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 1225025406)

Field	Value
Entity Type	Organization
Organization	Clinica Campesina Family Health Services
Address	1735 S Public Rd Ste 201
City	Lafayette
State	CO
ZIP	80026
Taxonomy	Clinic/Center
NPI Enumerated	October 3, 2005

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0999	N/A	25,880	$220	$5.7M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	18,200	$20	$345.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,310	$50	$124.7K
D0190	N/A	4,670	$30	$121.3K
D2930	N/A	830	$130	$107.6K
D1120	Prophylaxis–child	2,570	$40	$102.7K
D0120	Periodic oral evaluation - established patient	3,380	$30	$97.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	840	$80	$68.6K
D0150	Comprehensive oral evaluation – new or established patient	1,380	$40	$59.3K
D0272	N/A	1,780	$30	$48.1K

Showing 1–10 of 33

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 — 1 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	13	150	2,140	$260	$2M
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…	2,335	2,630	430	$90	$268.2K
D2930	N/A	68	160	550	$130	$233K
D2392	Post 2 surface resin‑based composite	513	690	290	$130	$148K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	209	260	280	$40	$123.2K
H1005	Prenatal care, at-risk enhanced service package (includes h1001-h1004)	5	10	130	$450	$108K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	4	10	20	$490	$93.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	276	420	290	$90	$90.4K
D1120	Prophylaxis–child	146	690	300	$30	$82.1K
D1351	Sealant - per tooth	107	280	450	$30	$73.6K

Showing 1–10 of 33

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	Clinic/Center	$0	$15.3M
Clinica Campesina Family Health Services	CO	Federally Qualified Health Center (FQHC)	$0	$12.2M

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
Developmental Disabilities Center	CO	Developmentally Disabled Services Day Training Agency	$0	$114.2M
Karuna Care Services	CO	Developmentally Disabled Services Day Training Agency	$0	$28.4M
Tru Community Care	CO	PACE Provider Organization	$0	$11.2M
Developmental Disabilities Center	CO	Case Management Agency	$0	$11.1M
Behavior Services Of The Rockies	CO	Community/Behavioral Health Agency	$0	$5.6M
Summit Supports LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.5M
Behavior Services Of The Rockies	CO	Community/Behavioral Health Agency	$0	$3.9M
Community Roots, LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.5M
Robert Courtney	CO	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Ashleigh Levison	CO	Retina Specialist (Ophthalmology) Physician	$1.4M	$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