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.

Delta County Memorial Hospital (NPI 1417935446)

Delta County Memorial Hospital is a rural acute care hospital provider located in Delta, Colorado. This profile covers 0 Medicare and 98 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	Delta County Memorial Hospital
Address	1501 E 3rd Street
City	Delta
State	CO
ZIP	81416
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	January 9, 2006

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

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

98 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.	16,840	$140	$2.3M
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.	7,480	$140	$1M
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…	4,390	$80	$364.6K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	17,340	$20	$312K
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.	1,750	$120	$201.4K
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…	1,850	$70	$131.6K
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.	260	$350	$90.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,080	$80	$86.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	20,580	$1	$61.7K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	130	$260	$33.1K

Showing 1–10 of 98

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

Delta County Memorial Hospital — 0 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

98 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.	151	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.	42	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.	67	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.	40	70	410	$250	$881.6K
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…	629	2,520	330	$100	$352K
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…	55	80	830	$70	$274.8K
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…	382	2,630	430	$90	$268.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	59	120	130	$70	$266.2K
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…	1,358	1,670	550	$100	$229.3K
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.	33	130	280	$130	$228.2K

Showing 1–10 of 98

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Delta County Memorial Hospital	CO	Rural Acute Care Hospital	$0	$4M
Dane Stewart	CO	Ophthalmology Physician	$641.7K	$0
Shad Saunders	CO	Ophthalmology Physician	$401.7K	$0
Bennett Oberg	DC	Ophthalmology Physician	$374.2K	$0
Nicholas Neubaum	CO	Ophthalmology Physician	$298.2K	$0
John Knutson	CO	Orthopaedic Surgery Physician	$239.5K	$0
Aaron Benner	NE	Diagnostic Radiology Physician	$237.7K	$0
Kimberly Wright	CO	Diagnostic Radiology Physician	$229.7K	$0
Trevor Phan	NV	Internal Medicine Physician	$174.5K	$31.7K
Caleb Stepan	CO	Urology Physician	$204.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peoplecare Of Western Colorado, LLC	CO	In Home Supportive Care Agency	$0	$59.5M
Olathe Community Clinic Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.5M
Mountain Taxi	CO	Taxi	$0	$4.6M
Delta County Ambulance District	CO	Land Ambulance	$440.5K	$1M
Daniel Olson	CO	Neuromusculoskeletal Medicine & OMM Physician	$126.5K	$0
Michelle Purvis	CO	Family Medicine Physician	$110.4K	$0
Douglas Huene	CO	Orthopaedic Surgery Physician	$107.6K	$0
Marcela Abuid	CO	Specialist	$87.7K	$0
Elizabeth Singleton	CO	Physician Assistant	$45.1K	$0
Kyle Rice	CO	Family Nurse Practitioner	$37.7K	$0

Delta County Memorial Hospital — Billing Profile & Reimbursement Data

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Delta County Memorial Hospital — 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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