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.

1st Allergy, Asthma And Pediatrics Too, Inc. (NPI 1326260498)

Field	Value
Entity Type	Organization
Organization	1st Allergy, Asthma And Pediatrics Too, Inc.
Address	6801 S Yosemite St
City	Centennial
State	CO
ZIP	80112
Taxonomy	Specialist
NPI Enumerated	May 2, 2007

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

72 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…	33,000	$60	$1.9M
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…	21,910	$80	$1.8M
J1568	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	340	$1,630	$552.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	4,180	$90	$367.4K
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…	3,190	$90	$274.6K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,930	$100	$185.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	4,500	$40	$179.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	9,400	$20	$159.8K
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…	1,930	$80	$150.5K
Q3014	Telehealth originating site facility fee	6,760	$20	$141.9K

Showing 1–10 of 72

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

1st Allergy, Asthma And Pediatrics Too, Inc. — 8 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	69	70	410	$250	$881.6K
J1568	Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg	1	10	200	$1,790	$358.1K
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…	57	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…	66	2,630	430	$90	$268.2K
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…	61	240	550	$110	$208.5K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	12	30	330	$160	$168.4K
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…	41	260	380	$100	$161.6K
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,…	111	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.	21	290	160	$110	$111.1K
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…	396	720	130	$100	$110K

Showing 1–10 of 72

Related Providers

Other providers that share a Tax Identification Number (TIN) with 1st Allergy, Asthma And Pediatrics Too, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edan Sarid	CO	Allergy & Immunology Physician	$644.7K	$0
Isaac Melamed	CO	Specialist	$374.1K	$0

Nearby Providers

Other providers in the same ZIP code as 1st Allergy, Asthma And Pediatrics Too, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	CO	Clinical Medical Laboratory	$14.9M	$77.8M
R&a Home Care	CO	Home Health Agency	$0	$83.4M
Antonina Health Care LLC	CO	Home Health Agency	$0	$36.6M
Highpointe Services	CO	Developmentally Disabled Services Day Training Agency	$0	$24M
Radiology Imaging Associates, PC	CO	Diagnostic Radiology Physician	$0	$18.8M
Mairik Adult Day Care	CO	Adult Day Care Clinic/Center	$0	$16.3M
Dawson Thomas, Inc.	CO	Home Health Agency	$0	$8.8M
South Metro Fire Rescue Fire Protection District	CO	Land Ambulance	$2.2M	$6.1M
Apria Healthcare LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$7.7M
Amerita, Inc.	CO	Home Infusion Therapy Pharmacy	$0	$7.4M

1st Allergy, Asthma And Pediatrics Too, Inc. — Billing Profile & Reimbursement Data

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1st Allergy, Asthma And Pediatrics Too, Inc. — 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