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 New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Miners Colfax Medical Center (NPI 1083931109)

Miners Colfax Medical Center is a critical access hospital provider located in Raton, New Mexico. This profile covers 0 Medicare and 141 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Miners Colfax Medical Center
Address	203 Hospital Dr
City	Raton
State	NM
ZIP	87740
Taxonomy	Critical Access Hospital
NPI Enumerated	April 29, 2010

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

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

141 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	12,260	$170	$2.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	4,860	$290	$1.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	2,270	$360	$822.8K
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…	12,380	$40	$520K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,120	$60	$486.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	4,240	$50	$224.7K
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	1,300	$160	$206.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	370	$480	$175.6K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	970	$180	$174.4K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	990	$170	$164.8K

Showing 1–10 of 141

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

Miners Colfax Medical Center — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

141 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	49	80	12,050	$160	$3.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	50	70	6,920	$210	$3.5M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	22	40	3,670	$80	$3.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	39	80	10,650	$130	$2.4M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	47	60	3,070	$210	$1.4M
76820	The provider performs Doppler ultrasonography for fetal surveillance to determine the velocity of blood flow through the umbilical artery. This test determines the timing of labor induction and when…	10	20	2,780	$90	$1.3M
G0378	Hospital observation service, per hour	32	40	1,000	$400	$1M
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	26	30	3,760	$120	$900.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	48	60	2,820	$110	$799.5K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	10	30	380	$100	$796.5K

Showing 1–10 of 141

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Misbah Zmily	NM	Internal Medicine Physician	$609.4K	$703K
Sreechandra Donepudi	AZ	Diagnostic Radiology Physician	$273.4K	$52.6K
Eric Appelt	TX	Diagnostic Radiology Physician	$316.1K	$0
Satyam Veean	TX	Vascular & Interventional Radiology Physician	$281.1K	$0
Winslett Cox	VA	Diagnostic Radiology Physician	$223.6K	$0
Almas Syed	TX	Diagnostic Radiology Physician	$223.4K	$0
Rajesh Gogia	TX	Diagnostic Radiology Physician	$98.5K	$0
Randy Niblett	NY	Diagnostic Radiology Physician	$90.1K	$260
Sean Biggs	NM	Diagnostic Radiology Physician	$88.5K	$0
Aemon Techeira	NM	Diagnostic Radiology Physician	$86.6K	$110

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Citizens For The Developmentally Disabled, Inc.	NM	Community/Behavioral Health Agency	$0	$4M
Lancer Health Group, LLC	NM	Multi-Specialty Clinic/Center	$0	$3.8M
La Familia Primary Care P C	NM	Clinic/Center	$0	$1.7M
Rocky Mountain Physical Therapy, Inc	NM	Physical Therapist	$0	$1.6M
City Of Raton	NM	Land Ambulance	$81.2K	$535.7K
Ted Kamp	NM	Physical Therapist	$251K	$0
Bruce Washburn	NM	Chiropractor	$41.3K	$0
Crystal Washburn	NM	Chiropractor	$21.7K	$0
Louisa Chavez	NM	Obstetrics & Gynecology Physician	$7K	$0
Linde Schuster	NM	Speech-Language Pathologist	$5.9K	$0

Miners Colfax Medical Center — Billing Profile & Reimbursement Data

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Miners Colfax Medical Center — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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