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 Health Care Services (NPI 1992850689)

Field	Value
Entity Type	Organization
Organization	Rocky Mountain Health Care Services
Address	2502 E Pikes Peak Ave
City	Colorado Springs
State	CO
ZIP	80909
Taxonomy	PACE Provider Organization
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$38.5M
Medicare	$0

Key Findings

ROCKY MOUNTAIN HEALTH CARE SERVICES is effectively a Medicaid-focused provider: there is no Medicare billing on file and its lifetime Medicaid revenue is $38.5M. The organization’s NPI was enumerated 2007-01-24 (~19 years ago), indicating nearly two decades of active enrollment in payer systems, but its revenue profile is concentrated entirely in Medicaid.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 69.2% of this provider’s total Medicaid revenue. Those codes—T2031 ($17.1M, 46.4%), T2033 ($4.3M, 11.7%), and T2030 ($4.1M, 11.1%)—dominate the payer mix and drive the bulk of cashflow.

The code mix indicates an operation centered on long-term services and supports and residential/assisted-living waiver care. High revenues in T2031 (Assisted living; waiver, per diem), T2033 (Residential care, NOS, waiver; per diem), and T2030 (Assisted living, waiver; per month) suggest the provider functions largely as a waiver-funded assisted/residential care operator rather than a fee-for-service clinical practice.

On competitive standing for assisted-living waiver services, the provider is a major state participant: T2031 generates $17.1M (46.4% of Medicaid revenue) and ranks #8 of 137 providers in-state (95th percentile; notably above typical state volume). That rank and dollar concentration mark the organization as a leading Medicaid payer recipient in the assisted-living per-diem category within Colorado.

Beyond waiver services, the provider shows unusually high DME and supply volumes relative to peers. E1392 (Portable oxygen concentrator, rental) produced $3.4M (9.1%) and ranks #2 of 76 (99th percentile; notably above typical state volume), while A9999 (Miscellaneous dme supply or accessory) produced $2.8M (7.7%) and ranks #1 of 20 (100th percentile; notably above typical state volume), indicating a significant operational emphasis on durable medical equipment and related supplies.

There are clear utilization outliers in outpatient procedure/therapy codes compared with state peers. The provider ranks #1 for 98941 ($121.7K) and #1 for 98940 ($115.3K), both at the 100th percentile with 98941 labeled an "extreme outlier, far above typical state volume," which signals unusually high volumes of spinal manipulation/adjustment services relative to other in-state providers.

The provider also delivers services that appear unique or unsupported by peers statewide: H2018 (Psychosocial rehabilitation services) shows $145.8K across 327 claims and ranks #1 of 1 providers in-state with no peer-volume comparison available. This suggests the organization offers psychosocial rehab services that are not widely reported by other Medicaid providers in Colorado, potentially reflecting a specialized programmatic offering within its service mix.

From a strategic exposure perspective, the combination of single-payer reliance (Medicaid only) and heavy concentration in three waiver codes (69.2% of Medicaid revenue) creates revenue vulnerability to Medicaid policy, rate, or eligibility changes. At the same time, the provider’s high statewide ranks in assisted-living waiver per diem and DME categories identify it as a strong incumbent in those niches, which could be leveraged for contracting or expansion but also means any reimbursement shifts in those specific codes would have outsized financial impact.

Medicaid: Complete Services Breakdown

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

182 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2031	Assisted living; waiver, per diem	11,030	$1,550	$17.1M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1,430	$3,040	$4.3M
T2030	Assisted living, waiver; per month	2,040	$2,010	$4.1M
E1392	Portable oxygen concentrator, rental	13,570	$250	$3.4M
A9999	Miscellaneous dme supply or accessory, not otherwise specified	22,740	$130	$2.8M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	1,940	$500	$966.1K
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	1,740	$410	$719.5K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	30,830	$20	$616.5K
E0601	Continuous positive airway pressure (CPAP) device	4,160	$80	$349.3K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	5,070	$60	$324.6K

Showing 1–10 of 182

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 Health Care Services — 8 of 25 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

182 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0130	Non-emergency transportation: wheelchair van	6	50	350	$50	$12.3M
A0428	Ambulance service, basic life support, non-emergency transport, (bls)	23	50	360	$130	$5.6M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	3	20	70	$5,260	$4M
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…	437	480	5,200	$150	$3.5M
T2030	Assisted living, waiver; per month	8	20	860	$1,640	$3.4M
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	13	160	940	$40	$2.3M
T2031	Assisted living; waiver, per diem	8	140	840	$690	$1.9M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	23	40	900	$170	$1.5M
S5130	Homemaker service, nos; per 15 minutes	19	340	3,530	$80	$1.2M
93041	The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads. This code represents the technical component of the service…	8	10	120	$130	$1.1M

Showing 1–10 of 182

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Voyager Home Health Care LLC	CO	Home Health Agency	$0	$69.7M
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
Buck Jack LLC	CO	Speech-Language Pathologist	$0	$32.7M
Mountain View Home Care Inc.	CO	In Home Supportive Care Agency	$0	$19.3M
Emergency Medical Specialists, PC	CO	Emergency Medicine Physician	$0	$13.2M
Colorado Domestic Care Inc.	CO	Home Health Agency	$0	$11.6M
Radiology & Imaging Consultants PC	CO	Diagnostic Radiology Physician	$0	$9.5M
Hero Dental Of Springs PC	CO	General Practice Dentistry	$0	$9.3M
Retina Consultants Of Southern Colorado P C	CO	Ophthalmology Physician	$0	$9M
Akvc Central LLC	CO	Pediatric Optometrist	$0	$8.8M

Rocky Mountain Health Care Services — Billing Profile & Reimbursement Data

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Rocky Mountain Health Care 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