service unit economics vary across codes, which has implications for margin and resource allocation: average paid/claim is $55 for H2021, $26 for S5130, and $77 for S5150, while T1019 shows $33 avg paid/claim for a meaningful $8M share (8.2%) of revenue. The higher per-claim rate for S5150 versus the lower rate for S5130 suggests different staffing intensity or reimbursement tiers across respite versus homemaker services, which should guide contract negotiations and cost analyses.

Despite dominant positions on its top codes, there is moderate diversification within Medicaid billing beyond the top three: T1019 contributed $8M (8.2%) and ranks #7 of 475 providers (99th percentile), while S5151 (per diem respite) contributed $2.7M (2.8%) and ranks #1 of 37 providers (extreme outlier). Conversely, ancillary codes such as T2003 (non-emergency transportation, $431.8K, 0.4%) are small and rank in typical ranges, indicating the organization’s core business remains direct care rather than transportation or minor adjunct services.

This NPI was enumerated on 2020-05-11 (~6 years ago), so the provider has scaled to a large Medicaid footprint in a relatively short period. For payers and competitors, that tenure combined with extreme-volume outlier status on multiple codes signals a mature, rapidly grown operator whose contracts, workforce capacity, and compliance operations will be material factors in any network or program-level engagement.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	671,870	$60	$37M
S5130	Homemaker service, nos; per 15 minutes	1,206,240	$30	$31.4M
S5150	Unskilled respite care, not hospice; per 15 minutes	245,360	$80	$18.9M
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…	243,020	$30	$8M
S5151	Unskilled respite care, not hospice; per diem	39,820	$70	$2.7M
T2003	Non-emergency transportation; encounter/trip	26,990	$20	$431.8K
T2027	Specialized childcare, waiver; per 15 minutes	440	$70	$31.2K

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 Family Caregivers LLC — 5 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	7	480	5,200	$150	$3.5M
S5130	Homemaker service, nos; per 15 minutes	1	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	1	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	1	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	37	280	2,640	$20	$881.3K
S5151	Unskilled respite care, not hospice; per diem	1	40	640	$130	$453.2K
T2027	Specialized childcare, waiver; per 15 minutes	1	10	440	$70	$31.3K

Colorado Family Caregivers LLC — Billing Profile & Reimbursement Data

Sign up for Colorado Family Caregivers LLC — Billing Profile & Reimbursement Data policy alerts

Colorado Family Caregivers LLC — Billing Profile & Reimbursement Data

Sign up for Colorado Family Caregivers LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References