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.

Children's Hospital Colorado (NPI 1336637438)

Field	Value
Entity Type	Organization
Organization	Children's Hospital Colorado
Address	4090 Briargate Parkway
City	Colorado Springs
State	CO
ZIP	80920
Taxonomy	Children's Hospital
NPI Enumerated	April 25, 2018

Payer Source	Total Paid
Medicaid	$17.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	31,230	$280	$8.7M
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.	11,480	$270	$3.1M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	990	$2,680	$2.6M
99281	The provider sees a patient for the lowest level emergency department visit.	4,520	$250	$1.1M
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.	2,320	$230	$535.7K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	300	$1,210	$367.5K
0241U	N/A	2,380	$150	$363.5K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	140	$1,440	$196.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	120	$1,080	$126.2K
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	3,350	$40	$120.4K

Showing 1–10 of 66

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

Children's Hospital Colorado — 3 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

66 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.	150	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.	25	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.	111	270	1,290	$100	$937.1K
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.	70	70	410	$250	$881.6K
95782	A patient under the age of 6 undergoes an attended sleep study with identification of sleep levels and at least four additional sleep parameters.	7	10	90	$710	$384.6K
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…	620	2,520	330	$100	$352K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	10	30	80	$400	$301.9K
G0378	Hospital observation service, per hour	15	30	70	$150	$290.6K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	63	80	830	$70	$274.8K
95715	The patient undergoes electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. A video recording is made, and an…	3	10	50	$1,060	$242.8K

Showing 1–10 of 66

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Hospital Colorado, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Physicians Incorporated	CO	Internal Medicine Physician	$0	$190.8M
Children's Hospital Colorado	CO	Children's Hospital	$0	$114.9M
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
University Of Colorado Hospital Authority	CO	General Acute Care Hospital	$0	$58.1M
Johns Hopkins University	MD	Emergency Medicine Physician	$0	$21.1M
Children's Hospital Colorado	CO	Dental Clinic/Center	$0	$12.9M
Children's Hospital Colorado	CO	Children's Hospital	$0	$11.4M
University Physicians Incorporated	CO	Pediatrics Physician	$0	$7.8M
Children's Hospital Colorado	CO	Children's Hospital	$0	$7.3M
University Physicians Incorporated	CO	Clinical Medical Laboratory	$0	$6.7M

Nearby Providers

Other providers in the same ZIP code as Children's Hospital Colorado, 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
Academy Heights Foot Clinic PC	CO	Foot & Ankle Surgery Podiatrist	$0	$10.8M
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
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
Corban Stettler, Dds PC	CO	Dentist	$0	$4.4M

Children's Hospital Colorado — Billing Profile & Reimbursement Data

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Children's Hospital Colorado — 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