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.

Clinica Campesina Family Health Services (NPI 1184613234)

Field	Value
Entity Type	Organization
Organization	Clinica Campesina Family Health Services
Address	2525 13th St
City	Boulder
State	CO
ZIP	80304
Taxonomy	Clinic/Center
NPI Enumerated	October 20, 2005

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 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…	41,030	$160	$6.4M
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…	34,140	$150	$5.1M
D0999	N/A	6,540	$270	$1.7M
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,…	3,860	$150	$590.1K
H0002	Behavioral health screening to determine eligibility for admission to treatment program	10,700	$50	$556.1K
H0023	Alcohol and/or drug outreach	9,670	$50	$522K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	660	$160	$106.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	340	$160	$53.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	220	$130	$27K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	6,280	$1	$25.1K

Showing 1–10 of 62

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

Clinica Campesina Family Health Services — 5 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	47	150	2,140	$260	$2M
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…	53	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…	27	2,630	430	$90	$268.2K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	52	100	320	$80	$229.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	214	240	550	$110	$208.5K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	51	60	360	$30	$183.5K
H0023	Alcohol and/or drug outreach	16	190	360	$60	$163.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	155	260	380	$100	$161.6K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	57	70	350	$30	$150K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	90	180	1,040	$10	$127.6K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with Clinica Campesina Family Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$22.3M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$16.2M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$12.2M
Clinica Campesina Family Health Services	CO	Clinic/Center	$0	$7.1M

Nearby Providers

Other providers in the same ZIP code as Clinica Campesina Family Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stuart Weisman	CO	Rheumatology Physician	$1.1M	$0
Shawn Allen	CO	MOHS-Micrographic Surgery Physician	$372.4K	$0
Stephen Siegel	CO	Urology Physician	$337.1K	$0
Laboratory Corporation Of America	CO	Clinical Medical Laboratory	$304.7K	$24.6K
Ken Kreidl	CO	Ophthalmology Physician	$270.2K	$0
William Blanchet	CO	Internal Medicine Physician	$251.3K	$0
Donald Mccormack	CO	Ophthalmology Physician	$226.1K	$0
Boulder Medical Center, PC	CO	Ambulatory Surgical Clinic/Center	$208K	$0
Cher LLC	CO	Diagnostic Radiology Physician	$143K	$49.6K
Niles Utlaut	CO	Ophthalmology Physician	$171.7K	$0

Clinica Campesina Family Health Services — Billing Profile & Reimbursement Data

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Clinica Campesina Family Health Services — 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