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.

Uch-mhs (NPI 1144397134)

Field	Value
Entity Type	Organization
Organization	Uch-mhs
Address	1400 E Boulder St
City	Colorado Springs
State	CO
ZIP	80909
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 29, 2006

Payer Source	Total Paid
Medicaid	$69M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused hospital: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $69M. The absence of Medicare billing on file combined with material Medicaid receipts indicates the provider operates predominantly, if not exclusively, within the Medicaid payer channel based on available claims data.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicaid codes by revenue account for 55.7% of this provider's total Medicaid revenue. Those top three codes are 99212 (21.5%), 99285 (20.5%), and 96361 (13.7%), indicating a small number of service lines drive the majority of cash flow.

The code mix and volumes point to an emergency-department and observation-centric operation. High-volume ED E/M codes include 99285 with 113.9K claims ($13.1M revenue) and 99283 with 60.7K claims ($7.1M revenue), and observation services (G0378) also appear materially ($3.1M revenue, 15.4K claims), which together suggest substantial ED throughput and inpatient observation activity.

Ambulatory and low‑acuity outpatient visits are also a large component of Medicaid billing: 99212 records 116.6K claims and $13.8M revenue (21.5% of Medicaid revenue) and ranks #1 of 693 providers in-state (100th percentile; extreme outlier). This combination of very high-volume, low-level E/M visits alongside high-acuity ED visits implies the facility manages both walk-in/outpatient clinic demand and emergency care at scale.

Infusion and IV therapy are a notable revenue stream: 96361 has 33.9K claims and $8.8M revenue and ranks #1 of 73 providers in-state (100th percentile; extreme outlier). The prominence of 96361 alongside G0378 observation hours and J2357 (omalizumab) injections indicates a supervisory service mix that includes sustained IV/infusion treatments and drug administration.

The provider offers broad ancillary services reflected in top-code counts across laboratory, imaging, and specialized diagnostics. High volumes include U0003 COVID testing (29.6K claims, $1.6M), 80048 (78.3K claims, $704.7K) and 80047 (36.5K claims, $730.1K, ranked #1 of 23 providers in-state, 100th percentile; extreme outlier), plus imaging codes like 74177 and 70450 and sleep studies 95810/95811, demonstrating a full-service acute-care capability beyond core ED visits.

State-level competitive standing is strong for multiple service lines: the provider is an extreme outlier or top-ranked in several codes (for example 99212 #1 of 693, 96361 #1 of 73, 0241U #1 of 93, 80047 #1 of 23, and 99211 #2 of 260), and many other codes sit in the 90th+ percentiles. These rank and percentile positions indicate the hospital is a dominant or major statewide player for several high-volume Medicaid services rather than a modest participant.

The provider has a lengthy enrollment history (NPI enumerated 2006-11-29 (~20 years ago)), which, combined with the concentrated Medicaid revenue base and the mix of ED, observation, infusion, lab, and imaging codes, suggests an established acute-care operation with a sustained focus on high-volume Medicaid service lines. Analysts should consider the operational and reimbursement implications of dependency on a few high-volume Medicaid codes when assessing revenue risk and service capacity.

Medicaid: Complete Services Breakdown

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

266 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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,…	116,620	$120	$13.8M
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.	113,900	$120	$13.1M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	33,880	$260	$8.8M
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.	60,670	$120	$7.1M
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.	36,700	$110	$4.1M
G0378	Hospital observation service, per hour	15,410	$200	$3.1M
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…	23,870	$90	$2.1M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	17,540	$120	$2M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	29,580	$50	$1.6M
0241U	N/A	13,340	$80	$1.1M

Showing 1–10 of 266

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

Uch-mhs — 14 of 25 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

266 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.	3	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.	10	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.	22	270	1,290	$100	$937.1K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	1	70	410	$250	$881.6K
G0381	Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is…	5	10	350	$170	$418.4K
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…	82	2,520	330	$100	$352K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	8	30	80	$400	$301.9K
G0378	Hospital observation service, per hour	2	30	70	$150	$290.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	4	80	830	$70	$274.8K
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…	1,980	2,630	430	$90	$268.2K

Showing 1–10 of 266

Related Providers

Other providers that share a Tax Identification Number (TIN) with Uch-mhs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America Holdings	NC	Clinical Medical Laboratory	$214.6M	$1.4B
Laboratory Corporation Of America Holdings	NJ	Clinical Medical Laboratory	$143.3M	$717.5M
Natera, Inc.	CA	Clinical Medical Laboratory	$133.1M	$641.5M
Unilab Corporation	CA	Clinical Medical Laboratory	$94M	$668.5M
Bioreference Health, LLC	NJ	Clinical Medical Laboratory	$66.8M	$620.1M
Laboratory Corporation Of America Holdings	OH	Clinical Medical Laboratory	$56.9M	$617M
Millennium Health, LLC	CA	Clinical Medical Laboratory	$20.4M	$579.3M
Exact Sciences Laboratories, LLC	WI	Clinical Medical Laboratory	$299.3M	$276.5M
Aeroflow Inc.	NC	Durable Medical Equipment & Medical Supplies	$0	$571.9M
Zoll Services LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$503.8M

Nearby Providers

Other providers in the same ZIP code as Uch-mhs, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Voyager Home Health Care LLC	CO	Home Health Agency	$0	$69.7M
Rocky Mountain Health Care Services	CO	PACE Provider Organization	$0	$38.5M
Buck Jack LLC	CO	Speech-Language Pathologist	$0	$32.7M
Mountain View Home Care Inc.	CO	In Home Supportive Care Agency	$0	$19.3M
Emergency Medical Specialists, PC	CO	Emergency Medicine Physician	$0	$13.2M
Colorado Domestic Care Inc.	CO	Home Health Agency	$0	$11.6M
Radiology & Imaging Consultants PC	CO	Diagnostic Radiology Physician	$0	$9.5M
Hero Dental Of Springs PC	CO	General Practice Dentistry	$0	$9.3M
Retina Consultants Of Southern Colorado P C	CO	Ophthalmology Physician	$0	$9M
Akvc Central LLC	CO	Pediatric Optometrist	$0	$8.8M

Uch-mhs — Billing Profile & Reimbursement Data

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Uch-mhs — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References