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.

Southwest Health System, Inc. (NPI 1083917868)

Field	Value
Entity Type	Organization
Organization	Southwest Health System, Inc.
Address	1413 N Mildred Rd
City	Cortez
State	CO
ZIP	81321
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	December 16, 2010

Payer Source	Total Paid
Medicaid	$5.5M
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
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	19,900	$200	$4.1M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	5,570	$220	$1.2M
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…	820	$190	$153.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	190	$200	$39K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	100	$220	$22.6K

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

Southwest Health System, Inc. — 2 of 5 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
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	101	2,520	330	$100	$352K
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…	1,038	2,630	430	$90	$268.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	31	690	140	$90	$118.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	456	880	110	$80	$64.9K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	80	280	70	$70	$20K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southwest Health System, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Health System, Inc.	CO	Rural Health Clinic/Center	$0	$9.4M
Southwest Health System Inc	CO	Critical Access Hospital	$0	$9.2M
Southwest Health System, Inc.	CO	Pharmacy	$135.4K	$0
Rachel Chaney	CO	Cardiovascular Disease Physician	$121K	$0
Braden Jones	CO	Orthopaedic Surgery Physician	$105.6K	$0
Ajit Chary	IL	Pulmonary Disease Physician	$101.4K	$0
Patrick Mclaughlin	CO	Physical Medicine & Rehabilitation Physician	$88.4K	$0
Stephen Mackerrow	NM	Interventional Cardiology Physician	$63.9K	$0
Heather Howe	CO	Pulmonary Disease Physician	$58.2K	$0
Yadavinder Sooch	CO	Emergency Medicine Physician	$50.4K	$0

Nearby Providers

Other providers in the same ZIP code as Southwest Health System, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pasco/sw Inc	CO	Home Health Agency	$0	$6.1M
Angelic Hands Inc.	CO	Home Health Agency	$0	$5.5M
Angelic Hands LLC	CO	Personal Care Attendant	$0	$5.2M
Park Point Healthcare LLC	CO	In Home Supportive Care Agency	$0	$4.9M
Angelic Hands, Inc	CO	In Home Supportive Care Agency	$0	$4.3M
Megan Flesch	CO	Physical Therapist	$260.3K	$0
Michael Grajeda	CO	Physical Therapist	$103.1K	$0
David Buckwalter	CO	Emergency Medicine Physician	$81.3K	$0
Najib Johnson	CO	Physical Therapist	$77.6K	$0
Kari Cockrill	CO	Occupational Therapist	$45.8K	$0

Southwest Health System, Inc. — Billing Profile & Reimbursement Data

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Southwest Health System, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References