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.

Downtown Drug Inc (NPI 1346312121)

Field	Value
Entity Type	Organization
Organization	Downtown Drug Inc
Address	825 Grand Ave
City	Glenwood Springs
State	CO
ZIP	81601
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicare	$74.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	160	$130	$20.9K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	180	$70	$13.1K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	70	$140	$10.4K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	240	$40	$9.7K
G0008	Administration of influenza virus vaccine	280	$30	$8.6K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$280	$5.1K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	50	$50	$2.6K
0134A	N/A	50	$40	$1.8K
0124A	N/A	20	$40	$980
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	30	$20	$620

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Downtown Drug Inc — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91322	268	480	80	$130	$51.7K
91320	69	630	40	$120	$42.1K
90480	88	880	80	$40	$16.1K
90677	462	920	20	$270	$15.4K
90662	142	1,230	40	$70	$15.2K
90694	194	700	30	$70	$14.8K
G0008	89	1,830	40	$30	$7.4K
0134A	35	220	30	$40	$7.2K
0124A	140	330	20	$40	$6.1K
G0009	598	1,050	20	$30	$1.6K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Downtown Drug Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maura Stack Oden LLC	CO	Community/Behavioral Health Agency	$0	$22.9M
Mountain Valley Developmental Services	CO	Case Management Agency	$0	$15.7M
Mountain Family Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$8.9M
All Kids Dental Pediatrics And Orthodontics	CO	Pediatric Dentistry	$0	$8.7M
Swann Clinic For Behavioral Health	CO	Behavior Analyst	$0	$5.3M
Valley View Hospital Association	CO	General Acute Care Hospital	$0	$4.5M
Pediatric Psychology Services Of Colorado	CO	Clinical Psychologist	$0	$3.5M
Lola Sawyer	CO	Diagnostic Radiology Physician	$130.7K	$379K
Matthew Ehrlich	CO	Ophthalmology Physician	$250K	$0
Carl Valentin	CO	Diagnostic Radiology Physician	$84.9K	$135.2K

Downtown Drug Inc — Billing Profile & Reimbursement Data

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Downtown Drug Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References