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.

Pueblo Community Health Center Inc. (NPI 1164468336)

Pueblo Community Health Center Inc. is a federally qualified health center (fqhc) provider located in Pueblo, Colorado. This profile covers 0 Medicare and 45 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	Pueblo Community Health Center Inc.
Address	1302 E 5th St
City	Pueblo
State	CO
ZIP	81001
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicaid	$6M
Medicare	$0

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

45 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…	16,300	$170	$2.8M
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…	13,840	$180	$2.5M
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,…	2,010	$180	$370.6K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,500	$110	$163.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	2,580	$10	$28.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	140	$180	$25.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	5,950	$1	$11.9K
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…	70	$160	$11K
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…	40	$200	$8.3K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	40	$220	$8K

Showing 1–10 of 45

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

Pueblo Community Health Center Inc. — 3 of 22 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

45 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…	136	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…	112	2,630	430	$90	$268.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	88	590	200	$80	$119.9K
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,…	75	690	140	$90	$118.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	208	290	160	$110	$111.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	348	720	130	$100	$110K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	347	400	290	$70	$98.6K
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…	616	880	110	$80	$64.9K
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…	874	990	90	$120	$57.9K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	22	110	900	$20	$32.4K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Solutions	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.6M
Argus Home Care Inc	CO	Home Health Agency	$0	$24.9M
Oakshire Gardens	CO	Assisted Living Facility	$0	$14.8M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$7M
Family & Kids Dental PC	CO	General Practice Dentistry	$0	$4.9M
Richard Rivera Mdpc	CO	Health Service Clinic/Center	$0	$4.3M
Rocky Mountain Eye Center Inc A Colorado Provider Network	CO	Ophthalmology Physician	$0	$3.9M
Pueblo Ambulatory Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$273K	$968K
Skyline Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$358.4K	$238K
Lawrence Anaya	CO	Family Medicine Physician	$129.4K	$0

Pueblo Community Health Center Inc. — Billing Profile & Reimbursement Data

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Pueblo Community Health Center 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pueblo Community Health Center Inc	CO	Federally Qualified Health Center (FQHC)	$0	$55.3M
Pueblo Community Health Center Inc	CO	Federally Qualified Health Center (FQHC)	$0	$7.7M
Pueblo Community Health Center Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$3.9M
Sergio Murillo Herrera	CO	Family Medicine Physician	$168.3K	$0
Melissa Dunn	CO	Obstetrics & Gynecology Physician	$112.1K	$0
Joseph Bulow	CO	Physician Assistant	$108K	$0
Julie Tenbrook	MN	Psychiatric/Mental Health Nurse Practitioner	$5.8K	$0