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.

Southern Colorado Clinic PC (NPI 1285613554)

Southern Colorado Clinic PC is a clinic/center provider located in Pueblo, Colorado. This profile covers 0 Medicare and 133 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	Southern Colorado Clinic PC
Address	3676 Parker Blvd
City	Pueblo
State	CO
ZIP	81008
Taxonomy	Clinic/Center
NPI Enumerated	January 13, 2006

Payer Source	Total Paid
Medicaid	$17.4M
Medicare	$0

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

133 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	108,220	$60	$6.2M
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…	61,010	$70	$4.5M
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…	17,740	$90	$1.5M
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	5,250	$120	$640.1K
87636	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…	4,910	$130	$638.8K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	950	$350	$334.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,270	$90	$307.5K
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…	2,620	$110	$298.6K
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…	5,450	$50	$283.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,150	$90	$274.3K

Showing 1–10 of 133

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

Southern Colorado Clinic PC — 7 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

133 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	9	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…	13	2,630	430	$90	$268.2K
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.	660	680	1,160	$50	$223.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	47	240	550	$110	$208.5K
87631	The lab analyst performs the technical steps to detect three to five types or subtypes of pathogens, such as adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus,…	4	30	170	$100	$197.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	203	220	340	$60	$188.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	39	260	380	$100	$161.6K
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…	228	260	280	$40	$123.2K
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,…	64	690	140	$90	$118.4K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	37	290	160	$110	$111.1K

Showing 1–10 of 133

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick Timms	CO	Rheumatology Physician	$788.7K	$0
Kristina Sanchez	NM	Family Medicine Physician	$310K	$0
Wendy Archuleta	CO	Family Nurse Practitioner	$289.7K	$0
Mallikarjuna Nallegowda	CO	Pain Medicine Physician	$270.5K	$0
James Archuleta	CO	Family Nurse Practitioner	$176.7K	$0
Sergio Murillo Herrera	CO	Family Medicine Physician	$168.3K	$0
John Beauman	CO	Family Medicine Physician	$64K	$0
Dwight Caughfield	CO	Physical Medicine & Rehabilitation Physician	$45.9K	$0
Scott Deruiter	CO	Family Medicine Physician	$44.2K	$0
Rochelle Elijah	CO	Family Medicine Physician	$38.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$28.9M
Rapid Medical, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$13.1M
Colorado Bluesky Enterprises, Inc	CO	Case Management Agency	$0	$13M
Park West Vision, LLC	CO	Optometrist	$0	$12.1M
North Pueblo Dental Partners	CO	Dental Clinic/Center	$0	$10M
Colorado Bluesky Enterprises, Inc	CO	Case Management Agency	$0	$9.1M
North Pointe Gardens	CO	Assisted Living Facility	$0	$7.4M
Mike Jordan	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.1M
Front Range Urgent Care, Inc.	CO	Urgent Care Clinic/Center	$0	$4.7M
Curley Peak Dentistry PLLC	CO	Pediatric Dentistry	$0	$4.5M

Southern Colorado Clinic PC — Billing Profile & Reimbursement Data

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Southern Colorado Clinic PC — 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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