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.

Innova Emergency Medical Associates PC (NPI 1295178978)

Field	Value
Entity Type	Organization
Organization	Innova Emergency Medical Associates PC
Address	410 Benedicta Ave
City	Trinidad
State	CO
ZIP	81082
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 11, 2013

Payer Source	Total Paid
Medicaid	$19.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	81,980	$120	$9.8M
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.	75,040	$90	$6.7M
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.	53,970	$50	$2.7M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	850	$150	$127.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,900	$1	$15.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	$30	$1.1K
S9999	Sales tax	140	$1	$540
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	10	$0	$0
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	100	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	170	$0	$0

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

Innova Emergency Medical Associates PC — 3 of 7 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

10 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.	4	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.	14	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.	7	270	1,290	$100	$937.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	25	100	110	$150	$271.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	107	130	280	$130	$228.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	39	190	660	$10	$39.5K
S9999	Sales tax	4	10	280	$1	$1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	131	130	120	$0	$0
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	4	10	80	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	4	10	170	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Innova Emergency Medical Associates PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Byrnes	IN	Surgical Critical Care Physician	$159K	$1.5K
Emmanuel Gallegos	NM	Emergency Medicine Physician	$73.5K	$0
Coy Johnston	WI	Family Medicine Physician	$56.5K	$0
Darrin Vanscoy	UT	Family Nurse Practitioner	$9.8K	$0

Nearby Providers

Other providers in the same ZIP code as Innova Emergency Medical Associates PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Colorado Developmental Disabilities Services, Inc	CO	Developmentally Disabled Services Day Training Agency	$0	$10.9M
Las Animas County Rehabilitation Center	CO	Adult Day Care Clinic/Center	$0	$10.2M
Trinidad Area Health Association	CO	Critical Access Hospital	$0	$5.8M
Huerfano Las Animas Area Council Of Governments	CO	In Home Supportive Care Agency	$0	$3.8M
Trinidad Ambulance District	CO	Land Ambulance	$247.1K	$772.2K
Dario San Roman	CO	Family Nurse Practitioner	$1.3K	$0

Innova Emergency Medical Associates PC — Billing Profile & Reimbursement Data

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Innova Emergency Medical Associates 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

Related Providers

Nearby Providers

Frequently Asked Questions

References