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.

Christopher Fox (NPI 1083696843)

Field	Value
Entity Type	Individual
Organization	Christopher Fox
Address	892 W South Boulder Rd
City	Louisville
State	CO
ZIP	80027
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	November 17, 2005

Payer Source	Total Paid
Medicare	$128.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	450	$90	$40.9K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	1,070	$30	$33.1K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	640	$40	$24.5K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	480	$40	$19K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	70	$90	$6.3K
99204	The provider sees a new 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 provider…	20	$110	$2.1K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	60	$30	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Christopher Fox — 1 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. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	454	8,160	80	$80	$11.3K
99457	5	40	130	$40	$9.6K
99454	6	40	120	$40	$9.4K
99458	2	30	180	$30	$9.1K
99204	2,502	3,670	30	$110	$4.7K
95251	48	80	80	$30	$2.5K
76536	24	230	30	$50	$2K

Nearby Providers

Other providers in the same ZIP code as Christopher Fox, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$13.4M
Flatirons Flexcare For Seniors LLC	CO	In Home Supportive Care Agency	$0	$6.2M
Lovely Home Care, LLC	CO	In Home Supportive Care Agency	$0	$6.1M
Uhs Of Centennial Peaks, LLC	CO	Family Nurse Practitioner	$0	$5.5M
Uhs Of Centennial Peaks LLC	CO	Psychiatric Hospital	$0	$5.3M
Biodesix, Inc.	CO	Clinical Medical Laboratory	$4.2M	$42.4K
Colorado Urologic Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$1.3M	$25.7K
Mary Lansing	CO	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Gregory Ruth	CO	Vascular Surgery Physician	$229.5K	$0
Costco Wholesale Corporation	CO	Community/Retail Pharmacy	$183K	$0

Christopher Fox — Billing Profile & Reimbursement Data

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Christopher Fox — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References