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.

Personal Assistance Services Of Colorado, LLC (NPI 1972954923)

Field	Value
Entity Type	Organization
Organization	Personal Assistance Services Of Colorado, LLC
Address	3900 S Wadsworth Blvd Ste 225
City	Lakewood
State	CO
ZIP	80235
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	June 30, 2016

Payer Source	Total Paid
Medicaid	$261.7M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file and total Medicaid revenue is $261.7M, indicating Medicaid is the material source of clinical revenue for the organization. The absence of Medicare activity means analyses of Medicare-to-Medicaid mix are not applicable and operational exposure is concentrated in state Medicaid programs.

Revenue is highly concentrated in a very small set of service lines: the precomputed top three Medicaid codes account for 91.3% of total Medicaid revenue, driven primarily by H0038 (51.5%), T2016 (27.0%), and T1019 (12.9%). Those three codes alone generate the vast majority of the $261.7M Medicaid footprint, so changes to reimbursement or utilization for these codes would materially affect overall revenue.

The top revenue-driving codes point to a business model focused on waiver habilitation and in-home/community supportive care: H0038 (Self-help/peer services, per 15 minutes) generated $134.7M revenue across 976.4K claims, T2016 (Habilitation, residential, waiver; per diem) produced $70.6M across 438.3K claims, and T1019 (Personal care services, per 15 minutes) produced $33.7M across 613.5K claims. The mix of high-volume, per-15-minute and per-diem codes suggests the provider operates a large direct-care workforce and participates heavily in residential habilitation and home- and community-based waiver programs.

Competitive standing within Colorado is dominant for several principal services: H0038 ranks #1 of 276 providers in-state (100th percentile; extreme outlier) and T1019 ranks #1 of 475 providers in-state (100th percentile; extreme outlier), while T2016 ranks #5 of 191 providers (98th percentile; extreme outlier). These rank and percentile positions indicate the provider is a statewide market leader and an extreme outlier in volume for its core waiver and personal care services.

Operational scale implications are evident from claim volumes and average paid amounts: 976.4K H0038 claims at $138 avg paid/claim, 613.5K T1019 claims at $55 avg paid/claim, and 438.3K T2016 claims at $161 avg paid/claim signal substantial recurring utilization and payroll/shift management needs. Sustaining these claim volumes implies large-scale staffing, scheduling, and compliance capacity to deliver frequent, time-based services across multiple settings.

The provider also bills a broader set of ancillary Medicaid codes at materially smaller shares of revenue—examples include T2021 ($10.2M, 3.9% of Medicaid revenue; rank #8 of 290, 98th percentile), S5130 ($6M, 2.3%; rank #2 of 342, 100th percentile), and S5150 ($3.5M, 1.3%; rank #3 of 86, 98th percentile). These additional codes show the organization provides day habilitation, homemaker, and respite services in addition to its core peer/self-help and habilitation offerings, giving it operational breadth beyond the top three codes.

Concentration dynamics create financial sensitivity: because H0038, T2016, and T1019 collectively represent 91.3% of Medicaid revenue, policy, utilization, or audit changes affecting any one of these codes could materially impact the provider’s revenue profile. The provider’s statewide dominance on those codes magnifies the potential impact of statewide reimbursement or programmatic shifts.

The provider’s tenure (NPI enumerated 2016-06-30 (~10 years ago)) combined with its extreme outlier rankings suggests it has built and maintained a substantial Medicaid-focused operation over roughly a decade. That sustained presence and scale in waiver and personal care services reinforce its role as a major service-line operator in Colorado’s Medicaid landscape.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	976,360	$140	$134.7M
T2016	Habilitation, residential, waiver; per diem	438,280	$160	$70.6M
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…	613,530	$60	$33.7M
T2021	Day habilitation, waiver; per 15 minutes	108,150	$90	$10.2M
S5130	Homemaker service, nos; per 15 minutes	199,670	$30	$6M
S5150	Unskilled respite care, not hospice; per 15 minutes	50,830	$70	$3.5M
H2021	Community-based wrap-around services, per 15 minutes	56,070	$40	$2.4M
S5151	Unskilled respite care, not hospice; per diem	19,290	$20	$443.7K
T2003	Non-emergency transportation; encounter/trip	24,170	$10	$217.5K
S5100	Day care services, adult; per 15 minutes	6,340	$1	$12.7K

Showing 1–10 of 11

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

Personal Assistance Services Of Colorado, LLC — 9 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	5	190	3,890	$290	$12.4M
H0038	Self‑help/peer services, per 15 minutes	1	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…	1	480	5,200	$150	$3.5M
T2021	Day habilitation, waiver; per 15 minutes	8	290	3,700	$160	$2.3M
S5130	Homemaker service, nos; per 15 minutes	2	340	3,530	$80	$1.2M
H2021	Community-based wrap-around services, per 15 minutes	4	100	960	$100	$1.1M
S5150	Unskilled respite care, not hospice; per 15 minutes	3	90	1,540	$130	$1M
T2003	Non-emergency transportation; encounter/trip	39	280	2,640	$20	$881.3K
S5151	Unskilled respite care, not hospice; per diem	2	40	640	$130	$453.2K
S5100	Day care services, adult; per 15 minutes	1	10	740	$100	$158.9K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Personal Assistance Services Of Colorado, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Personal Assistance Services Of Colorado, LLC	CO	Custodial Care Facility	$0	$13.8M
Oxygen Plus Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$8M
Founders Healthcare, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$5.4M
U-med Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$5.4M
Horizon Home Care	CO	Home Health Agency	$0	$3.8M
Scott Green	CO	Family Medicine Physician	$58.5K	$5.3K
Zachary Zells	CO	Audiologist	$9.2K	$0

Personal Assistance Services Of Colorado, LLC — Billing Profile & Reimbursement Data

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Personal Assistance Services Of Colorado, LLC — 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