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.

Crystal North (NPI 1225299803)

Field	Value
Entity Type	Individual
Organization	Crystal North
Address	2555 E 13th St Ste 220
City	Loveland
State	CO
ZIP	80537
Taxonomy	Gastroenterology Physician
NPI Enumerated	June 17, 2008

Payer Source	Total Paid
Medicare	$353.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3380	Injection, vedolizumab, intravenous, 1 mg	5,700	$20	$96.9K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	1,910	$30	$49.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	160	$210	$33.9K
91120	N/A	70	$430	$28.8K
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…	250	$70	$18.2K
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…	610	$30	$16.5K
91122	N/A	70	$230	$15.3K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	70	$180	$12.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	150	$80	$11.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	140	$60	$8K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Crystal North — 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. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3380	12	20	7,500	$20	$144.4K
J1745	25	40	3,180	$30	$110.6K
88305	107	230	580	$40	$39.1K
45385	41	270	60	$310	$30.5K
96413	94	140	130	$100	$19.7K
45380	39	270	50	$200	$16.7K
G0105	27	170	30	$290	$12.9K
99214	5,204	8,160	80	$80	$11.3K
91120	1	10	20	$310	$10.2K
G0121	82	150	20	$300	$9.2K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Crystal North, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$25.2M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$23.6M
Davis Hospital & Medical Center LP	UT	General Acute Care Hospital	$0	$22.5M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$15.6M
Marian Health Center-smhc	IA	General Acute Care Hospital	$0	$15.5M
Salt Lake Regional Medical Center LP	UT	General Acute Care Hospital	$0	$9.8M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$8.9M
Catholic Health Initiatives Colorado	CO	Rural Health Clinic/Center	$0	$8.3M
Catholic Health Iniatives Colorado	CO	General Acute Care Hospital	$0	$7.5M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$7.3M

Nearby Providers

Other providers in the same ZIP code as Crystal North, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peoplecare Of Northern Colorado, LLC	CO	In Home Supportive Care Agency	$0	$13.9M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$12.7M
Total Longterm Care, Inc.	CO	PACE Provider Organization	$0	$6.8M
The Dental Team Of Loveland	CO	General Practice Dentistry	$0	$5.8M
Sunrise Community Health	CO	Federally Qualified Health Center (FQHC)	$0	$4.2M
Family Caregiver Agency LLC	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$3.5M
Horizon Laboratory LLC	CO	Clinical Medical Laboratory	$966.9K	$91.7K
Loveland Endoscopy Center, LLC	CO	Ambulatory Surgical Clinic/Center	$879.3K	$300
Lewis Strong	CO	Gastroenterology Physician	$357.1K	$0
Daniel Langer	CO	Gastroenterology Physician	$310.1K	$0

Crystal North — Billing Profile & Reimbursement Data

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Crystal North — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References