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.

Trinidad Area Health Association (NPI 1184616740)

Trinidad Area Health Association is a critical access hospital provider located in Trinidad, Colorado. This profile covers 0 Medicare and 61 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	Trinidad Area Health Association
Address	410 Benedicta Ave
City	Trinidad
State	CO
ZIP	81082
Taxonomy	Critical Access Hospital
NPI Enumerated	August 19, 2005

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	10,200	$200	$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.	8,450	$180	$1.5M
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.	4,710	$220	$1M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	3,410	$190	$641.5K
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.	12,300	$20	$209K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	590	$120	$70.6K
U0001	Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel	4,130	$20	$70.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	19,470	$1	$38.9K
88161	The lab analyst performs the technical lab test to prepare and analyze a cytopathology smear for screening and interpretation purposes. Specific codes are available for cervical, vaginal, fine needle…	400	$90	$35.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	14,100	$1	$28.2K

Showing 1–10 of 61

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

Trinidad Area Health Association — 2 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

61 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.	55	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.	69	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.	56	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.	59	70	410	$250	$881.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	128	310	1,750	$40	$319.9K
G0378	Hospital observation service, per hour	26	30	70	$150	$290.6K
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…	2,569	2,630	430	$90	$268.2K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	5	20	170	$290	$242.4K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	19	20	590	$30	$230.4K
99281	The provider sees a patient for the lowest level emergency department visit.	34	40	300	$150	$205K

Showing 1–10 of 61

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Harmon	CO	Gastroenterology Physician	$169.4K	$0
Timothy Hegeman	CO	Cardiovascular Disease Physician	$160K	$0
Priscilla Price	LA	Certified Registered Nurse Anesthetist	$17.3K	$142.1K
Bhaktasharan Patel	CO	Gastroenterology Physician	$105K	$0
Lukasz Kowalczyk	CO	Gastroenterology Physician	$95K	$0
Vanessa Lee	CO	Gastroenterology Physician	$56.9K	$0
Matthew Wild	MT	Certified Registered Nurse Anesthetist	$46.5K	$0
Kory Krahl	NE	Certified Registered Nurse Anesthetist	$15K	$0
Dario San Roman	CO	Family Nurse Practitioner	$1.3K	$0
Lindsey Mochel	CO	Primary Care Nurse Practitioner	$1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Innova Emergency Medical Associates PC	CO	Emergency Medicine Physician	$0	$19.3M
Southern Colorado Developmental Disabilities Services, Inc	CO	Developmentally Disabled Services Day Training Agency	$0	$10.9M
Las Animas County Rehabilitation Center	CO	Adult Day Care Clinic/Center	$0	$10.2M
Huerfano Las Animas Area Council Of Governments	CO	In Home Supportive Care Agency	$0	$3.8M
Trinidad Ambulance District	CO	Land Ambulance	$247.1K	$772.2K

Trinidad Area Health Association — Billing Profile & Reimbursement Data

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Trinidad Area Health Association — 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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