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.

Carepoint Emergency Medicine, PLLC (NPI 1134590318)

Field	Value
Entity Type	Organization
Organization	Carepoint Emergency Medicine, PLLC
Address	10065 E Harvard Ave
City	Denver
State	CO
ZIP	80231
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 13, 2015

Payer Source	Total Paid
Medicaid	$22.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	132,520	$110	$14.3M
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.	67,130	$80	$5M
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.	72,310	$40	$3.1M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	7,070	$10	$42.4K
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…	130	$170	$22.7K
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…	170	$10	$2.4K
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.	30	$30	$750
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	10	$20	$250
G9744	Patient not eligible due to active diagnosis of hypertension	10	$0	$0
G2021	Health care practitioners rendering treatment in place (tip)	1,360	$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

Carepoint Emergency Medicine, PLLC — 3 of 8 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	210	730	$120	$966.7K
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.	8	290	1,390	$110	$958.7K
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.	9	270	1,290	$100	$937.1K
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…	45	100	110	$150	$271.5K
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.	113	130	280	$130	$228.2K
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…	362	990	90	$120	$57.9K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	52	60	240	$20	$43.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	29	190	660	$10	$39.5K
G9744	Patient not eligible due to active diagnosis of hypertension	7	10	170	$0	$0
G2021	Health care practitioners rendering treatment in place (tip)	1	10	1,360	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carepoint Emergency Medicine, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carepoint Emergency Medicine, PLLC	CO	Emergency Medicine Physician	$0	$7.6M
Kimberly Imbesi	OR	Emergency Medicine Physician	$100.8K	$0
Rachel Cain	CO	Otolaryngology Physician	$96.5K	$0
Andrew Klutman	CO	Emergency Medicine Physician	$75.4K	$0
Stephen Macdade	CO	Emergency Medicine Physician	$67.7K	$0
Erik Verzemnieks	CO	Emergency Medicine Physician	$47.6K	$0
Kyle Smith	WV	Emergency Medicine Physician	$35.3K	$0
Michael Schlegel	CO	Emergency Medicine Physician	$33.5K	$0
Cynthia Kelmenson	CO	Emergency Medicine Physician	$28.9K	$0
Eric Thompson	CO	Emergency Medicine Physician	$27.2K	$0

Nearby Providers

Other providers in the same ZIP code as Carepoint Emergency Medicine, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpine Homecare, LLC	CO	In Home Supportive Care Agency	$0	$55.5M
Rocky Mountain Human Services	CO	Case Management Agency	$0	$30.8M
Rocky Mountain Human Services	CO	Respite Care	$0	$25.8M
Aspen Complete Health Care, Inc	CO	Home Health Agency	$0	$23.7M
Rocky Mountain Human Services	CO	Case Management Agency	$0	$23.5M
Mosaic	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$22.8M
Authentic Home Care Inc	CO	Home Health Agency	$0	$17.6M
Alliance For Home Care LLC	CO	In Home Supportive Care Agency	$0	$17.1M
Alpha's Home Care, LLC	CO	Home Health Agency	$0	$16.8M
Acclaimed Home Care LLC	CO	In Home Supportive Care Agency	$0	$14.6M

Carepoint Emergency Medicine, PLLC — Billing Profile & Reimbursement Data

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Carepoint Emergency Medicine, PLLC — 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