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.

Boulder County Enterprises Inc (NPI 1992998363)

Field	Value
Entity Type	Organization
Organization	Boulder County Enterprises Inc
Address	6290 Lookout Rd
City	Boulder
State	CO
ZIP	80301
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	August 20, 2007

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	31,880	$320	$10.3M
T2021	Day habilitation, waiver; per 15 minutes	13,420	$200	$2.7M
T2003	Non-emergency transportation; encounter/trip	10,430	$50	$542.2K
T2019	Habilitation, supported employment, waiver; per 15 minutes	3,450	$90	$317.7K
T2034	Crisis intervention, waiver; per diem	270	$0	$0

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

Boulder County Enterprises Inc — 0 of 4 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	47	190	3,890	$290	$12.4M
T2021	Day habilitation, waiver; per 15 minutes	76	290	3,700	$160	$2.3M
T2019	Habilitation, supported employment, waiver; per 15 minutes	42	100	1,940	$200	$1.5M
T2003	Non-emergency transportation; encounter/trip	78	280	2,640	$20	$881.3K
T2034	Crisis intervention, waiver; per diem	98	160	360	$0	$0

Nearby Providers

Other providers in the same ZIP code as Boulder County Enterprises Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Medical Response Of Colorado Inc	CO	Ambulance	$1.2M	$7.8M
Boulder Community Musculoskeletal Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$591.2K	$0
Endoscopy Center Of The Rockies LLC	CO	Ambulatory Surgical Clinic/Center	$454.4K	$95.7K
Thomas Minor	CO	Pulmonary Disease Physician	$519.5K	$0
Clint Brian Blackwood	CO	Orthopaedic Surgery Physician	$416.9K	$0
American Medical Response Of Colorado Inc	CO	Land Ambulance	$303K	$76.6K
Julia Carp	CO	Physical Medicine & Rehabilitation Physician	$354.8K	$0
Med-trans Corporation	CO	Air Ambulance	$289K	$46.1K
Daniel Master	CO	Orthopaedic Hand Surgery Physician	$328.7K	$0
Anthony Barber	CO	Sleep Medicine (Psychiatry & Neurology) Physician	$262.7K	$0

Boulder County Enterprises Inc — Billing Profile & Reimbursement Data

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Boulder County Enterprises Inc — 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