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.

Critical Care & Pulmonary Consultants, PC (NPI 1033135520)

Field	Value
Entity Type	Organization
Organization	Critical Care & Pulmonary Consultants, PC
Address	7100 E Belleview Ave Ste G10
City	Greenwood Village
State	CO
ZIP	80111
Taxonomy	Hospitalist Physician
NPI Enumerated	July 15, 2006

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30,290	$160	$5M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	51,510	$60	$3M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	14,410	$110	$1.6M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	38,600	$40	$1.5M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	11,850	$60	$734.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1,150	$70	$82.6K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,790	$40	$75K
99220	N/A	460	$100	$44.1K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	170	$80	$13.4K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	30	$70	$1.9K

Showing 1–10 of 16

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

Critical Care & Pulmonary Consultants, PC — 5 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2	100	110	$150	$271.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,501	2,630	430	$90	$268.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2	220	340	$60	$188.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4	260	280	$40	$123.2K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	25	30	160	$150	$96.8K
99220	N/A	5	20	80	$100	$82.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	170	100	$110	$74.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	16	20	80	$60	$57.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	120	120	$60	$49.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	10	110	80	$40	$33.9K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Critical Care & Pulmonary Consultants, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Chiu	WY	Family Medicine Physician	$174.1K	$0
Matthew Mcdiarmid	CO	Interventional Cardiology Physician	$164.9K	$0
David Valencia	CO	Hospitalist Physician	$151.7K	$0
Chakradhar Kotaru	CO	Critical Care Medicine (Internal Medicine) Physician	$118.9K	$0
Christopher Sumey	SD	Hematology & Oncology Physician	$104.7K	$0
Kathryn Logothetis	CO	Pulmonary Disease Physician	$97.7K	$0
Aron Hull	CO	Hospitalist Physician	$87.8K	$0
Mary Ann Bucani-go	CO	Hospitalist Physician	$82.6K	$0
Andrew Labelle	CO	Critical Care Medicine (Internal Medicine) Physician	$79.5K	$0
Alecia Brynda	CO	Nurse Practitioner	$69.9K	$0

Nearby Providers

Other providers in the same ZIP code as Critical Care & Pulmonary Consultants, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Support Incorporated	CO	Developmentally Disabled Services Day Training Agency	$0	$39M
Alfabest Home Care, LLC	CO	Home Health Agency	$0	$23.4M
180 Medical, Inc.	CO	Durable Medical Equipment & Medical Supplies	$0	$15.7M
Carepoint Anesthesia Group LLC	CO	Dental Anesthesiology	$0	$10.7M
Newport Health Network Inc	CO	Audiologist	$0	$8.1M
Elite Home Care, Inc	CO	Home Health Agency	$0	$7.2M
Ability Specialists, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$6.5M
The Child And Family Therapy Center Of Denver LLC	CO	Counselor	$0	$4.8M
Charles Nutting	CO	Vascular & Interventional Radiology Physician	$1.1M	$0
Camtu Jones	CO	Radiation Oncology Physician	$690.9K	$0

Critical Care & Pulmonary Consultants, PC — Billing Profile & Reimbursement Data

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Critical Care & Pulmonary Consultants, PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References