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.

Montrose Memorial Hospital, Inc (NPI 1205822186)

Montrose Memorial Hospital, Inc is a general acute care hospital provider located in Montrose, Colorado. This profile covers 0 Medicare and 92 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	Montrose Memorial Hospital, Inc
Address	800 S 3rd St
City	Montrose
State	CO
ZIP	81401
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 26, 2005

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

92 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	11,130	$130	$1.5M
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.	5,730	$130	$761.6K
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.	1,170	$340	$393.6K
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.	1,940	$140	$265.2K
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.	19,090	$10	$229.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	4,490	$30	$121.2K
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…	25,630	$1	$102.5K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,060	$30	$82.6K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	1,870	$40	$67.2K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	4,580	$10	$64.1K

Showing 1–10 of 92

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

Montrose Memorial Hospital, Inc — 0 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

92 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.	80	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.	57	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.	80	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.	32	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…	243	310	1,750	$40	$319.9K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	93	120	130	$70	$266.2K
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.	14	20	590	$30	$230.4K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	192	680	1,160	$50	$223.5K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	89	130	670	$50	$192.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	58	100	220	$40	$189.9K

Showing 1–10 of 92

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Montrose Memorial Hospital, Inc	CO	Emergency Medicine Physician	$0	$4.8M
Christopher Jordan	CO	Hematology & Oncology Physician	$970.8K	$0
Jessica Hellyer	PA	Medical Oncology Physician	$917.2K	$0
Barry Berkowitz	TX	Diagnostic Radiology Physician	$329.7K	$0
Justin Lohmeier	MS	Diagnostic Radiology Physician	$311.3K	$0
Akshat Paliwal	NH	Diagnostic Radiology Physician	$309.2K	$0
Crysela Smith	TX	Diagnostic Radiology Physician	$249.7K	$0
Craig Peterson	CO	Urology Physician	$248.2K	$30
Joseph Nguyen	TX	Diagnostic Radiology Physician	$247.7K	$0
Amy Kirby	VA	Diagnostic Radiology Physician	$240.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Toc, Inc	CO	Home Health Agency	$0	$17M
Community Options, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$15.1M
Pediatric Associates Prof LLC	CO	Pediatrics Physician	$0	$7M
Olathe Community Clinic Inc.	CO	Federally Qualified Health Center (FQHC)	$0	$6.6M
Cedar Point Health LLC	CO	Internal Medicine Physician	$0	$5.6M
Smiles4kids	CO	Dentist	$0	$4.1M
Community Options, Inc.	CO	Developmentally Disabled Services Day Training Agency	$0	$3.8M
Treasured Teeth PC	CO	Pediatric Dentistry	$0	$3.7M
Montrose Rural Fire Protection District No 1	CO	Land Ambulance	$426.9K	$964.3K
Black Canyon Surgical Center, LLC	CO	Ambulatory Surgical Clinic/Center	$651.5K	$112.3K

Montrose Memorial Hospital, Inc — Billing Profile & Reimbursement Data

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Montrose Memorial Hospital, 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

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