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.

Rocky Mountain Clinics LLC (NPI 1295450294)

Rocky Mountain Clinics LLC is a addiction medicine (family medicine) physician provider located in Fort Collins, Colorado. This profile covers 0 Medicare and 22 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	Rocky Mountain Clinics LLC
Address	702 W Drake Rd Ste D
City	Fort Collins
State	CO
ZIP	80526
Taxonomy	Addiction Medicine (Family Medicine) Physician
NPI Enumerated	October 11, 2022

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	91,510	$80	$7M
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	91,480	$10	$823.4K
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…	13,320	$60	$759.2K
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…	3,050	$90	$286.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,770	$100	$182.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5,090	$30	$157.9K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,320	$50	$66K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	3,030	$20	$54.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	4,900	$10	$49K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	2,340	$20	$39.8K

Showing 1–10 of 22

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

Rocky Mountain Clinics LLC — 5 of 21 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	14	40	900	$170	$1.5M
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	2	10	180	$880	$762.3K
J2315	Injection, naltrexone, depot form, 1 mg	17	30	100	$1,080	$511.1K
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…	140	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…	5	2,630	430	$90	$268.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	526	1,670	550	$100	$229.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	223	590	200	$80	$119.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	358	720	130	$100	$110K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	27	70	1,120	$20	$102.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	24	400	290	$70	$98.6K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rocky Mountain Clinics LLC	CO	Clinical Medical Laboratory	$0	$13.1M
Jeremy Edmonds	NM	Family Medicine Physician	$114.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eleos Services LLC	CO	Developmentally Disabled Services Day Training Agency	$0	$8.4M
Clear Creek Dental	CO	Dentist	$0	$6.2M
Peak Community Services, Inc.	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$3.9M
Pcr-dx Of Colorado, LLC	CO	Clinical Medical Laboratory	$437.4K	$762.3K
Kirk Kindsfater	CO	Adult Reconstructive Orthopaedic Surgery Physician	$731K	$0
Angela Mills	CO	Family Medicine Physician	$160.2K	$0
Robert Schulte	CO	Foot & Ankle Surgery Podiatrist	$152.4K	$0
Kelly Noonan	CO	Foot & Ankle Surgery Podiatrist	$137.4K	$0
Jared Overman	CO	Foot & Ankle Surgery Podiatrist	$104.4K	$0
Amir Kalani	CO	Gastroenterology Physician	$100K	$0

Rocky Mountain Clinics LLC — Billing Profile & Reimbursement Data

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Rocky Mountain Clinics LLC — 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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