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.

Academy Heights Foot Clinic PC (NPI 1265593594)

Field	Value
Entity Type	Organization
Organization	Academy Heights Foot Clinic PC
Address	1155 Kelly Johnson Blvd Ste 310
City	Colorado Springs
State	CO
ZIP	80920
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	December 12, 2006

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	27,920	$290	$8M
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…	30,690	$50	$1.6M
99203	The provider sees a new 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 provider…	6,340	$80	$520.2K
L4360	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a…	1,400	$160	$220K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	8,610	$10	$94.7K
A4550	Surgical trays	1,830	$50	$84.3K
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…	1,030	$80	$82.2K
73718	In this diagnostic procedure, the provider performs a magnetic resonance imaging study of a patient’s lower extremity other than a joint, without the use of contrast material.	220	$360	$80.2K
Q4038	Cast supplies, short leg cast, adult (11 years +), fiberglass	250	$240	$59.5K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	130	$240	$31.7K

Showing 1–10 of 30

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

Academy Heights Foot Clinic PC — 9 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

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	1	30	130	$310	$410.3K
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…	65	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…	944	2,630	430	$90	$268.2K
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,…	632	690	140	$90	$118.4K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	35	60	180	$120	$88.1K
99203	The provider sees a new 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 provider…	18	880	110	$80	$64.9K
99204	The provider sees a new 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 provider…	498	990	90	$120	$57.9K
L4360	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a…	1	10	80	$170	$51.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	40	70	280	$40	$50.3K
73718	In this diagnostic procedure, the provider performs a magnetic resonance imaging study of a patient’s lower extremity other than a joint, without the use of contrast material.	1	10	190	$210	$32.8K

Showing 1–10 of 30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Academy Heights Foot Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Thomas	CO	Foot & Ankle Surgery Podiatrist	$90.8K	$0
Lee Fleming	CO	Foot Surgery Podiatrist	$85.9K	$0

Nearby Providers

Other providers in the same ZIP code as Academy Heights Foot Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$42M
Amy Shandy Speech Language Pathologist	CO	Speech-Language Pathologist	$0	$25.6M
Children's Hospital Colorado	CO	Children's Hospital	$0	$17.8M
In Honor Of Jade LLC Dba Talem Home Care Colorado Springs	CO	In Home Supportive Care Agency	$0	$10M
Unity Transportation LLC	CO	Non-emergency Medical Transport (VAN)	$0	$9M
Childrens Eye Center PC	CO	Ophthalmology Physician	$0	$8M
University Physicians Incorporated	CO	Pediatrics Physician	$0	$7.8M
Matthews-vu Medical Group, P.C.	CO	Internal Medicine Physician	$0	$6.9M
Gorman Medical LLC	CO	Adult Health Nurse Practitioner	$0	$5.1M
Colorado Springs Pediatric Dentistry, PC	CO	Pediatric Dentistry	$0	$4.5M

Academy Heights Foot Clinic PC — Billing Profile & Reimbursement Data

Sign up for Academy Heights Foot Clinic PC — Billing Profile & Reimbursement Data policy alerts

Academy Heights Foot Clinic PC — Billing Profile & Reimbursement Data

Sign up for Academy Heights Foot Clinic PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References